HbA^sub 1c^ Test Recommended To Diagnose Diabetes

Document Sample
HbA^sub 1c^ Test Recommended To Diagnose Diabetes Powered By Docstoc
					                                                                                                                                       www.renalandurologynews.com        FEBRUARY 2010      Renal & Urology News 9

                                                 News in Brief
                Please visit us at www.renalandurologynews.com for the latest news updates from the fields of urology and nephrology

                                                    Short Takes                                                                        HbA1c Test Recommended
Circumcision Offers
Little Clinical Benefit
                                                                         almost all cancer therapies target the
                                                                         bulk tumor cells, but may leave intact a
                                                                                                                                       To Diagnose Diabetes
Adult circumcision appears to have little                                small population of tumor-initiating cells,
clinical benefit in terms of preventing
urinary tract infections, sexual trans-
                                                                         which are believed to be responsible for
                                                                         relapse and metastasis. Investigators
                                                                                                                                       H    emoglobin A1c (HbA1c) should be used to diagnose diabetes and prediabetes,
                                                                                                                                            according to new recommendations from the American Diabetes Association
                                                                                                                                       (ADA). Under the recommendations, HbA1c levels of 5.7% to 6.4% would indicate
mitted diseases, and penile cancer,                                      found significant telomerase activity in                       prediabetes and 6.5% or higher would indicate diabetes, according to a report
according to a systematic review of                                      tumor-intiating cells taken from human                        in Diabetes Care (2010;33[Suppl 1]:s1-s99). Unlike fasting plasma glucose and
eight studies. However, in sub-Saharan                                   prostate cancer cells.                                        oral glucose tolerance testing, the HbA1c test does not require overnight fasting.
Africa, circumcised adult males were
                                                                                                                                       The ADA hopes that adding the option of this simple blood test to the diagnostic
                                                                                                                                       arsenal for diabetes will encourage more people to be screened, ultimately reduc-
significantly less likely to acquire HIV/                                 High, Low Calcium Can Hike
                                                                                                                                       ing the rate of kidney disease and other complications of diabetes. “Unlike many
AIDS than their uncircumcised counter-                                   Death Risk in CKD Patients
                                                                                                                                       chronic diseases, type 2 diabetes actually can be prevented, as long as lifestyle
parts. Reporting their findings in Annals                                 Although abnormal calcium levels have                         changes are made while blood glucose levels are still in the prediabetes range,”
of Family Medicine (2010;8:64-72), in-                                   been linked to an increased chance of                         said Richard M. Bergenstal, MD, President-Elect of the ADA.
vestigators noted that severe complica-                                  premature death in dialysis patients,
tions associated with circumcision were                                  new research indicates a similar risk
uncommon, and adult circumcision did
not appear to affect sexual satisfaction
                                                                         for people in earlier stages of CKD.
                                                                         In a study of 1,243 male U.S. veter-
                                                                                                                                       Renal Cancer Risk Is More
or function.                                                             ans with moderate-to-advanced CKD
                                                                         that did not require dialysis therapy,
                                                                                                                                       Likely in Obese Individuals
Drug Thwarts PCa Cells                                                   patients who had abnormally high cal-
A potential treatment for breast
cancer, lung cancer, chronic lympho-
                                                                         cium levels for a prolonged period had
                                                                         a mortality risk that was 31% greater
                                                                                                                                       O    bese individuals with kidney tumors are 48% more likely to have clear-cell
                                                                                                                                            renal cell carcinoma (RCC) than non-obese individuals, researchers reported
                                                                                                                                       in BJU International (2010;105:16-20
Description: A global leader in serving libraries of all types, ProQuest LLC (“ProQuest”) supports the breadth of the information community with innovative discovery solutions that power the business of books and the best in research experience. More than a content provider or aggregator, ProQuest is an information partner, creating indispensable research solutions that connect people and information. Through innovative, user-centered discovery technology, ProQuest offers billions of pages of global content that includes historical newspapers, dissertations, and uniquely relevant resources for researchers of any age and sophistication—including content not likely to be digitized by others.
ProQuest creates specialized information resources and technologies that propel successful research, discovery, and lifelong learning.