Tag Archives: diabetes
Myocardial Infarction

J. Heuser
19. June 2006

Clinical Features and Prognosis of Type 2 Myocardial Infarction in Acutely Decompensated Diabetic Patients (video)

After the introduction of the universal definition of myocardial infarction, the incidence and diagnosis of type 2 myocardial infarction have risen dramatically, yet there are no clear guidelines on clinical management. Diabetic patients are at high risk for developing type 2 myocardial infarction when admitted in a decompensated state, and they are also at high […]

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Computerized tomography of the abdomen and pelvis, revealing massive distention of the urinary bladder* (A) sagittal view; and hydronephrosis* (B) axial view; (C) coronal view.

Diabetic Cystopathy with Bilateral Hydronephrosis

A 40-year-old man with poorly controlled diabetes mellitus (glycated hemoglobin 19%) with related peripheral neuropathy, nephropathy, and proliferative retinopathy presented with epigastric discomfort, anorexia, polyuria, polydipsia, nausea, and diminished urine output. His longstanding use of insulin was halted in the preceding month owing to termination of employment and loss of health insurance coverage. Examination revealed […]

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Loss of subcutaneous fat from the (A) face, (B) limbs, (C) neck, and (D) trunk.

Acquired Generalized Lipodystrophy Following Immune Thrombocytopenia

We describe an adult male patient with acquired generalized lipodystrophy preceded by autoimmune thrombocytopenia. A 44-year-old man with adult-onset type I diabetes presented with 4 weeks of fat wasting in his face, neck, torso, and arms. He was hospitalized 9 months earlier for epistaxis and isolated thrombocytopenia with a presenting platelet count of 3 k/μL. […]

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doctor-consultation-stock

Independent of Cirrhosis, Hepatocellular Carcinoma Risk Is Increased with Diabetes and Metabolic Syndrome

Hepatocellular carcinoma is the most common primary liver malignancy, commonly a sequelae of hepatitis C infection, but can complicate cirrhosis of any cause. Whether metabolic syndrome and its components, type II diabetes, hypertension, and hyperlipidemia increase the risk of hepatocellular carcinoma independent of cirrhosis is unknown. Methods A retrospective cohort study was conducted using the MarketScan insurance […]

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Joseph S. Alpert

Statins and Diabetes: Wider Utilization Is Needed in Treatment and Prevention

  In this issue of The American Journal of Medicine, Hennekens et al1 address many cogent methodologic issues concerning whether there is a valid statistical association between statins and the development of diabetes. While they conclude that the current totality of evidence is insufficient to confirm a valid association, if such an association were present, the most plausible […]

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nurse holding hand of elderly woman patient

Dipeptidyl Peptidase-4 Inhibitors, Peripheral Arterial Disease, and Lower Extremity Amputation Risk in Diabetic Patients

Recent studies have elucidated the vascular protective effects of dipeptidyl peptidase-4 (DPP-4) inhibitors. However, to date, no large-scale studies have been carried out to determine the impact of DPP-4 inhibitors on the occurrence of peripheral arterial disease, and lower extremity amputation risk in patients with type 2 diabetes mellitus. Methods We conducted a retrospective registry […]

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