Journal of Urgent Care Medicine

GLP-1 Drugs Increase Risk of Macular Degeneration

A recent study in JAMA Network Ophthalmology found that older adults with diabetes who were treated with glucagon-like peptide-1 receptor agonists (GLP-1 RAs) had a significantly higher risk of developing neovascular age-related macular degeneration (nAMD). The retrospective study, conducted from January 2020 to November 2023, followed patients for up to 3 years. It included individuals aged 66 years or older (46.6% female) who had a diagnosis of diabetes and at least 12 months of follow-up …

Patients Can Miss Critical Glucose Monitor Alerts, FDA Warns

The Food and Drug Administration (FDA) posted an alert this month warning that patients who use continuous glucose monitors (CGMs), insulin pumps, automated insulin dosing systems, and other diabetes devices are at risk of not receiving or not hearing audible alerts from their smartphones regarding their devices. A missed alert could possibly lead to severe hypoglycemia, severe hyperglycemia, diabetic ketoacidosis, and death, the agency says. Because apps for diabetes CGMs and other devices allow users …

GLP-1 Drugs Increasingly Used For Weight, Not Diabetes

A nationwide population-based study on prescribing trends published in the Annals of Internal Medicine found a significant increase in new users of GLP-1 receptor agonists who don’t have a diagnosis of type 2 diabetes. The proportion of new GLP-1 users with type 2 diabetes decreased from nearly 90% to about 70% from 2019 to 2023, according to a separate analysis of the findings in MedPage Today. Meanwhile, new users tend to be those prescribed the …

53-Year-Old With Spreading Rash

A 53-year-old man presents to urgent care concerned about a spreading rash underneath his arms for the past 3 weeks. He initially thought it was an allergic reaction to a new deodorant, but the rash persisted after stopping the deodorant. The rash is not itchy. The patient has a history of type 2 diabetes. On examination, a broad, well-demarcated, thin, scaly plaque is seen extending from the lateral chest over the axilla to the upper …

Quadriceps Pyomyositis After Aspiration of Patellar Bursitis: A Case Report

Urgent Message: Deep tissue infections are possible considerations for diabetic patients presenting to urgent care with muscle tenderness who recently have had joint or bursal aspirations or injections. Citation: Mati M. Quadriceps Pyomyositis After Aspiration of Patellar Bursitis: A Case Report. J Urgent Care Med. 2024;18(4):25-27. Key Words: quadriceps myositis, diabetes, patellar bursitis, infectious disease Abstract Introduction Infectious myositis and pyomyositis are uncommon and therefore easily overlooked with serious potential complications of bursal aspirations. Clinical …

New CKM Syndrome Combines Multiple Chronic Conditions

The American Heart Association introduced the concept of a new medical condition called cardiovascular-kidney-metabolic syndrome (CKM) in a recent article in Circulation. The rising incidence of multiple chronic health issues in younger Americans, particularly obesity, diabetes, and heart and kidney disease, calls for earlier diagnosis and risk assessment, the association says. The synergy between metabolic risk factors, such as abdominal fat, high blood pressure, high cholesterol, and elevated blood sugar, has long-term effects on health …

Gestational Diabetes and Long-Term Health

A recent study published in JAMA Internal Medicine involving more than 91,000 female participants 25 to 42 years old reveals that moms with a history of gestational diabetes face a slightly increased risk of mortality over a 30-year period compared to those without a history of the condition. The researchers found that women reporting a gestational diabetes diagnosis were 1.28 times more likely to experience mortality—a rate of 1.74 per 1,000 person-years compared to 1.49 …

HbA1c as Screening/Diagnoses for Early or Asymptomatic Diabetes in the Urgent Care Facility

Urgent message: The use of all-inclusive kits with compact, table-top analyzers provides a rapid quantification of HbA1c levels in patients. The use of these tests for in-house screening has the potential to increase the diagnoses of early or asymptomatic diabetes in young adults and under-served or overlooked populations. Jay H. Shubrook, DO; Jane M. Caldwell, PhD; and Lindsey E. Fish, MD Citation: Shubrook JH, Caldwell JM, Fish LE. HbA1c as screening/diagnosis for early or asymptomatic …

A Case of Late-Onset Diabetes

Urgent message: Previously undiagnosed diabetes in elderly patients is too frequently a precursor to the diagnosis of pancreatic cancer. Incidental and unexpected diagnosis of diabetes in older patients in urgent care, especially in normal or underweight individuals, should prompt a discussion about vigilant monitoring for other symptoms of malignancy and close follow-up with a primary care provider. Joshua Russell, MD, MSc, FCUCM, FACEP CASE PRESENTATION A 72-year-old woman with a history of hypertension presented to …

UCF Study Seeks to Quantify Early Diabetes Detection in Urgent Care

It’s not all that unusual for patients to be diagnosed with diabetes in an urgent care center they’ve visited for unrelated complaints. The question is, how common or uncommon is it, and will knowing the answer to that question help urgent care providers be better prepared for such occurrences? We may have a better idea once the Urgent Care Foundation (UCF) finishes its study to measure the benefits of diabetes screening in urgent care. With …

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