Browse Internal Medicine Articles by Topic

Changing Gut Microbiota to Prevent Type 2 Diabetes

The long-term consumption of a healthy diet, such as the Mediterranean diet or low-fat/high complex carbohydrate diets, may exert a protective effect on the development of type 2 diabetes by changing the gut microbiota.

Statins Associated with Lower Parkinson’s Risk in Diabetics

In approximately 50,000 individuals with Parkinson’s disease and diabetes, identified from a National Health Insurance database in Taiwan, statin use was dose-dependently associated with lower risk of Parkinson’s disease.

Alzheimer’s Disease: What the Primary Care Physician Needs to Know

This article explores current medical approaches to Alzheimer’s dementia, the most common subtype of the known dementias or neurocognitive disorders. Preventive treatment is at the forefront of efforts to defeat this progressively impairing disorder; but to be effective, intervention must start well before symptoms begin. The role of the primary care provider in initiating vigorous and early preventive measures and applying appropriate pharmacologic and non-pharmacologic interventions at each stage of disease progression is reviewed and discussed.

Why Do the Beats Keep Changing?

What clinical situation commonly is associated with arrhythmias such as the one shown in this figure?

Adalimumab-atto Injection (Amjevita)

Adalimumab-atto provides an alternative to adalimumab for multiple chronic inflammatory conditions.

Optimal Blood Pressure in Patients Presenting with Aortic Stenosis

A post-hoc analysis of patients suffering from mild to moderate aortic stenosis in a study of low-density lipoprotein cholesterol lowering showed that the optimal blood pressure for the best survival was 130-139/70-90 mmHg.

What Should You Tell Your Patients About Sleep Apnea, CPAP, and Heart Disease?

In this large, multicenter, randomized, controlled trial, continuous positive airway pressure did not reduce incident cardiovascular events compared with usual care, but did reduce snoring and daytime sleepiness and improved health-related quality of life and mood.

Pharmacologic Management of Type 2 Diabetes Mellitus: Part 2

This two-part series of articles will address pharmacological agents, except insulin, used to manage type 2 diabetes mellitus. Part 1 covered sodium glucose co-transporter-2 inhibitors, incretin-based therapies, amylin analog, and dopamine receptor agonists. Part 2 will focus on biguanides, thiazolidinediones, sulfonylureas, meglitinides, alpha-glucosidase inhibitors, and bile acid resins, as well as the authors’ treatment recommendations. Appendix A (http://bit.ly/2eyB4Px) is a comprehensive table of the effectiveness and costs of various combination therapies.

Is Yoga Effective for Treating Asthma?

Although the data on yoga in asthma are only of moderate quality, they do suggest that yoga may improve quality of life and asthma symptoms.

How Much More Physical Activity Helps Patients Avoid Chronic Diseases?

Higher levels of total physical activity are strongly associated with lower risk of five common chronic diseases: breast and bowel cancer, diabetes, heart disease, and stroke.