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November is National Diabetes Month

Who should be screened for diabetes now?

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After sleeve gastrectomy, obese patients with type 2 DM who have less severe disease do better than those who have more advanced disease. Surgery should be encouraged sooner rather than later.

Some of the reasons cited for the observed cost efficiencies: better achievement of A1C and composite quality-of-care goals and fewer treatment failures.

Diabetes and cardiac medications are reduced significantly in obese patients who undergo weight-loss surgery, and so are their costs.

In patients with A1c poorly controlled on metformin, dual add-on therapy with saxagliptin plus dapagliflozin brought more to A1c goals than either drug added alone.

Until now, the USPSTF has recommended against screening asymptomatic adults for diabetes. A recent draft recommendation shifts focus and suggests intermittent screening for certain high risk adults.

Retching, bloating, abdominal pain, early fullness...which is worse in patients with "diabetic stomach"?

Clue: What do domperidone and metoclopramide have in common?

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