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Diabetes Mellitus: Screening and Diagnosis - American Family Physician

Jan 15, 2016 - Diabetes mellitus is one of the most common diagnoses made by family physicians. Uncontrolled diabetes can lead to blindness, limb amputation, kidney failure, and vascular and heart disease. Screening patients before signs and symptoms develop leads to earlier diagnosis and treatment, ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0115/p103.html

Should Adults with Prediabetes Be Prescribed Metformin to Prevent Diabetes Mellitus? ...

Aug 1, 2019 - Discussing with patients the pros and cons of medications for borderline glucose values could distract us from more important topics such as lifestyle changes, smoking cessation, and blood pressure control. Time is the most valuable resource in a physician-patient partnership, and there...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2019/0801/p136.html

Should Adults with Prediabetes Be Prescribed Metformin to Prevent Diabetes Mellitus? ...

Aug 1, 2019 - High-quality evidence supports metformin use for diabetes prevention among younger or more obese individuals or for women with a history of gestational diabetes. Clinicians should consider prescribing metformin, in addition to intensive lifestyle interventions, in accordance with ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2019/0801/p134.html

Benefits and Harms for Low-Dose Aspirin in Patients with Diabetes Mellitus - POEMs - ...

Jun 1, 2019 - The 7,740 patients who took low-dose aspirin experienced 51 fewer vascular deaths, nonfatal myocardial infarctions, or nonfatal ischemic strokes; 29 fewer transient ischemic attacks; and 44 fewer revascularizations than patients who took placebo over a mean of 7.4 years.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0601/p718.html

Omega-3 Oil Does Not Reduce Serious Cardiovascular Events for Patients with Diabetes ...

Jul 15, 2019 - In this study, there was no significant difference in the likelihood of a composite vascular outcome or all-cause mortality in patients given an omega-3 fatty acid supplement compared with those given an olive oil placebo.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0715/p120.html

Preventing or Delaying Type 2 Diabetes Mellitus with Diet and Exercise - Cochrane for ...

Dec 1, 2018 - There is moderate-quality evidence that in patients with impaired glucose tolerance (IGT) defined by an abnormal 75-g two-hour glucose tolerance test, implementing changes in diet and adding physical activity together can prevent or delay the development of type 2 diabetes.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/1201/p643.html

Statins Ineffective for Primary Prevention of Cardiovascular Disease in Patients 75 ...

Apr 1, 2019 - In this retrospective study, statin treatment in patients 75 years or older without preexisting CVD did not change the likelihood of developing CVD or reduce any-cause mortality. However, patients 75 to 84 years of age with diabetes mellitus benefitted from treatment. These results ...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0401/p461.html

DPP-4 Inhibitors and GLP-1 Receptor Agonists for Prevention or Delay of Type 2 Diabetes...

Apr 1, 2018 - There is only limited-quality evidence that at-risk patients taking GLP-1 receptor agonists are less likely to progress to diabetes (number needed to treat [NNT] = 23). Serious adverse events were more likely in patients taking GLP-1 receptor agonists than in patients taking placebo ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0401/p437.html

Screening for Abnormal Blood Glucose and Type 2 Diabetes Mellitus - Putting Prevention ...

Jun 15, 2016 - M.A. is a 43-year-old woman with a seven pack-year smoking history. She has no health concerns and has not visited a physician in four years. Her blood pressure and pulse are normal, and her body mass index (BMI) is 27 kg per m2. She does not have a family history of diabetes mellitus ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2016/0615/p1025.html

Screening for Abnormal Blood Glucose and Type 2 Diabetes Mellitus: Recommendation ...

Jan 15, 2016 - The USPSTF recommends screening for abnormal blood glucose as part of cardiovascular risk assessment in adults aged 40 to 70 years who are overweight or obese. Clinicians should offer or refer patients with abnormal blood glucose to intensive behavioral counseling interventions to ...

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2016/0115/od1.html

No Benefit to Screening with CTA for Asymptomatic CAD in Adults with Diabetes - POEMs -...

Apr 15, 2015 - Using coronary CTA to screen for CAD in adults with type 1 or type 2 diabetes and no indication of existing CAD does not improve outcomes more than standard care.

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0415/p566.html

Screening for Gestational Diabetes Mellitus: Recommendation Statement - U.S. Preventive...

Dec 1, 2014 - The U.S. Preventive Services Task Force (USPSTF) recommends screening for gestational diabetes mellitus (GDM) in asymptomatic pregnant women after 24 weeks of gestation.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2014/1201/od1.html

ACE Inhibitors Decrease Cardiovascular Events in Patients with Diabetes, ARBs Do Not - ...

Sep 1, 2014 - In patients with diabetes, ACE inhibitors decrease cardiovascular events and all-cause mortality. ARBs do not. Both drug classes decrease heart failure incidence. Although both drug classes have been available for almost 15 years, there is only one study of 250 patients that directly ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0901/p326.html

Metformin Therapy and Diabetes Prevention in Adolescents Who Are Obese - FPIN's ...

Nov 1, 2007 - No studies have addressed the question of whether metformin reduces development of diabetes among adolescents who are obese. Metformin treatment in adolescents who are obese can modestly reduce risk factors for type 2 diabetes, including elevated body mass index (BMI), fasting insulin ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2007/1101/p1357.html

Alpha-glucosidase Inhibitors May Reduce the Risk of Type 2 Diabetes - Cochrane for ...

Aug 1, 2007 - The literature shows that acarbose can reduce the risk of type 2 diabetes in patients with impaired glucose tolerance or impaired fasting glucose. However, it is unclear whether the drug stops or delays the development of the disease or masks the diagnosis. There is no evidence that ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/0801/p374.html

Practice Guidelines - Jan 15, 2007 - American Family Physician

Jan 15, 2007 - The American Heart Association (AHA) published recommendations for the detection of chronic kidney disease in patients with cardiovascular disease (CVD). Chronic kidney disease is common in patients with CVD; moreover, it also is a risk factor for developing CVD.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0115/p268.html

Practice Guidelines - Jan 15, 2007 - American Family Physician

Jan 15, 2007 - The Centers for Disease Control and Prevention (CDC) has released data on visual impairment in patients with diabetes. Patients with diabetes are more likely to be visually impaired than those who do not have the disease.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0115/p268a.html

A1C Testing in the Diagnosis of Diabetes Mellitus - FPIN's Clinical Inquiries - ...

Jul 1, 2006 - A1C testing is highly specific compared with a two-hour oral glucose tolerance test (OGTT) or a fasting plasma glucose test. However, because A1C testing is not sensitive enough to rule out diabetes if levels are normal, the test should not be used for diagnosing diabetes.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2006/0701/p143.html

Few Americans with Diabetes Receive Multiple Preventive-Care Services - Practice ...

Jun 15, 2006 - Preventive-care services such as annual foot and dilated eye examinations and biannual A1C tests can prevent or delay amputation and blindness from diabetes. The Centers for Disease Control and Prevention (CDC) analyzed data from the Behavioral Risk Factor Surveillance System surveys to...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0615/p2244.html

ACS/ADA/AHA Issue Core Recommendations for Preventing Cancer, Cardiovascular Disease, ...

Feb 15, 2005 - The American Cancer Society (ACS), the American Diabetes Association (ADA), and the American Heart Association (AHA) have issued core recommendations for the prevention and early detection of cancer, cardiovascular disease, and diabetes.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0215/p806.html

Cochrane for Clinicians - Dec 1, 2004 - American Family Physician

Dec 1, 2004 - Combined evidence from two clinical trials of calcium supplementation lasting for several years revealed a reduced rate of recurrent colorectal adenoma. However, evidence is insufficient to recommend supplementation with dietary calcium for patients who have never had an adenoma.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/1201/p2109.html

Screening for Gestational Diabetes Mellitus - Putting Prevention into Practice - ...

Mar 1, 2004 - Case study: MT is a 23-year-old woman visiting your office for her initial prenatal checkup. She has a family history of diabetes and is obese. MT developed gestational diabetes mellitus (GDM) during her previous pregnancy, and because she is concerned about having GDM, she asks if she ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2004/0301/p1187.html

Screening for Type 2 Diabetes Mellitus in Adults - Putting Prevention into Practice - ...

Feb 1, 2004 - Case study: KC, a 46-year-old woman, visits your office to refill her cholesterol-lowering medication. She says she saw a recent news feature on the diabetes epidemic and asks if she needs to be tested.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2004/0201/p605.html

Screening for Gestational Diabetes Mellitus - U.S. Preventive Services Task Force - ...

Jul 15, 2003 - This statement summarizes the current U.S. Preventive Services Task Force (USPSTF) recommendation on screening for gestational diabetes and the supporting scientific evidence.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2003/0715/p331.html

Screening for Type 2 Diabetes in Adults - U.S. Preventive Services Task Force - ...

May 15, 2003 - This statement summarizes the current U.S. Preventive Services Task Force (USPSTF) recommendations on screening for type 2 diabetes in adults and the supporting scientific evidence.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2003/0515/p2177.html

Metabolic Syndrome: Early Identification and a Proactive Approach Are Warranted - ...

Apr 15, 2004 - Advertisement << Previous article Next article >> Apr 15, 2004 Issue Editorials Metabolic Syndrome: Early Identification and a Proactive Approach Are Warranted IGNACIO DE ARTOLA, JR., M.D., Keck School of Medicine, University of Southern California Los Angeles, California Am Fam...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/0415/p1868.html

Preventive Therapy for Diabetes: Lifestyle Changes and the Primary Care Physician - ...

Jan 15, 2004 - Advertisement << Previous article Next article >> Jan 15, 2004 Issue Editorials Preventive Therapy for Diabetes: Lifestyle Changes and the Primary Care Physician MARTIN S. LIPSKY, M.D., and LISA K. SHARP, PH.D., Northwestern University, Feinberg School of Medicine, Chicago, Illinois...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/0115/p269.html

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