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Journal of Family Practice

John E Anderson
Rates of confirmed and severe, as well as nocturnal, hypoglycemia are generally lower with insulin glargine U-300 than insulin glargine U-100, thereby reducing an important concern of providers and patients regarding insulin therapy. Although a higher dose of insulin glargine U-300 than U-100 is required in most patients, the observed increase in body weight is small and less than with insulin glargine U-100.
October 2016: Journal of Family Practice
Athena Philis-Tsimikas
Insulin degludec (IDeg) is a long-acting basal human insulin analog produced using recombinant DNA technology. The insulin structure is modified at the B30 position to allow a di-hexamer conformation in the presence of phenol and zinc.
October 2016: Journal of Family Practice
Eden M Miller
The DAWN2, HAT, and GAPP studies reaffirm that providers, patients, and family members experience numerous barriers to diabetes care, including the use of insulin. Strategies are provided as part of a shared decision-making process to help address some of the more common barriers experienced by patients.
October 2016: Journal of Family Practice
Helena W Rodbard
The availability of human insulin and subsequently insulin analogs that more closely mimic the body's physiology have contributed to increased safety in patients with diabetes and a greater role in patients with T2DM. This greater role is supported by clear evidence that early use of insulin in T2DM results in long-term improvements in glycemic control and beta-cell function compared with oral agents.
October 2016: Journal of Family Practice
Zvi Weizman
The average American consumes about 3400 mg/d of sodium, which is more than double the 1500 mg recommended by the American Heart Association.
October 2016: Journal of Family Practice
Todd Fredricks
The stethoscope remains an outstanding, inexpensive, and convenient screening tool and its use needs to be emphasized.
October 2016: Journal of Family Practice
Corinna Falck-Ytter, Stephanie W Kanuch, Richard McCormick, Michael Purdum, Neal V Dawson, Shari D Bolen, Martha Sajatovic
The American Diabetes Association (ADA)'s "Standards of Medical Care in Diabetes" recognizes that hemoglobin A1C targets for patients should be individualized.² We consider it important to discuss challenges and limitations with each patient.
October 2016: Journal of Family Practice
Jennie B Jarrett, Linda Hogan, Corey Lyon, Kate Rowland
This novel method of identifying patients with uncontrolled hypertension correlates well with ambulatory BP monitoring.
October 2016: Journal of Family Practice
Tye Powers, Gary Kelsberg, Sarah Safranek
Habitual knuckle popping, or cracking (over the course of several decades) isn't associated with clinical or radiographic evidence of osteoarthritis.
October 2016: Journal of Family Practice
Pradeepa Vimalachandran, Jayashree Paknikar
A minimally tender mass was detected during palpation of the abdomen, but a Murphy's test was negative. An abdominal x-ray revealed the cause of the patient's pain.
October 2016: Journal of Family Practice
Shashank Kraleti, Diane Jarret
A 49-year-old woman visited our family medicine clinic because she'd had 3 episodes of epistaxis during the previous month. She'd already visited the emergency department, and the doctor there had treated her symptomatically and referred her to our clinic.
October 2016: Journal of Family Practice
Conar R O'Neil, Sergio Fanella
While both of these patients had eosinophilia, their diagnoses ended up being quite different. What is the best approach to the diagnosis and management of eosinophilia in the ambulatory care setting?
October 2016: Journal of Family Practice
Ronni Hayon, Jensena Carlson, Julia McMillen, Sarina Schrager
Would your patient benefit from abortive therapy or prophylactic treatment? And which regimen is likely to provide the best--and safest--relief?
October 2016: Journal of Family Practice
Jonathan A Becker, Britney M Richardson, Steven T Brown
This review, differential table, and case to test your skills can help you avoid overuse of costly tests and delayed treatment.
October 2016: Journal of Family Practice
Michael J Arnold, Joshua Beer
Our preop evaluation method combines the latest guidelines and tools to help you avoid unnecessary testing and complete the process in one visit.
October 2016: Journal of Family Practice
John Hickner
The Accountable Care Organization demonstrations around the country have shown that some, but not all, health care organizations are able to bend the steep cost incline downward using incentives, bundled payments, excellent primary care access, and care coordination.
October 2016: Journal of Family Practice
Jeffrey B Blumberg, Balz Frei, Victor L Fulgoni, Connie M Weaver, Steven H Zeisel
This supplement examines the role of vitamin and mineral supplements in increasing nutrient intake and reducing nutrient deficiencies and inadequacies. Although research is needed to study the effects of dietary supplements on chronic disease outcomes, US health care providers need to know how to advise their patients about adding vitamins and minerals to their diets.
September 2016: Journal of Family Practice
Andrea Richardson, Richard P Usatine
The itchy rash had been previously diagnosed as psoriasis. But treatment provided minimal relief. So what was causing the itch?
September 2016: Journal of Family Practice
Luke Widstrom, Andrew Slattengren
Both approaches reduce pain, but the improvement with platelet-rich plasma (PRP) is not clinically meaningful. Autologous blood injections (ABIs) are more effective than corticosteroid injections for reducing pain and disability in patients with tennis elbow in both the short and long term.
September 2016: Journal of Family Practice
Valory DeLucia, Gary Kelsberg, Sarah Safranek
We don't know which selective serotonin reuptake inhibitors (SSRIs) are the most effective and safe because no studies have compared these antidepressants with each other. Three SSRI antidepressant medications--fluoxetine, sertraline, and escitalopram--produce modest improvements (about 5% to 10%) in standardized depression scores without a significant increase in the risk of suicide-related outcomes (suicidal behavior or ideation) in adolescent patients with major depression of moderate severity.
September 2016: Journal of Family Practice
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