AFP Clinical Answers

Osteoporosis, Childhood Bullying, Rheumatoid Arthritis, Diabetes Counseling, Inhaled Steroids

 

Am Fam Physician. 2019 Mar 15;99(6):356.

What therapies are recommended for osteoporosis?

According to the American College of Physicians, alendronate, risedronate, zoledronic acid, and denosumab reduce risk of hip, nonvertebral, and vertebral fracture in women with osteoporosis. Pharmacologic treatment should continue for five years. Hormone therapy with estrogen or estrogen/progestogen, or raloxifene should not be used to treat women with osteoporosis. Current evidence does not indicate benefit of bone mineral density monitoring during pharmacologic treatment.

https://www.aafp.org/afp/2018/0301/p352.html

How should childhood bullying be evaluated?

Physicians should ask about bullying when children present with multiple somatic problems, school avoidance, or incidents of self-harm. Questions about their online lives should be included in the history for children and adolescents. Patients who are being bullied or are identified as bullies should be screened for psychiatric comorbidities.

https://www.aafp.org/afp/2018/0201/p187.html

How should rheumatoid arthritis be treated?

Patients with rheumatoid arthritis should be treated as early as possible to have the best chance of remission. Methotrexate should be the first-line disease-modifying antirheumatic drug in patients with rheumatoid arthritis unless there are contraindications. Patients who are in remission from rheumatoid arthritis for more than six months and on stable medication regimens are candidates for tapering or discontinuing disease-modifying antirheumatic drugs or biologic treatment.

https://www.aafp.org/afp/2018/0401/p455.html

Does counseling by a diabetes educator improve A1C levels in patients with type 2 diabetes mellitus?

Counseling by a diabetes educator or a team of educators delivered in a variety of formats may reduce A1C levels by 0.2% to 0.8% compared with usual care alone. Diabetes educators should be considered for patients who have higher baseline A1C levels (8% to 9%) because this group had greater improvement in glycemic control after d

 

 

Copyright © 2019 by the American Academy of Family Physicians.
This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact afpserv@aafp.org for copyright questions and/or permission requests.

Want to use this article elsewhere? Get Permissions

CME Quiz

More in Pubmed

MOST RECENT ISSUE


Apr 15, 2019

Access the latest issue of American Family Physician

Read the Issue


Email Alerts

Don't miss a single issue. Sign up for the free AFP email table of contents.

Sign Up Now

Navigate this Article