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Editorial (Dr SS Agarwal, Dr K K Aggarwal)
27th April 2016
New Diabetes Guidelines
The American Association of Clinical Endocrinologists (AACE) and the American College of Endocrinology (ACE) updated their Comprehensive Diabetes Management Algorithm and Executive Summary to guide clinicians in management of type 2 diabetes.  The algorithm facilitates development of individualized patient management plans; establishment and maintenance of optimal glycated hemoglobin (HbA1c) and Glycemic control targets; minimization of weight gain and associated complications and management of type 2 diabetes comorbidities including insulin resistance, macrovascular and microvascular complications, hypertension, cardiovascular disease and lipid disorders.
  • Multifaceted, ongoing, lifestyle optimization for all patients involves the entire diabetes team. This should not delay needed pharmacotherapy; medications can be started simultaneously and adjusted based on response to lifestyle intervention.
  • HbA1c target (≤6.5% optimal if achieved safely) should be individualized based on age, life expectancy, comorbidities, diabetes duration, hypoglycemic risk, patient motivation, adherence, and other factors.
  • Glycemic control targets include self-monitoring of blood glucose.
  • Patient-related and medication-related factors (efficacy; mechanism; hypoglycemic risk; weight gain; adverse effects; tolerability; ease of use; adherence; cost; and safety in heart, kidney, or liver disease) should guide pharmacotherapy.
  • To minimize or prevent hypoglycemia and its serious sequelae, safety is the top priority for any antidiabetic therapy.
  • Minimizing the risk for weight gain is also a priority.
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Lybrate Updates
A 45-year-old female from Srikakulam asked:
My mother has been suffering from leg pain since 2014. She got spine operation for that and it is temporarily cured. What is the permanent solution? Please tell me sir/madam.

Dr. Akshay Kumar Saxena, Orthopedist, replied:
Actually pain at calf/leg region can be due to many reasons, commonly it is muscular in nature but it can also be due to tendons, more 
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Press Release
Blood sugar above 90 increases risk of new onset diabetes in hypertensive patients​
New Delhi, 26th April, 2016:  Hypertension or high blood pressure is also a risk factor for development of type 2 diabetes. If the high blood pressure is not managed effectively, the patient is at risk of developing new onset diabetes, which may also adversely affect the function of the kidneys, leading to chronic kidney disease, Speaking about the same, Dr SS Agarwal - National President IMA and Padma Shri Awardee Dr KK Aggarwal - Honorary Secretary General IMA & President HCFI. 
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Digital IMA
The Indian Medical Association (IMA) presents a series of weekly webcasts for the benefit of the Indian medical profession, engaging you with the latest in advocacy efforts for doctors, through an interactive exclusive digital webcast partnership with eMediNexus.
Webcast Date: 28th April 2016
Topic: Common eyes problem in general practice
Faculty: Dr Rajendra Khanna, Sr Eyes Surgeon