In this prospective cohort of over 400 non-diabetic patients undergoing vascular surgery, they all underwent fasting and oral glucose tolerance (OGTT) before surgery, and followed for up to 3 years after surgery. Of the 404 patients, 26% were found to have impaired glucose tolerance (fasting blood sugar 100-125 or OGTT 140-199) and another 11% were found to have diabetes (fasting >126 or OGTT > 200). Those with impaired tolerance had a much greater risk of long term cardiovascular events than normal controls (HR 2.77, CI 1.83-4.2). The authors call for routine fasting and OGTT testing on all vascular surgery patients, although this likely needs to be validated and assessed for cost-effectiveness across other institutions before routine use (abstract).
Fill in the Blanks: Q: “The diagnosis of type 2 MI is associated with a _____ prognosis. ___% of patients will live five years after their diagnosis.” The answer is a) POOR and b) a staggering 40%. I did not know that. However, what I am aware of is the ambiguity around Type 2 MIs and […]
What comes to mind when you think of getting CME? I bet most of you would say sitting in an auditorium, whether that be during your local grand rounds or at our professional society meeting, like Hospital Medicine 16 in sunny San Diego this past March. Hanging out in the Twitterverse? Probably not so much… […]
As a nurse practitioner in hospital medicine I have multiple opportunities to interact with all sorts of physician hospitalist colleagues, hospital medicine group leaders, quality officers etc. Often their interactions with me take on a certain wary curiosity, like I am some exotic monkey or another creature that is unfamiliar to them. If I am […]