I recently converted one of my aero road bikes from a 22-speed to a single speed, which means I only have one gear. I can still get up to 27 mph on a sprint, but instead of pedaling at 80 revolutions a minute, I am forced to pedal at 123 …

Study finds disease duration in middle age to be independently related to development of subclinical atherosclerosis and cardiac dysfunction later in life.

Organization says adults with type 2 diabetes can aim for an easier-to-achieve blood sugar target than what’s been used to guide treatment in the past.

An attempt to improve diet quality in youth with type 1 yields less than promising results.

While detection of type 2 diabetes for specific subgroups in the population has slightly increased, overall detection rates remain low among US adults.

When added to statin therapy in patients with diabetes, ezetimibe provides greater cardiovascular protection than what is seen in individuals without diabetes.

Long-term impact of intrauterine exposure to medication on the offspring remains unclear.

A patient that you haven’t seen for several years comes to your clinic for a wellness check-up. Since her last visit, she has gained about 15 pounds (5’6”, BMI 27 kg/m2). Her stage 1 hypertension is controlled with hydrochlorothiazide. As you discuss her weight gain, you learn that she doesn’t get more than 30 minutes a week of physical activity. You decide it would be best to check her A1C. Which of the following information from her history leads you to screen her for type 2 diabetes? A. Her youngest child weighed 8.5 pounds at birth. B. Two of her cousins have type 2 diabetes. C. She just celebrated her 41st birthday. D. She has a history of hypertension. Follow the link for the answer.

The American College of Physicians (ACP) said doctors can tell patients to aim for a glycosylated hemoglobin, or HbA1C, level between 7 percent and 8 percent, rather than the traditional 6.5 percent to 7 percent. Plus, clinicians should consider deintensifying pharmacologic therapy in patients with type 2 diabetes who achieve HbA1c levels less than 6.5%. (See article 2)

Do you agree A1c should be between 7% and 8%?

Follow the link to see what your colleagues think.

Gout is a tricky diagnosis to make. Rarely is it made via the gold standard technique of synovial aspiration and polarized light microscopy. The vast majority of diagnoses are clinical. A primary care and rheumatologist team of Dutch researchers led by Hein Janssens derived and published a clinical decision rule in 2010. This app brings that decision rule to primary care physicians, rheumatologists, and acute care (ER/urgent-care) clinicians everywhere.