US Diabetes Treatment is Missing the Mark
US adults with diagnosed diabetes are no closer to treatment goals than they were in 2005, according to a new study. (Source: ConsultantLive)
Source: ConsultantLive - September 10, 2019 Category: Internal Medicine Authors: Grace Halsey Tags: Diabetes Diabetes Type 2 T2 Diabetes Source Type: news

Autosomal Dominant Polycystic Kidney Disease: Studies in Comorbidity
Studies on comorbidities seen with CKD reviewed here examine controlled vs uncontrolled gout, psychiatric diagnoses, and screening for intracranial aneurysm. (Source: ConsultantLive)
Source: ConsultantLive - September 6, 2019 Category: Internal Medicine Tags: Kidney Disease Source Type: news

Diabetes and the Flu: A Dangerous Duo
Help keep patients with diabetes healthy this flu season with a few of these quick reminders on vaccination, medication, comorbidities, and more.   (Source: ConsultantLive)
Source: ConsultantLive - September 6, 2019 Category: Internal Medicine Authors: Gregory M. Weiss, MD Tags: Diabetes Hepatitis C Influenza T2 Diabetes Source Type: news

Flu in Adults with Chronic Health Conditions
When it comes to flu vaccination, nearly 50% of US adults don ’t know the benefits. Are your patients among them? (Source: ConsultantLive)
Source: ConsultantLive - September 6, 2019 Category: Internal Medicine Authors: Leo Robert Tags: Hepatitis C Influenza Source Type: news

ADPKD Quiz: Questions on Disease Progression
The risk for end-stage renal disease in patients with ADPKD is high. What factors increase the risk and how is it best managed? Test yourself. (Source: ConsultantLive)
Source: ConsultantLive - September 5, 2019 Category: Internal Medicine Authors: Andrew Bowser Tags: Kidney Disease Source Type: news

Endurance Training and Atrial Fibrillation: Sex Matters
A large Swedish cohort study suggests that when it come to risk of atrial fibrillation, there are differences in the way women and men respond to endurance training. (Source: ConsultantLive)
Source: ConsultantLive - September 5, 2019 Category: Internal Medicine Authors: Gregory M. Weiss, MD Tags: Atrial Fibrillation Cardiovascular Disease Source Type: news

7 New Looks into COPD
Can air pollution cause emphysema? Can yoga positively impact lung function? New research has answers to these questions plus 5 more. (Source: ConsultantLive)
Source: ConsultantLive - September 3, 2019 Category: Internal Medicine Authors: Leo Robert Tags: COPD COPD Management Source Type: news

Cystic Fibrosis Guideline Update: 7 Questions
Cystic fibrosis treatment guidelines must evolve to keep pace with new treatments and disease knowledge. Try 7 questions on the latest iteration. (Source: ConsultantLive)
Source: ConsultantLive - September 2, 2019 Category: Internal Medicine Authors: Jeff Craven Tags: Cystic Fibrosis Respiratory Diseases Source Type: news

E-cigarettes May Worsen COPD
E-cigarette vapor may worsen COPD. A new study demonstrates exposure-related death of human airway smooth muscle cells and other toxic effects. (Source: ConsultantLive)
Source: ConsultantLive - September 1, 2019 Category: Internal Medicine Authors: Veronica Hackethal, MD Tags: COPD COPD Management Source Type: news

Smoking Cessation and CVD Risk: 5 Years and All Clear?
Heavy smokers who quit remain at significantly increased CVD risk for up to 10 years or more, according to new research. Results suggest that current risk estimators may need revision. (Source: ConsultantLive)
Source: ConsultantLive - August 30, 2019 Category: Internal Medicine Authors: Grace Halsey Tags: Cardiovascular Disease Source Type: news

Fear a Future with Fentanyl
Deaths related to synthetic opioids increased from approximately 3000 in 2013 to more than 30 000 in 2018. A new book warns there is more to come. (Source: ConsultantLive)
Source: ConsultantLive - August 30, 2019 Category: Internal Medicine Authors: Grace Halsey Tags: News Source Type: news

Migraine Risk is Brewing Among Heavy Caffeine Drinkers
A cup of coffee/day keeps migraine away? It can, but before recommending another cup to migraine patients, review findings just published. (Source: ConsultantLive)
Source: ConsultantLive - August 29, 2019 Category: Internal Medicine Authors: Sydney Jennings Tags: Headache and Migraine News Source Type: news

Coffee Reconsidered: New Grounds for Drinking It
Caffeine moderation moderates cardiovascular risk, caffeine is  not what is keeping you up at night, and 4 more recent studies on caffeine intake.  (Source: ConsultantLive)
Source: ConsultantLive - August 29, 2019 Category: Internal Medicine Authors: Leo Robert Tags: Cardiovascular Disease Headache and Migraine News T2 Diabetes Source Type: news

New CF Adherence Intervention Starts Strong
Pilot study success with a new cystic fibrosis treatment adherence tool may augur similar positive results from current RCT. Outcomes are due, soon. (Source: ConsultantLive)
Source: ConsultantLive - August 28, 2019 Category: Internal Medicine Authors: Jeff Craven Tags: Cystic Fibrosis Respiratory Diseases Source Type: news

Updates in ID for PCPs: 5 Questions
How prevalent is use of antibiotics without a prescription? Why do patients hesitate to be vaccinated? Plus, 3 more questions on ID research that may affect primary care. (Source: ConsultantLive)
Source: ConsultantLive - August 22, 2019 Category: Internal Medicine Authors: Leo Robert Tags: Hepatitis C Infectious Disease Source Type: news

Study Finds Chocolate Good for Everything: True or False?
Can dark chocolate intake decrease depressive symptoms? Is chocolate intake linked to a higher risk of atrial fibrillation? New research examines the impact that chocolate has on various health conditions. (Source: ConsultantLive)
Source: ConsultantLive - August 22, 2019 Category: Internal Medicine Authors: Sydney Jennings Tags: News Source Type: news

Diabetes Drug Costs Force Patients to Cut Corners
About 25% of patients with diabetes report asking a physician for a cheaper drug. Skipping doses and pill splitting are tactics used to cut costs. (Source: ConsultantLive)
Source: ConsultantLive - August 22, 2019 Category: Internal Medicine Authors: Grace Halsey Tags: Diabetes Diabetes Type 2 Source Type: news

Adult Pneumococcal Vaccine: Who Needs It? When and Why?
The rules for pneumococcal vaccination can seem a little arbitrary. See what you know about the ACIP rationale behind these 5 recommendations for PCV13 and PPSV23. (Source: ConsultantLive)
Source: ConsultantLive - August 20, 2019 Category: Internal Medicine Authors: Terry Brenneman, MD Tags: Immunization Immunization Awareness Month Vaccines Source Type: news

Primary Care vs Specialist for HCV Treatment
Is the expanding paradigm shift toward HCV treatment in primary care effective? Or, should it be left to specialists? Two recent studies shed light. (Source: ConsultantLive)
Source: ConsultantLive - August 20, 2019 Category: Internal Medicine Authors: Veronica Hackethal, MD Tags: Hepatitis C Source Type: news

5 Questions on TB Screening in Healthcare Workers
CDC's TB screening guidelines for healthcare professionals were updated in May 2019. What changed? Protect yourself, colleagues, and your patients with this short quiz. (Source: ConsultantLive)
Source: ConsultantLive - August 20, 2019 Category: Internal Medicine Authors: Veronica Hackethal, MD Tags: Hepatitis C Source Type: news

Neuromodulators for Migraine At-a-Glance
Here: A snapshot of the 4 FDA-approved neuromodulation devices and a primer on neuromodulation for migraine at work. (Source: ConsultantLive)
Source: ConsultantLive - July 25, 2019 Category: Internal Medicine Authors: Grace Halsey Tags: Headache and Migraine Source Type: news

Refusal to Fill a Rx: A PharmD & #039;s Perspective
Pharmacist won't fill the Rx? There is usually a good reason and it could involve legal liability. A PharmD describes 3 personal scenarios with 3 different solutions. (Source: ConsultantLive)
Source: ConsultantLive - July 25, 2019 Category: Internal Medicine Authors: Alex Evans, PharmD, BCGP Source Type: news

10 CBD Company Health Claims: Please Read
FDA on July 23rd issued a warning letter to CBD-product maker Curaleaf, Inc, citing unsubstantiated health claims for its products. Here are 10 of the claims your patients are reading.   (Source: ConsultantLive)
Source: ConsultantLive - July 25, 2019 Category: Internal Medicine Authors: Grace Halsey Source Type: news

Carnivore & #039;s Complaint: More Meat, More Mortality
US consumption of red meat remains twice the global average. New research highlights the consquences of that intake in terms of all-cause mortality. (Source: ConsultantLive)
Source: ConsultantLive - July 23, 2019 Category: Internal Medicine Authors: Grace Halsey Tags: Cardiovascular Disease Source Type: news

Lyme Disease: 5 Characteristics of the Ideal Test
The ideal test for Lyme disease needs to be direct and highly sensitive in specific areas of detection. A new review highlights the 5 key criteria. (Source: ConsultantLive)
Source: ConsultantLive - July 23, 2019 Category: Internal Medicine Authors: Patient Care Editorial Staff Tags: Infectious Disease Source Type: news

Shiny Pink Nodule on Malar Cheek
A 68-year-old woman presents with a new 6-mm nodule with central ulceration and a rolled border on the right cheek. What's your diagnosis? How would you treat? (Source: ConsultantLive)
Source: ConsultantLive - July 23, 2019 Category: Internal Medicine Authors: Ahuva Cices Eve J. Lowenstein, MD, PhD Tags: Skin Diseases Source Type: news

Chronic Opioid Prescribing in Primary Care
Which patients are more likely to be prescribed chronic opioids by their primary care physician? Should we be concerned? A new study offers insight. (Source: ConsultantLive)
Source: ConsultantLive - July 19, 2019 Category: Internal Medicine Authors: Steven A. King, MD, MS Tags: Pain Source Type: news

Treatment Intensification in Type 2 Diabetes: 3 Cases
When intensifying T2DM therapy to reach glycemic goals, newer agents target common comorbidities. Which would you choose in these 3 scenarios? (Source: ConsultantLive)
Source: ConsultantLive - July 18, 2019 Category: Internal Medicine Authors: Sudipa Sarkar, MD Tags: Diabetes Type 2 Source Type: news

Neck Mass in a Young Girl
The patient is 5-years-old without significant medical history. What is the differential diagnosis for a neck mass? What is your diagnosis? (Source: ConsultantLive)
Source: ConsultantLive - July 16, 2019 Category: Internal Medicine Authors: Brady Pregerson, MD Tags: Infectious Disease Source Type: news

Neisseria gonorrhea Infection: 5 Questions on New Guidelines
Antibiotic-resistant Neisseria gonorrhea is an international threat. Find out what you know about current first-line treatment in just a few minutes. (Source: ConsultantLive)
Source: ConsultantLive - July 15, 2019 Category: Internal Medicine Authors: Veronica Hackethal, MD Tags: Hepatitis C Source Type: news

Neisseria gonorrhea: 5 Questions on New Guidelines
Antibiotic-resistant Neisseria gonorrhea is an international threat. Find out what you know about current first-line treatment in just a few minutes. (Source: ConsultantLive)
Source: ConsultantLive - July 15, 2019 Category: Internal Medicine Authors: Veronica Hackethal, MD Tags: Hepatitis C Source Type: news

Red Meat Poses New Challenges
Saturated fat and cholesterol from red meat have long been known to be bad for heart health, but recent research sheds light on a possible new culprit. (Source: ConsultantLive)
Source: ConsultantLive - July 12, 2019 Category: Internal Medicine Authors: Leo Robert Tags: Cardiology Cardiovascular Disease Nutrition Source Type: news

Current COPD Cutoff Confirmed: JAMA Study Highlights
Confirmed: FEV1:FVC
Source: ConsultantLive - July 12, 2019 Category: Internal Medicine Authors: Veronica Hackethal, MD Tags: COPD Management Source Type: news

COPD Insights: 6 Study Briefs for Primary Care
Second-hand smoke and COPD, optimal cutoff for COPD diagnosis, impact of exercise on COPD risk, and 3 more new findings, at-a-glance. (Source: ConsultantLive)
Source: ConsultantLive - July 12, 2019 Category: Internal Medicine Authors: By Leo Robert Tags: COPD Management Source Type: news

Shingrix shortage: Advice for physicians
With demand for the newer shingles vaccine, known as Shingrix, far outstripping the pace at which the manufacturer can supply it, shortages will likely continue throughout 2019, predicts the CDC.   “GlaxoSmithKline [GSK] are running their vaccine plants as much as they can, to produce more but it’s just not enough,” says Julio Viola, PharmD, the director of centralized pharmacy services at Northwell Health Systems, which operate in the New York metro area.  (Source: ConsultantLive)
Source: ConsultantLive - July 11, 2019 Category: Internal Medicine Authors: Milly Dawson Tags: Medical News Source Type: news

After Metformin: Which Class Would you Choose?
In this older patient with T2DM, HFpEF, and other comorbidities, which class of medication is most appropriate--and guideline-recommended? (Source: ConsultantLive)
Source: ConsultantLive - July 10, 2019 Category: Internal Medicine Authors: Payal Kohli, MD Tags: Cardiovascular Disease Diabetes Type 2 Source Type: news

Stimulating New Treatments for your Headache Patients
Neuromodulation to treat migraine and other primary headaches is proven effective in clinical trials and may be an option for your patients looking for drug-free relief. (Source: ConsultantLive)
Source: ConsultantLive - July 10, 2019 Category: Internal Medicine Authors: Peter McAllister, MD Tags: Headache and Migraine Source Type: news

Mindfulness for Migraines
Mindfulness, an attention-control technique, can augment medical therapy for migraineurs with stress reduction, relaxation, and shifting negative self judgement. (Source: ConsultantLive)
Source: ConsultantLive - July 9, 2019 Category: Internal Medicine Authors: Jordan Rosenfeld Tags: Headache and Migraine Source Type: news

7 New Drugs for Primary Care: Q2 2019
The end of another quarter means a new list of FDA-approved drugs for primary care. Which ones should you know about? Click through to find out.   (Source: ConsultantLive)
Source: ConsultantLive - July 8, 2019 Category: Internal Medicine Authors: Sydney Jennings Tags: Obesity Opioid Related Disorders Osteoporosis Pregnancy and Birth Psoriasis Rheumatoid Arthritis T2 Diabetes Source Type: news

Autosomal-dominant Polycystic Kidney Disease: 3 Studies in Brief
Three new studies on ADPKD treatment project long-term impact of tolvaptan; reveal potential in an existing drug class; and, report success in slowing comorbid hepatic disease.   (Source: ConsultantLive)
Source: ConsultantLive - July 8, 2019 Category: Internal Medicine Authors: Andrew D. Bowser Tags: Kidney Disease Source Type: news

6 Essential Updates in Lyme Disease Research
With the start of peak tick season, check here to spot some of the latest developments in diagnosis and treatment of Lyme disease. (Source: ConsultantLive)
Source: ConsultantLive - July 4, 2019 Category: Internal Medicine Authors: Leo Robert Tags: Hepatitis C Source Type: news

For ADPKD in Children, New Guidelines Speak to Ethical Issues
Most children with ADPKD remain asymptomatic, but some manifest early and aggressive disease. Try our 6 questions on the new expert guidance on tricky treatment issues. (Source: ConsultantLive)
Source: ConsultantLive - July 3, 2019 Category: Internal Medicine Authors: Andrew D. Bowser Tags: Kidney Disease Source Type: news

GI Disease in 3 Pregnant Women
Possible gastrointestinal issues during gestation range from expected to significant threat. Choose your next steps for these 3 young women. (Source: ConsultantLive)
Source: ConsultantLive - July 3, 2019 Category: Internal Medicine Authors: Ted W. James, MD Tags: Gastrointestinal Disorders Source Type: news

The & quot;Sweet Spot & quot; in Type 2 Diabetes Management
The new " sweet spot " in diabetes management is the interdisciplinary approach that is essential to treating all aspects of the disease. New diabetes medications also hit that spot. (Source: ConsultantLive)
Source: ConsultantLive - July 2, 2019 Category: Internal Medicine Authors: Payal Kohli, MD Tags: Cardiovascular Disease Diabetes Type 2 Source Type: news

Inhaler Misuse in COPD Patients: An 8-question Quiz
Authors of a recent study sought to examine which factors impact a COPD patient's ability to properly use an inhaler. Find out the results with this quick quiz.   (Source: ConsultantLive)
Source: ConsultantLive - June 28, 2019 Category: Internal Medicine Authors: Sydney Jennings Tags: COPD COPD Management Source Type: news

Top 5 Post-bariatric Surgery Apps for Primary Care
Maintaining a healthy lifestyle after bariatric surgery can prove difficult for patients, but these 5 apps can help both in and out of the clinical setting.   (Source: ConsultantLive)
Source: ConsultantLive - June 26, 2019 Category: Internal Medicine Authors: Ted W. James, MD Tags: Technology Source Type: news

Top 5 Bariatric Surgery Apps for Primary Care
Maintaining a healthy lifestyle after bariatric surgery can prove difficult for patients, but these 5 apps can help both in and out of the clinical setting.   (Source: ConsultantLive)
Source: ConsultantLive - June 26, 2019 Category: Internal Medicine Authors: Ted W. James, MD Tags: Technology Source Type: news

Novel Dual-mechanism Agent Acts on Diabetes, Metabolic Complications
ADA 2019 ICYMI: Tirzepatide, a GIP and GLP-1 receptor agonist, reduces A1c and BMI as well as biomarkers of metabolic dysfunction in type 2 diabetes patients. Four studies reviewed. (Source: ConsultantLive)
Source: ConsultantLive - June 26, 2019 Category: Internal Medicine Authors: Kenneth J. Bender, PharmD, MA Tags: Diabetes Type 2 Source Type: news

Dual-Mechanism Investigational Agent Acts on Diabetes and Metabolic Complications
Kenneth J Bender, PharmD, MA An investigational agent with dual mechanisms of action demonstrated benefit on markers of both diabetes and non-alcoholic steatohepatitis (NASH), in studies presented at the American Diabetes Association (ADA) Scientific Sessions meeting in San Francisco, CA June 7-11. (Source: ConsultantLive)
Source: ConsultantLive - June 26, 2019 Category: Internal Medicine Tags: Diabetes Type 2 Source Type: news

First Oral GLP-1 Agonist Showcased while Approval Pending
ADA 2019 ICYMI: Safety and efficacy of oral semaglutide in patients with T2DM was demonstrated in results of 3 PIONEER program clinical trials.   Highlights, here. (Source: ConsultantLive)
Source: ConsultantLive - June 26, 2019 Category: Internal Medicine Authors: Kenneth J. Bender, PharmD, MA Tags: Diabetes Diabetes Type 2 Source Type: news