Do patients with type 2 diabetes who aren't taking insulin benefit from self-monitoring blood glucose?

Patients with type 2 diabetes who aren't on insulin and perform self-monitoring of blood glucose (SMBG) show small but significant reductions in hemoglobin A1c (HbA1c) at 6 months but not at 12 months (strength of recommendation [SOR]: B, systematic reviews and meta-analyses of disease-oriented evidence). Patients with a baseline HbA1c 8% do (SOR: B, systematic reviews and meta-analyses of disease-oriented evidence). More frequent SMBG--4 to 7 times weekly--doesn't reduce HbA1c more than less frequent self-monitoring--1 or 2 times a week (SOR: B, a systematic review and meta-analysis of disease-oriented evidence)

Which women should we screen for gestational diabetes mellitus?

It's unclear which women we should screen. No randomized controlled trials (RCTs) demonstrate that either universal screening or risk factor screening for gestational diabetes mellitus (GDM) prevents maternal and fetal adverse outcomes. That said, the common practice of universal screening is more sensitive than screening based on risk factors (strength of recommendation [SOR]: B, 1 randomized trial and 3 retrospective cohort studies without patient-oriented outcomes). Historic risk factors are poor predictors of GDM in a current pregnancy (SOR: C, 1 retrospective cohort study without patient-oriented outcomes)

Integrar a los médicos refugiados a los sistemas sanitarios de acogida

Los médicos refugiados se enfrentan a numerosos obstáculos a la hora de ejercer la medicina, a pesar de las importantes contribuciones que pueden hacer

Integrating refugee doctors into host health-care systems

Refugee doctors face a number of barriers to practising medicine, despite the significant contributions that they can make

Integrar a los médicos refugiados a los sistemas sanitarios de acogida

Los médicos refugiados se enfrentan a numerosos obstáculos a la hora de ejercer la medicina, a pesar de las importantes contribuciones que pueden hacer