Do cinnamon supplements improve glycemic control in adults with T2DM?

Q: Do cinnamon supplements improve glycemic control in adults with T2DM? Evidence-based answer: the answer isn't clear. Cinnamon supplements for adults with type 2 diabetes haven't been shown to decrease hemoglobin A1C (strength of recommendation [SOR]: C, multiple systematic reviews of disease-oriented outcomes). Cinnamon supplements have shown inconsistent effects on fasting glucose levels (SOR: C, multiple systematic reviews and a single meta-analysis of disease-oriented outcomes). Supplements decreased fasting glucose levels in some studies, but the evidence isn't consistent and hasn't been correlated with clinically significant improvements in glycemic control.Beth Careyva, MD; Grant Greenberg, MD, MA, MHSA; Katarzyna Jabbour, PharmD, BCPS; Nicole Defenbaugh, PhD (Lehigh Valley Health Network, Allentown, PA); Joan Nashelsky, MLS (Family Practice Inquiries Network, Iowa City)Includes bibliographical reference

Persistent Nodular Rash in an Elderly Patient

A 62yo white male presented to same day clinic with an erythematous nodular rash. He was initially treated with antibiotics for a furunculosis, but the rash worsened and he was eventually found to have secondary syphilis. He is an MSM who had a prior history of syphilis, putting him at high risk for STI’s and HIV, and should have been undergoing annual screening. He was found to be HIV positive. The rates of STI’s and HIV are increasing in older Americans. Despite this, physicians do not regularly screen this population for unsafe sexual behavior. This case emphasizes the importance of taking a sexual history in older patients, assessing their risk for STI’s and HIV, and providing them with education about safe sex