Current Issue


Overtreatment and hospital visits for hypoglycemia common among diabetes patients

More than one in five patients with well-controlled diabetes were receiving more medications than recommended, many of them elderly or with multiple comorbidities, a recent study found.

Quarter of U.S. diabetes patients report using at least one strategy to reduce drug costs

In a survey of U.S. adults with diabetes, about 13% who were prescribed medication said they did not take it as prescribed, and about 24% said they asked their doctors for a lower-cost medication.

Metabolic surgery associated with lower risk for MACE in obese adults with type 2 diabetes

Patients with diabetes and obesity who had metabolic surgery were matched in a 1:5 ratio to those who received usual care, with incidence of a major cardiovascular event (MACE) as the primary outcome.

MKSAP quiz: Expanding foot ulcer

This month's quiz asks readers about management of a 67-year-old patient with type 2 diabetes who is hospitalized with osteomyelitis.

Spotlight on the diabetic foot

Recent diabetes research analyzed trends in lower-extremity amputations in Ontario, Canada, as well as how health literacy, procalcitonin, and mortality risk relate to diabetic foot infection outcomes.

Canagliflozin reduced kidney failure and CV events at 2.6 years in type 2 diabetes with chronic kidney disease

Sodium–glucose cotransporter 2 inhibitors appear to be a promising treatment option for patients with diabetes and chronic kidney disease, according to an ACP Journal Club commentary.

In uncontrolled type 2 diabetes, adjunctive semaglutide reduced HbA1c and body weight vs sitagliptin

The trial showed that an oral glucagon-like peptide-1–receptor analogue improved glycemic control compared to a dipeptidyl peptidase 4 inhibitor, but gastrointestinal side effects and cost remain barriers to use of the former class.

In type 2 diabetes, a primary care–led weight management program increased weight loss and diabetes remission at 2 years

Primary care practices that want to adopt such an intervention for their patients will need a dietician or practice nurse to deliver an intensive weight loss program, noted an ACP Journal Club commentary.

Text messages may improve glycemic control in patients with diabetes and coronary disease

Patients in a Chinese study received six automated text messages per week with educational and motivational information on glucose monitoring, blood pressure control, medication adherence, physical activity, and lifestyle.