In the News

Few diabetes, hypertension patients get recommended testing for kidney disease

Only 21% of patients with diabetes, hypertension, or both underwent urine albumin-to-creatinine ratio testing in a year, despite guideline recommendations, a large recent study found.

Antidepressant adherence linked to lower risk of advanced complications of diabetes

In patients with diabetes and depression in Taiwan, regular use of an antidepressant was associated with a 0.92-fold decreased risk of macrovascular complications and a 0.86-fold decreased risk of all-cause mortality compared with poor adherence.

Diets with low glycemic index or glycemic load may benefit patients with diabetes

A systematic review and meta-analysis found small improvements in established targets for glycemic control, blood lipids, adiposity, and inflammation among those with moderately controlled type 1 and type 2 disease who tried low glycemic index/load diets.

MKSAP quiz: Type 2 diabetes and difficulty walking

This month's quiz asks readers to evaluate a 63-year-old man with type 2 diabetes and low back pain, intense pain of the left anterior thigh, buckling of the left knee, paresthesias of the feet, difficulty walking, and weight loss.

Spotlight on youth-onset type 2 diabetes

One study found that patients who developed type 2 diabetes as children had high rates of diabetes complications, while another used genetic analysis to identify patients who actually had maturity-onset diabetes of the young but had been diagnosed with youth-onset type 2 diabetes.

One-step screening approach detected more gestational diabetes than two-step approach but did not improve clinical outcomes

A screening approach that finds more cases of gestational diabetes without improving patient outcomes introduces considerable burden and costs to patients, clinicians, and medical systems, an ACP Journal Club commentary said.