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PracticeUpdate Endocrinology

Readers Poll.

DIABETES

FDA revises recommendation

for metformin use in

patients with chronic

kidney disease

3

Hypoglycaemia remains

a most challenging

obstacle

6

OBESITY

Overweight, obesity leads to

higher mortality

8

METABOLIC

& ENDOCRINE

DISORDERS

My approach to the

patient with memory

loss who needs

a statin

10

CARDIOVASCULAR

COMPLICATIONS

Encourage intake of whole,

not refined, grains

13

CHRONIC KIDNEY

DISEASE

Exercise caution in

certain patients

14

OPINION

...no matter how

compelling,

observational data

and biological

plausibility do

not necessarily

predict the ability

of a therapeutic

manipulation of a

biomarker to alter

clinical outcomes.

Dr Peter Libby

15

One of the biggest

conversation points in

diabetes these days is

around the impact of the

newer diabetes drugs on

cardiovascular mortality,

the role of epigenetics in

diabetes, and the potential

impact of an artificial

pancreas system on patients

with type 1 diabetes.

Diabetes

landscape

in Australia is

fast evolving

Life-years lost to diabetes

Diabetes Research and

Clinical Practice

Life-years lost to diabetes decreased

as age at diabetes diagnosis increased;

those diagnosed before 20 years

of age lost 20 years whereas those

diagnosed after 80 years of age lost

no years.

4

Prevalence of diabetic

retinopathy in newly diagnosed

type 2 diabetes

Diabetologia

Based on fundus photographs,

researchers observed that 13% of

participants with newly diagnosed

type 2 diabetes had DR.

5

BMI and mortality risk

The Lancet

Mortality risk increased log-linearly

with BMI for BMI >25 kg/m

2

;

the hazard ratio per 5 kg/m2 higher

BMI was1.29 to 1.39, depending

on the continent.

8

LDL levels and major adverse

cardiac events in ischaemic heart

disease treated with statins

JAMA Internal Medicine

In patients with ischaemic heart

disease who are compliant with statin

therapy, LDL levels ≤100 mg/dL are

associated with reduced risk

of MACE.

11

ISSN 2206-4656

VOL. 1 • No. 2 • 2016

RESEARCH NEWS AND VIEWS FROM ELSEVIER

FORMERLY CLINICAL ENDOCRINOLOGY NEWS