• Articles

    Type 1 Diabetes: Management Strategies

    Andrew Smith, Chelsea Harris

    Patients with type 1 diabetes mellitus who maintain tight glycemic control have a lower risk of microvascular and macrovascular complications. Most patients should aim for an A1C level less than 7%, although this should be personalized based on age and comorbidities. More...

    Rheumatologic Tests: A Primer for Family Physicians

    Yousaf Ali

    Patients with a suspected connective tissue disorder should undergo serologic testing to confirm the diagnosis and, in some cases, to monitor disease activity and predict flares. Patients with suspected systemic lupus erythematosus should be tested for antinuclear antibodies,...

    Chronic Nonallergic Rhinitis

    Denise K.C. Sur, Monica L. Plesa

    Chronic nonallergic rhinitis encompasses a group of rhinitis subtypes without allergic or infectious etiologies. Although diagnostic testing is not available, characteristics such as no evidence of allergy or defined triggers help define clinical subtypes. Treatment is based...

    AAFP News: AFP Edition

    AAFP News: AFP Edition

    Study Finds Disturbing Trends in Vaccination Exemptions | Obesity Higher in Rural vs. Urban Counties | AMA House Backs AAFP's Call for Accurate 2020 Census | AAFP Voices Support for Tobacco Regulation

    Editorials

    Food Insecurity: How You Can Help Your Patients

    Shivajirao Prakash Patil, Kay Craven, Kathryn Kolasa

    Physicians can improve the health of patients who experience food insecurity by following the SEARCH (screen, educate, adjust, recognize, connect, help) mnemonic and by using the resources outlined in this article.

    Graham Center Policy One-Pagers

    High Demand, Low Supply: Health Centers and the Recruitment of Family Physicians

    Caitlin Crowley, Michelle Proser, Andrew Bazemore

    Expansion of the Health Centers Program has been associated with persistent workforce challenges for this critical component of the primary care safety net. In a national survey, 69% of health centers had a family physician (FP) vacancy. Those with FP vacancies reported...

    Close-ups

    Can My Primary Care Doctor Treat My Cancer?

    Eric M. Weil, Eric M. Weil

    The primary care physician's role in cancer treatment.

    Cochrane for Clinicians

    Interventions for Treatment of Overweight and Obese Children

    Donna Cohen

    Interventions that include combinations of diet, physical activity, and behavior changes may reduce weight, body mass index (BMI), and BMI z-score (equivalent to BMI-for-age percentile) in overweight and obese children six to 11 years of age.

    The Role of Proton Pump Inhibitor Therapy in Patients with Functional Dyspepsia

    Joel Herness

    There is moderate-quality evidence that PPIs are more effective than placebo at relieving overall symptoms in patients with functional dyspepsia (number needed to treat [NNT] = 11). Low-quality evidence suggests a small benefit of PPI therapy compared with prokinetics, and...

    Photo Quiz

    A Persistent Lip Ulcer

    Adam C. Lake, Jeffrey T. Kirchner

    A man with a history of HIV, chlamydia, and genital herpes presented with a painful lip ulcer.

    Practice Guidelines

    Diabetes: ADA Releases Revised Position Statement on Standards of Medical Care

    Lisa Hauk

    Because the evidence regarding medical care for persons with diabetes mellitus continues to evolve, the American Diabetes Association (ADA) annually updates its standards. In addition, starting in 2018, the ADA will also periodically update its guidance online if warranted.

    Medicine by the Numbers

    Terbinafine for Onychomycosis

    Matthew K. Hawks, Jedda P. Rupert, Jennifer E. Svarverud

    Preliminary evidence indicates that combining terbinafine with an azole appears to be superior to terbinafine alone. Further study is necessary to compare combined treatment with terbinafine plus an azole vs. terbinafine alone.

    FPIN's Help Desk Answers

    Diagnosis of Acute Coronary Syndrome

    Carla Graichen, Christina Tanner

    The best test to diagnose ACS is a risk score based on a clinical prediction rule such as the HEART (history, electrocardiography, age, risk factors, troponin level) or TIMI (Thrombolysis in Myocardial Infarction) risk score, which have positive likelihood ratios (LR+'s) of...

    Treatment Duration for Etonogestrel Implant

    Mollie Jacobs

    The etonogestrel subdermal implant is approved by the U.S. Food and Drug Administration for contraception for up to three years, but it seems to be effective for up to five years.

    Letters to the Editor

    Screening and Immunizations for Refugees to the United States

    Consider Atlanto-Occipital Joint Dysfunction as a Cause of Secondary Otalgia

    The Many Potential Causes of Sudden Cardiac Death in Young Athletes

    Information from Your Family Doctor

    What You Should Know About Type 1 Diabetes

    Type 1 diabetes is sometimes called juvenile diabetes or insulin-dependent diabetes. It means that your body can't make insulin. We need insulin to live. Insulin helps your body use the sugar it makes from the food you eat. Your body uses this sugar for energy. Without...



    Disclosure

    All editors in a position to control content for this activity, AFP journal, are required to disclose any relevant financial relationships. View disclosures.


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