Editor-in-Chief eMediNexus – Dr KK Aggarwal
25th May 2019
Clinical Practice Guidelines 2019
Treatment of diabetes in older adults: 10 Key Takeaways

Dr KK Aggarwal, Padma Shri Awardee

This year, the Endocrine Society released clinical practice guidelines on the diagnosis and management of diabetes and its comorbidities in older adults aged 65 years and above published May 1 in the Journal of Clinical Endocrinology & Metabolism.

Here are 10 key takeaways from the guidelines.

1. Screen for diabetes and prediabetes (fasting sugar, A1c, 2-hour OGTT) in patients aged 65 years and older without known diabetes.

2. Periodically screen older patients with diabetes for undiagnosed cognitive impairment. If mild cognitive impairment present, simplify medication regime and glycemic targets to improve compliance. ......read more

A new technique reduces risk of obstruction in heart valve replacement

Dr KK Aggarwal, Padma Shri Awardee

Researchers at the National, Heart, Lung, and Blood Institute (NHLBI), part of the National Institutes of Health (NIH), have developed a novel technique that prevents the obstruction of blood flow, a common fatal complication of transcatheter mitral valve replacement (TMVR). The new method, called LAMPOON, may increase treatment options for high-risk patients previously ineligible for heart valve procedures. The findings are published in the Journal of the American College of Cardiology online on May 20, 2019.

TMVR is used to treat mitral valve stenosis, a narrowing of the valve that restricts blood flow into the main pumping chamber of the heart. It also treats regurgitation, which occurs when the valve leaks and causes blood to flow back through the valve. Untreated, these conditions can cause pulmonary hypertension, heart enlargement, atrial fibrillation, blood clots and heart failure.......read more

Video Of The Day : Women and Heart
Practice Updates

World Health Assembly's Stand on Antimicrobial resistance

Member States at the World Health Assembly agreed a resolution calling for continued high-level commitments to implement and adequately resource multisectoral National Action Plans.

The resolution urges Member States to strengthen infection prevention and control measures including water sanitation and hygiene; enhance participation in Global Antimicrobial Surveillance System; ensure prudent use of quality-assured antimicrobials;... read more

DR Congo: 'No time to lose' says newly appointed UN Ebola response coordinator

With the Democratic Republic of the Congo's worst ever Ebola outbreak now in its tenth month, the United Nations on Thursday announced measures to strengthen its response, with the Organization's newly appointed Emergency Coordinator (EERC) declaring there is “no time to lose”...... read more

Obstetric fistula continues to afflict women globally

Marking the International Day to end Fistula on Thursday, the UN Population Fund (UNFPA) cited UN data in pointing out that although the injury has largely been eliminated in developed countries, more than two million women and girls still suffer from the painful and disfiguring condition. .... read more

FDA Clears First Zika Blood Test for Routine Use

The U.S. Food and Drug Administration authorized marketing of a diagnostic test to detect Zika virus immunoglobulin (IgM) antibodies in human blood. The ZIKV Detect 2.0 IgM Capture ELISA is the first Zika diagnostic test the FDA has allowed to be marketed in the U.S. Previously, tests for detecting Zika virus .... read more

Antiplatelets After ICH: Start or Avoid?

Antiplatelet therapy did not appear to raise the risk for recurrent spontaneous intracerebral hemorrhage (ICH), noted the open-label RESTART randomized trial.

Over a median of 2 years, ICH recurrence was similar among people who started antiplatelet therapies... read more

Loneliness Common in Urban-Dwelling, Mid-Aged Women

Living in densely populated urban areas isn't protective against severe loneliness in middle-aged women, suggests new research.

Results from a small study of urban-dwelling women aged 35-60 years revealed that caregiver responsibilities, past trauma, and social isolation,.... read more

Keto diet not for heart patients

Low-carb, high-fat ketogenic diets are crossing over from weight-loss fad to medical practice.

Recent research has pointed to improved fatigue and depression symptoms for multiple sclerosis patients on the diet, and improvements in nonmovement symptoms for patients with Parkinson disease..... read more

IDEJ Update

Indian Diabetes Educator Journal (IDEJ), 1st of its kind in India aims to keep the members of diabetes care team abreast with concepts of DSME (Diabetes self-management education) and DSMS (Diabetes self-management support). IDEJ has set a new benchmark in educating the diabetes educators about evolving the concept of DSME- reaching to more than 25000 through Digital and Print Medium..... read more

Medical Voice

500 Children HIV positive in a Single Pakistani City Larkana

Time dot com: Nearly 500 children in Larkana Pakistani city have tested positive for HIV the Associated Press reported (494 children and 113 adults, according to NPR). The tests revealed that the parents of the HIV-positive children were HIV negative”—raising questions about how so many children became infected..... read more

eMedi Humor
Medicolegal Corner
eMedi Quiz
1. Rotavirus infection.
2. Enterotoxigenic E. coli infection
3. Staphylococcal toxin.
4. Clostridium perfringens infection.
Lifestyle Updates
Inspirational Story 1: The Touchstone
Inspirational Story 2: Did you know…?
Healthier food options at the workplace can aid employee well-being: HCFI
Employers must consider substituting junk food with fast food
New Delhi, 24th May 2019: A new study has indicated that employees who make unhealthy purchases at the workplace tend to replicate the same outside work as well.

This can increase the risk of diabetes and heart ailments in such people as compared to those who make healthy purchases. Unhealthy food choices can also lead to obesity over time. There is a need to raise awareness on the fact lifestyle-related ailments can increase absenteeism, lower productivity, and result in higher healthcare expenses for employers.

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