Journal of Urgent Care Medicine

Inhaled Insulin Powder Approved For Use in Kids

The U.S. Food and Drug Administration (FDA) has expanded approval for insulin inhalation powder for use in children and adolescents aged 6 and older living with type 1 and type 2 diabetes, according to the product manufacturer’s press release. Previously, the inhaled insulin was only approved for adults. The oral inhaler device and insulin inhalation powder deliver insulin into the bloodstream through the lungs, enabling rapid absorption of insulin into systemic circulation. Marketed as Afrezza, …

HbA1c Improves For Those Using AI App That Predicts Glucose Response

An artificial intelligence (AI) tool combined with real-time biometric tracking and human coaching produced significant clinical improvements for adults with type 2 diabetes in a Cleveland Clinic study published in NEJM Catalyst. The intervention delivered personalized nutrition and lifestyle guidance through an AI-powered app that analyzed health data from wearable sensors and devices, which monitored blood glucose, weight, blood pressure, activity, and sleep. App recommendations were then based on predicted glucose responses to meals. The …

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 …

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