Endocrinology
- Common electrolyte imbalance, uncommon cause
A 47-year-old woman presented with 10 days of weakness, wide purple striae on the abdomen, and hyperpigmentation on the knuckles.
- Classic diabetic ketoacidosis and the euglycemic variant: Something old, something new
The authors review differences in the pathophysiology and management of classic diabetic ketoacidosis and the euglycemic variant, the latter of which has become more common with the increasing use of sodium-glucose cotransporter 2 inhibitors.
- How do I manage my patients with thyrotoxicosis until they see the endocrinologist?
Primary care physicians can start beta-blockers promptly for symptomatic relief, obtain radioactive iodine uptake and scan, and start methimazole if high uptake is noted.
- Effective but inaccessible antiobesity medications: A call for sharing responsibility for improving access to evidence-based care
The potentially transformative benefits of second-generation obesity medications have yet to be realized because many patients lack access to these medications.
- Continuous glucose monitoring: High-tech devices still need some low-tech backup
High-end devices that monitor patients’ physiology offer many benefits, but device malfunctions and disruptions are not rare events.
- Using continuous glucose monitoring data in daily clinical practice
The authors review data elements of the Ambulatory Glucose Profile Report, a standardized format for displaying glucose monitoring data, and present a structured approach to using the data to optimize glycemic management.
- Primary adrenal insufficiency in adults: When to suspect, how to diagnose and manage
The authors provide a review of primary adrenal insufficiency for clinicians in primary care, emergency medicine, and hospital medicine, who are usually the first clinicians adults with this disorder present to when seeking medical care.