Which test do you use to determine if a patient has prediabetes? 1) fasting blood sugar 2) A1c 3) OGTT 4) Random blood sugar Follow the link to see how you and your colleagues compare!

A 52-year-old Asian-American man presents for a wellness visit. He has borderline elevated blood pressure (136/84 mm Hg), a BMI of 27 kg/m2, and a family history of diabetes and myocardial infarction. He is a nonsmoker, drinks 1-2 glasses of wine nightly, and jogs 4-5 times/wk for 40 min. Total cholesterol is 173 mg/dL (high-density lipoprotein cholesterol, 40 mg/dL; low-density lipoprotein cholesterol, 112 mg/dL). His 10-y atherosclerotic cardiovascular disease risk is 7.5%, and takes no medications. According to the 2013 American College of Cardiology/American Heart Association cholesterol guidelines, what's the first step you should take with this patient? A. Prescribe atorvastatin 20 mg daily B. Check high-sensitivity C-reactive protein C. Check carotid intima-media thickness test D. None of the above Follow the link to see the right answer!

n this week's Homerun Slides, finding the common ground between - and possible path to treatment of - hyperglycemia and the causes of vascular disease.

Glucose is widespread in living organisms and, with protein and fat, completes the triad of the major metabolic fuels. To a much lesser extent than in plants, glucose also constitutes a building block for structural and enzymatic components of cells as well as the extracellular matrix. As a metabolic substrate, glucose is present in organisms essentially in its simple, monomeric form (alpha-D-glucopyranose) and as a branched polymer of alpha-glucose, namely glycogen. Disaccharides of glucose (lactose, maltose, and sucrose) are quantitatively less important. Glucose is present in plasma water at a concentration that — in a healthy adult who has fasted overnight — ranges between 3.6 and 5.5 mmol L−1 (65 – 99 mg dL−1 ).

Post-marketing trial data show doubled rates compared to placebo.

Youths who received any breastfeeding for at least 12 months or full breastfeeding for at least six months had lower odds of developing type 1 diabetes.

Besides lowering A1c, study finds success with using less insulin and weight reduction.

A low-risk intervention with potentially high rewards.

A proposed benefit of GLP-1 agonists confirmed in a human study.

What proportion of Americans age 45 and older have self-reported memory problems? 1. 1 in 30 2. 1 in 16 3. 1 in 9 4. 1 in 4 Follow the link to see the correct answer!