Endocrinology

A new personalized prediction model uses smartphone-collected patient data and aggregate population data to create personalized blood glucose predictions for individuals.

Measuring tumor-specific mutations in blood and urine samples may be useful for monitoring response to treatment and identifying early signs of metastases after radical cystectomy in patietns with advanced bladder cancer, according to researchers.

The Myths of Dehydration and Heat Illnesses

• The primary cause of hyponatremia in athletes is drinking too much water.
• The incidence of hyponatremia appears to be between 13% and 15% among endurance athletes.
• Gender and the duration of athletic activity appear to be predictors of the incidence of hyponatremia.
• Sodium supplementation has no effect on the occurrence of hyponatremia.
• There seems to not be a single case of death resulting from sports-related dehydration in the medical literature.

• Anabolic steroids and human growth hormone help people build muscle.
• Could these drugs benefit some of your older hip and knee arthroplasty patients?
• The drugs carry some risks of heart and bone disease.
• Do these risks outweigh the risk of weakness and immobility?

• Having social connections improves peoples’ odds of survival by 50% on average.
• Living alone increased the likelihood of mortality the most, 32%, while social isolation raised the risk by 29% and loneliness by 26%.
• Simply living with someone else increased survival by nearly 20%.
• Extensive social integration nearly doubled the odds of survival.

The Myths of Dehydration and Heat Illnesses

• The primary cause of hyponatremia in athletes is drinking too much water.
• The incidence of hyponatremia appears to be between 13% and 15% among endurance athletes.
• Gender and the duration of athletic activity appear to be predictors of the incidence of hyponatremia.
• Sodium supplementation has no effect on the occurrence of hyponatremia.
• There seems to not be a single case of death resulting from sports-related dehydration in the medical literature.

Philip R. Schauer, MD, is a leading authority on the use of bariatric surgery to control obesity and type 2 diabetes. He has recently published 3 landmark papers on the subject in the New England Journal of Medicine.

• Systematic review and meta-analysis included 23 studies and 954 patients.
• Resistance training has been found to be effective for glycemic control in patients with type 2 diabetes (T2DM) in the early stages of the disease.
• Resistance training should be recommended in the early stage of T2DM, especially for patients with relatively poor glycemic control.
• A substantial amount of exercise might be required to stimulate post-exercise glucose uptake.
  
  
  

• The DASH diet, the Nordic diet, and the Mediterranean diet are effective for lowering blood pressure in patients with hypertension.
• Bariatric surgery has been shown to both cause significant weight loss and to prevent the development of type 2 diabetes.
• The Weight Watchers, Jenny Craig, and Nutrisystem diets appear to enable significant weight loss in patients who adhere to the programs.
• For all the approaches – except for bariatric surgery – adherence is a significant issue affecting clinical efficacy.

• Telomerase activity is associated with successful DNA replication.
• Studies link psychological stress, mental disorders, lifestyle factors, and interventions with variations in telomerase activity.
• There are many potential molecular mechanisms underlying the changes in telomerase activity affected by psychological stress, mental disorders, and lifestyle factors.

• Empagliflozin reduced the risk of cardiovascular death by 38%.
• Cardiovascular disease is the leading cause of death among diabetic patients.
• Reduced composite risk of MI or stroke and cardiovascular death by 14%.
• Study examined effects of empagliflozin 10mg or 25mg vs. placebo in more than 7000 diabetic patients.

• Clinic shuts down once a month, except for care of diabetes patients.
• Patients who come to Diabetes Day have been able to decrease their HbA1C significantly when compared to those patients who did not attend.
• Diabetes Day requires no new building, no new specialists to diabetes patients, no significant technology infrastructure was needed to support the program.
• Simple redesign of current care processes for diabetic patients using readily available resources enabled clinicians to initiate this program.

The Myths of Dehydration and Heat Illnesses

• The primary cause of hyponatremia in athletes is drinking too much water.
• The incidence of hyponatremia appears to be between 13% and 15% among endurance athletes.
• Sodium supplementation has no effect on the occurrence of hyponatremia.
• There seems to not be a single case of death resulting from sports-related dehydration in the medical literature