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Editor-in-Chief eMediNexus – Dr KK Aggarwal
14th October 2018

New ADA-EASD guidelines on type 2 diabetes highlight patient-centered care

Dr KK Aggarwal, Recipient of Padma Shri

The American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) have highlighted "patient-centered care" that accounts for each individualís health history and status, weight, costs of care and preferences, in a new consensus report on the management of type 2 diabetes.

A "decision cycle" representing a continuum of care for adults with type 2 diabetes throughout their lifetime has been described towards this end. The goals of care, to prevent complications and optimize quality of life, are at the core of this decision cycle.

The steps in the decision cycle more

Top News

18 more Zika virus cases detected in Jaipur; total 50

Jaipur/New Delhi, Oct 12 (PTI) Eighteen more people in Rajasthan's Jaipur district have tested positive for Zika virus, taking the total number of such cases to 50, a Union Health Ministry official said Friday... read more

Doctors are prescribing nature to patients in the UK's Shetland Islands

Long walks, bird-watching and making daisy chains are being prescribed by doctors to patients in Scotland's Shetland Islands as part of treatment for chronic illnesses. A partnership project between National Health Service Shetland and the Royal Society for the Protection of Birds (RSPB) Scotland, which is thought to be the first of its kind in the UK, has been extended ... read more

Morning Medtalks

Morning MEDtalks with Dr KK Aggarwal 14th October 2018

Renal nerve denervation reduces BP in uncontrolled hypertension: Preliminary findings from the SPYRAL HTN-ON MED proof-of-concept randomised trial show that renal denervation in the main renal arteries and branches significantly reduced BP in patients with treated (1-3 antihypertensive drugs with ... read more

Practice Updates

No benefit of early initiation of renal-replacement therapy over delayed strategy for patients in septic shock with acute kidney injury

Among patients with septic shock who had severe acute kidney injury, there was no significant difference in overall mortality at 90 days between patients who were assigned to an early strategy for the initiation of renal-replacement therapy and those who were assigned to a delayed strategy... read more

Flu vaccine reduces risk of flu hospitalization among pregnant women

According to a study published October 11, 2018 in Clinical Infectious Diseases, more than 80% of pregnancies overlapped with flu season, underscoring the likelihood that pregnant women will be exposed to flu at some point during their pregnancy. Flu vaccine was equally protective for... read more

Intermittent fasting can reverse diabetes

Therapeutic intermittent fasting may help eliminate the need for insulin and other glucose-lowering medications in patients with type 2 diabetes as per findings from three cases published online October 9 in BMJ Case Reports. The three patients had all been referred to an intensive dietary management clinic and were taking at least 70 units/day of insulin. After several months of... read more

A faith-based approach to lifestyle change lowers BP in uncontrolled trial, says FAITH trial

A faith (church)-based program to encourage a healthy lifestyle lowered systolic BP more than an educational program alone delivered in other churches in the Faith-based Approaches in the Treatment of Hypertension (FAITH) trial published Oct. 9, 2018 in the journal Circulation: Cardiovascular Quality and Outcomes. The FAITH trial compared the effectiveness of a... read more

Diet quality influences outcomes in patients with bipolar disorder

Results of a randomized controlled clinical trial presented at the 31st European College of Neuropsychopharmacology (ECNP) Congress in Barcelona, Spain showed that BD patients who received an adjunctive combination neutraceutical treatment that included the anti-inflammatory amino acid... read more

eMedi Humor
Medicolegal Corner
eMedi Quiz
a. Hematuria
b. Weight loss
c. Increased urine output
d. Increased blood pressure
Lifestyle Updates
Inspirational Story 1: The Whale Rescuing Experience
Inspirational Story 2: The Cross Room
Red line in a prescription indicates antibiotic; should be consumed under supervision
Antibiotic misuse is becoming rampant in India and can prove detrimental to health
New Delhi, 13 October 2018: A recent study has indicated that clinicians prescribe antibiotics without an infection-related diagnosis nearly half of the time. About one in five prescriptions was provided without an in-person visit. Research also indicates that antibiotics are often prescribed for certain symptoms (such as a sore throat or cough) when they should not be. Most of these of illnesses are caused by viruses and therefore do not benefit from antibiotics, which only treat bacterial infections.

Misuse and overuse of antibiotics have made once easily treatable bacterial infections harder and often impossible to cure. The reason is that bacteria evolve rapidly to evade antibiotics, leading to drug resistance.

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