Sunday, April 6, 2008
Medical Journal Update
Watch out for elevated triglycerides: Most patients (and physicians) are concerned about their cholesterol but triglycerides get over looked. An excellent study has shown that elevated levels of nonfasting triglycerides were associated with increased risk for death, heart attack and ischemic heart disease in both women and men. The other risks for heart disease and strokes are age, blood pressure, diabetes, smoking , family history in close relatives (mother, father, siblings) and LDL and HDL cholesterol levels. Triglycerides are lipoproteins from fats in the diet. Lower fat, lower triglyceride!
(Journal of the American Medical Association)
Self monitoring of blood glucose in patients with diabetes didn't improve control: This study was a surprise to most clinicians. In patients with type 2 diabetes, treated with pills rather than insulin, there was no benefit to self testing their blood glucose levels. Type 2 diabetes is one of the fastest growing conditions due to worldwide obesity. Traditionally patients are taught to do finger sticks and test their glucose levels with a glucometer. It is time consuming, painful and expensive. This study, which ran for 12 months, showed no benefit in glucose control for the patients who did self testing.
(British Medical Journal)
Oral medication to treat nail fungus is safe: Onchomycosis (nail fungus infections) is a very common condition and topical creams and potions are not effective treatments. Because these patients are not ill, doctors (including me) are reluctant to use oral medications that need to be taken for several months because of the risk of drug-drug interactions and liver injury. This study is reassuring and shows the risk of adverse events is low and patients with onchomycosis can be safely treated with oral medication to clear up the condition.
(Am Journal of Medicine)
Sorry for the weird sized font on this blog...something wrong with the blogger program, I think. TB
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