August 5th, 2013

Selections from Richard Lehman’s Literature Review: August 5th

CardioExchange is pleased to reprint this selection from Dr. Richard Lehman’s weekly journal review blog at Selected summaries are relevant to our audience, but we encourage members to engage with the entire blog.

BMJ  3 Aug 2013 Vol 347

Severe Hypoglycemia and CV Disease: Last week I pointed you to new evidence that repeated hypoglycaemia can lead to increasing hypoglycaemia unawareness, and that it is also strongly associated with cognitive decline. Here is a meta-analysis of observational studies which also demonstrates that severe hypoglycaemia is associated with an approximate doubling of cardiovascular events in patients with type 2 diabetes. Be very careful when prescribing sulfonylurea drugs and insulin to older diabetics. Ignore QOF targets, and think of your patient.



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