Table of Contents
November 01, 2013; Volume 80, Issue 11-
From the Editor
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When people with diabetes go to surgery
Brian F. Mandell, MD, PhD- Cleveland Clinic Journal of Medicine November 2013, 80 (11) 682;
- DOI: https://doi.org/10.3949/ccjm.80b.11013
A key take-home point is that severely insulinopenic patients require some exogenous basal insulin, even when not eating.
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Current Drug Therapy
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Canagliflozin: Improving diabetes by making urine sweet
Mary Vouyiouklis, MD- Cleveland Clinic Journal of Medicine November 2013, 80 (11) 683-687;
- DOI: https://doi.org/10.3949/ccjm.80a.13053
Canagliflozin is the first of a new class of diabetes drugs that lower glucose by increasing its urinary excretion. An overview of its mechanism, uses, risks, and benefits.
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The Clinical Picture
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Dyspnea after treatment of recurrent urinary tract infection
Krishna B. Ghimire, MD, Barsha Nepal and Mbbs- Cleveland Clinic Journal of Medicine November 2013, 80 (11) 690-695;
- DOI: https://doi.org/10.3949/ccjm.80a.120061
Glucose-6 phosphate dehydrogenase deficiency is an X-linked disorder that can present as hemolytic anemia after infection or exposure to certain medications.
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A 66-year-old woman with an enlarged tongue
Jorge A. Brenes-Salazar, MD, Martha Grogan, MD and Martha Q. Lacy, MD- Cleveland Clinic Journal of Medicine November 2013, 80 (11) 696-697;
- DOI: https://doi.org/10.3949/ccjm.80a.13028
Eventually, she was diagnosed with multiple myeloma and cardiac amyloidosis.
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1-Minute Consult
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How should we manage insulin therapy before surgery?
Georgiana A. Dobri, MD and M. Cecilia Lansang, MD, MPH- Cleveland Clinic Journal of Medicine November 2013, 80 (11) 702-704;
- DOI: https://doi.org/10.3949/ccjm.80a.13055
Continuing at least part of the basal insulin is reasonable, but prandial insulin should be stopped the morning of surgery.
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Review
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Myasthenia gravis: Newer therapies offer sustained improvement
Yuebing Li, MD, PhD, Yeeshu Arora, MD and Kerry Levin, MD- Cleveland Clinic Journal of Medicine November 2013, 80 (11) 711-721;
- DOI: https://doi.org/10.3949/ccjm.80a.13044
The prognosis has dramatically improved; the death rate used to be 75%, now it is 4.5%.
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Sleep disturbances in cancer patients: Underrecognized and undertreated
Saurabh Dahiya, MD, Manmeet S. Ahluwalia, MD and Harneet K. Walia, MD- Cleveland Clinic Journal of Medicine November 2013, 80 (11) 722-732;
- DOI: https://doi.org/10.3949/ccjm.80a.12170
In cancer patients, sleep disturbances are a treatable problem that profoundly affect all aspects of quality of life.
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Departments
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Paget disease of bone (July 2013)
- Cleveland Clinic Journal of Medicine November 2013, 80 (11) 721;
An error appeared in Paget disease of bone: Diagnosis and drug therapy. Cleve Clin J Med 2013; 80:452–462.
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Renal risk stratification with the new oral anticoagulants (July 2013)
Patricio Pazmiño, PhD, MD- Cleveland Clinic Journal of Medicine November 2013, 80 (11) 733-734;
- DOI: https://doi.org/10.3949/ccjm.80c.11001
Readers comment on the risk of bleeding with the new oral anticoagulants (July 2013) and on the signs of rheumatoid arthritis (May 2013).
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In Reply: Renal risk stratification with the new oral anticoagulants (July 2013)
Adewale Fawole, MD- Cleveland Clinic Journal of Medicine November 2013, 80 (11) 734;
- DOI: https://doi.org/10.3949/ccjm.80c.11002
Readers comment on the risk of bleeding with the new oral anticoagulants (July 2013) and on the signs of rheumatoid arthritis (May 2013).
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Not all joint pain is arthritis (May 2013)
David L. Keller, MD- Cleveland Clinic Journal of Medicine November 2013, 80 (11) 734;
- DOI: https://doi.org/10.3949/ccjm.80c.11003
Readers comment on the risk of bleeding with the new oral anticoagulants (July 2013) and on the signs of rheumatoid arthritis (May 2013).
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In Reply: Not all joint pain is arthritis (May 2013)
Gursimran Singh Kochhar, MD- Cleveland Clinic Journal of Medicine November 2013, 80 (11) 734;
- DOI: https://doi.org/10.3949/ccjm.80c.11004
Readers comment on the risk of bleeding with the new oral anticoagulants (July 2013) and on the signs of rheumatoid arthritis (May 2013).
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