August 17, 2017 - Volume 42 - Issue 8
pp: 6-8

Editor's Memo


Clinical Case Report


NP Insights


Pain Solutions


Medication Update



DIABETES MANAGEMENT: CE Connection


An update on type 2 diabetes management in primary care

Waddell, Jeffrey

Nurse Practitioner . 42(8):20-29, August 17, 2017.

Diabetes mellitus is a chronic disease impacting glucose metabolism. Type 2 diabetes mellitus (T2DM) stems from the inability of the body to utilize endogenous insulin properly. Approximately 90% to 95% of newly diagnosed cases of diabetes are T2DM. This article focuses on the initial treatment of T2DM based on the 2017 American Association of Clinical Endocrinologists and the American College of Endocrinology clinical practice guidelines. The 2017 update includes changes and additions regarding psychosocial management, physical activity, surgery, and hypoglycemia.

ANTIPLATELET THERAPY: CE Connection


New oral antiplatelet medications

Jeffords, Travis

Nurse Practitioner . 42(8):32-39, August 17, 2017.

New and more potent oral antiplatelet agents have shown better clinical outcomes over the last few years. This article discusses four of the newest FDA-approved oral antiplatelet agents and simplifies the latest research and guidelines to provide a better understanding of the current oral antiplatelet therapy available, indications and contraindications, genetic considerations in relation to resistance, and major drug interactions.

PEDIATRIC EYE CARE


Performing pediatric eye exams in primary care

Martin, Elaine F.

Nurse Practitioner . 42(8):41-47, August 17, 2017.

Early vision care is critical for all children. If undetected, eye disorders such as amblyopia and strabismus may result in permanent vision loss. Vision exams should include a careful history and physical including fix and follow, red reflex, and cover/uncover testing. Photo screening and visual acuity exams should be administered whenever possible.

COLORECTAL CANCER


Evaluation of a new genetic family history screening questionnaire for identifying Lynch syndrome

Harrison, Dawn S.; Handley, Marilyn

Nurse Practitioner . 42(8):48-51, August 17, 2017.

Family history is essential when screening for hereditary cancer syndromes. This article explores whether a detailed genetic family history questionnaire is more effective in identifying at-risk individuals for Lynch syndrome than a basic family health questionnaire.