Diabetic diarrhea. An underdiagnosed complication?

Abstract:

:Diarrhea is a common gastrointestinal problem in diabetes, and its prevalence has been underestimated. The cause of diabetic diarrhea is unknown, but it is probably related to gastrointestinal motility disturbances secondary to diabetic autonomic neuropathy. Other causes (especially primary malabsorption syndromes and islet cell tumors) must be excluded. Treatment of diabetic diarrhea is largely symptomatic and only moderately effective. Antidiarrheal agents may ameliorate acute episodes. Broad-spectrum antibiotics and clonidine hydrochloride (Catapres) have had some success in long-term control. Most recently, subcutaneous administration of somatostatin analogues has been shown to be helpful, the main side effects being drowsiness and vomiting.

journal_name

Postgrad Med

journal_title

Postgraduate medicine

authors

Beebe DK,Walley E

doi

10.1080/00325481.1992.11701372

subject

Has Abstract

pub_date

1992-06-01 00:00:00

pages

179-86

issue

8

eissn

0032-5481

issn

1941-9260

journal_volume

91

pub_type

杂志文章
  • The patient experience with DSM-5-defined binge eating disorder: characteristics, barriers to treatment, and implications for primary care physicians.

    abstract:BACKGROUND:Binge eating disorder (BED) is now a formal diagnosis in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5). However, post-DSM-5 patient profiles and viewpoints on BED diagnosis and treatment remain unclear. This study used a focus group methodology to examine demographic and cl...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.3810/pgm.2014.09.2800

    authors: Herman BK,Safikhani S,Hengerer D,Atkins N Jr,Kim A,Cassidy D,Babcock T,Agus S,Lenderking WR

    更新日期:2014-09-01 00:00:00

  • The neck mass. 1. General concepts and congenital causes.

    abstract::A carefully taken history and thorough physical examination are the first steps in establishing the cause of a neck mass. Location, size, consistency, and mobility of the mass provide clues and are useful for comparison during follow-up. Further studies are ordered on the basis of the impressions gathered from this ev...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1987.11699816

    authors: Damion J,Hybels RL

    更新日期:1987-05-01 00:00:00

  • Arthritis associated with common viral infections: mumps, coxsackievirus, and adenovirus.

    abstract::Arthritis complicating the common viral infections--mumps, coxsackievirus, and adenovirus--can be enigmatic. Mumps arthritis is often difficult to identify, especially when parotitis is mild, because the arthritic syndrome generally follows complete clearing of salivary adenitis by one to two weeks. Migratory polyarth...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1980.11715487

    authors: Bayer AS

    更新日期:1980-07-01 00:00:00

  • Viral infections in the elderly. The challenges of managing herpes zoster, influenza, and RSV.

    abstract::Viral diseases are an important cause of morbidity and mortality in elderly patients, whether they live in the community or in long-term care facilities. Management of viral infections in older adults is complicated by factors that include the infrequency or absence of common signs and symptoms of infection and advers...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.2005.11.1687

    authors: Bader MS,McKinsey DS

    更新日期:2005-11-01 00:00:00

  • Raisins compared with other snack effects on glycemia and blood pressure: a randomized, controlled trial.

    abstract:OBJECTIVE:To compare effects of raisin snacks with conventional snacks on glycemia and cardiovascular risk factors. MATERIALS AND METHODS:A 12-week, randomized, controlled trial compared 3-times-a-day consumption of raisins with intake of processed snacks on glycemia and cardiovascular risk factors. Men and women were...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.3810/pgm.2014.01.2723

    authors: Anderson JW,Weiter KM,Christian AL,Ritchey MB,Bays HE

    更新日期:2014-01-01 00:00:00

  • Chronic neck and shoulder pain. Focusing on myofascial origins.

    abstract::Chronic neck and shoulder pain is a complex, multifactorial problem. Often many months have passed since its onset. During this time the patient may have seen many physicians and tried many medications, some with abuse potential. Most patients are depressed and have lost their ability to cope with the stresses of dail...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1985.11698897

    authors: Grosshandler SL,Stratas NE,Toomey TC,Gray WF

    更新日期:1985-02-15 00:00:00

  • Contemporary therapy for acne. What, when, and how to prescribe.

    abstract::The use of topical tretinoin (Retin-A) for comedonal lesions, benzoyl peroxide for inflamed papules and pustules, and topical or oral antibiotics for more severe or widespread disease gives excellent results for the majority of patients with acne. At present, oral isotretinoin (13-cis-retinoic acid) (Accutane) should ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1985.11698996

    authors: Greer KE

    更新日期:1985-05-01 00:00:00

  • Psychiatry: unresolved grief. Clinical considerations.

    abstract::Unresolved grief refers either to the absence or to the prolongation of normal grief. It is identified by (1) painful response to recall of the deceased, (2) realization of not having accepted the loss or of not being able to grieve, and (3) unaccountable depression, emergence of medical symptoms on the anniversary of...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1976.11714374

    authors: DeVaul RA,Zisook S

    更新日期:1976-05-01 00:00:00

  • Health care provider management of patients with type 2 diabetes mellitus: analysis of trends in attitudes and practices.

    abstract:OBJECTIVE:To identify attitudes and practices of endocrinologists (ENDOs), family practitioners (FPs), internists (IMs), primary care nurse practitioners (NPs), physician assistants (PAs), certified diabetes educators (CDEs), retail pharmacists (R-PHs), and hospital pharmacists (H-PHs) with respect to type 2 diabetes m...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.3810/pgm.2014.05.2764

    authors: Williamson C,Glauser TA,Burton BS,Schneider D,Dubois AM,Patel D

    更新日期:2014-05-01 00:00:00

  • Nephrolithiasis: how it happens and what to do about it.

    abstract::Nephrolithiasis is caused by several biochemical mechanisms, identification of which allows specific therapy that may prevent recurrences. In patients with their first kidney stone, careful evaluation is needed to identify those at highest risk for recurrence. Extensive evaluation of this subgroup should lead to prope...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.1996.12.127

    authors: Trivedi BK

    更新日期:1996-12-01 00:00:00

  • Thyroid screening.

    abstract::Preview The ultrasensitive third-generation assay for thyrotropin (TSH) is now the "gold standard" for measuring thyroid activity. Who should be screened with it, and what further studies should be done if results are abnormal? Which patients with subclinical disease should receive treatment? Drs Brody and Reichard di...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1995.11946028

    authors: Brody MB,Reichard RA

    更新日期:1995-08-01 00:00:00

  • Rheumatic diseases. 1. Differential diagnosis.

    abstract::In a case of rheumatic disease, the patient's history and a careful physical examination should yield most of the information needed to identify the specific disorder present. A convenient classification is based on four differentiating features: number of joints affected, acuteness or chronicity of disease, absence o...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1976.11708414

    authors: Weiss TE,Gum OB,Biundo JJ Jr

    更新日期:1976-12-01 00:00:00

  • Delusional misidentification in Parkinson's disease: report of two cases and a review.

    abstract::Syndromes of delusional misidentification consist of disordered familiarity and have been reported in diverse diagnoses, including Parkinson's disease. Although the most common delusional misidentification is Capgras syndrome, in which the sufferer believes a familiar person has been replaced by an identical imposter,...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.2018.1411161

    authors: Hermanowicz N

    更新日期:2018-03-01 00:00:00

  • Advances in liver transplantation. New strategies and current care expand access, enhance survival.

    abstract::Liver transplantation revolutionized the management of liver disease. Although the number of patients who could benefit from a transplant far exceeds the number of available cadaveric donors, new strategies, such as splitting cadaveric organs and using living donors, have expanded access to transplantation. Here, a te...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.2004.05.1514

    authors: Tran TT,Nissen N,Poordad FF,Martin P

    更新日期:2004-05-01 00:00:00

  • Managing the patient with Parkinson's disease.

    abstract::When patients have a clear understanding of the etiology and pathophysiology of Parkinson's disease, management is easier for the physician and the patient is better able to cope with the disease. Patients also should be made aware of the proper use of antihistamines and anticholinergics that control tremor, as well a...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1980.11715531

    authors: Riley TL,Massey EW

    更新日期:1980-09-01 00:00:00

  • Effect of early weight loss on type 2 diabetes mellitus after 2 years of gastric banding.

    abstract:OBJECTIVE:Laparoscopic adjustable gastric banding (LAGB) is an established bariatric surgical procedure that produces meaningful weight loss and improvements in patients with type 2 diabetes mellitus (T2DM) and a body mass index (BMI) ≥ 30 kg/m2. This study examined the effect of LAGB on T2DM status in severely obese p...

    journal_title:Postgraduate medicine

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.3810/pgm.2012.11.2590

    authors: Edelman S,Bhoyrul S,Billy H,Cornell C,Okerson T

    更新日期:2012-11-01 00:00:00

  • Drug therapy for congestive heart failure. Appropriate choices can prolong life.

    abstract::The goals of therapy for congestive heart failure (CHF) are to improve quality of life and to prolong it. Improvement in patients with CHF can only be realized, however, if a multidisciplinary healthcare team can provide effective management in both the inpatient and outpatient settings. Inhibition of compensatory mec...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.1997.01.143

    authors: Sorrentino MJ

    更新日期:1997-01-01 00:00:00

  • Use of the esophageal obturator airway; with a report of an unusual complication.

    abstract::The esophageal obturator airway is a relatively new addition to equipment for emergency resuscitation. It is simple to use after minimal training and can be inserted quickly without laryngoscopic visualization. Problems are uncommon. ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1980.11715374

    authors: Key GK

    更新日期:1980-02-01 00:00:00

  • Chronic hepatitis B: perceptions in Asian American communities and diagnosis and management practices among primary care physicians.

    abstract:BACKGROUND:Asian Americans exhibit a high prevalence of chronic hepatitis B (CHB) compared with the general population in the United States. However, there are specific barriers to appropriate health care in the Asian American population, and CHB awareness is low. The aim of this study was to examine CHB awareness amon...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.3810/pgm.2010.09.2213

    authors: Upadhyaya N,Chang R,Davis C,Conti MC,Salinas-Garcia D,Tang H

    更新日期:2010-09-01 00:00:00

  • Office gynecology: fibroids-when not to operate.

    abstract::The mere presence of uterine fibroids is not, since qua non, an indication for their surgical removal. Knowing when not to operate is probably more important for the physician than knowing when to operate. It is easy to fall into diagnostic and therapeutic traps when uterine fibroids are known to be present, especiall...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:

    authors: Russell KP

    更新日期:1976-09-01 00:00:00

  • Subclavian steal syndrome. A report of two cases.

    abstract::Two cases of subclavian steal syndrome are reported. Symptoms included light-headedness or syncope, reflecting vertebrobasilar insufficiency, and in one case, numbness and tingling in the left upper extremity, reflecting ischemia. Many persons with this syndrome are asymptomatic. Key findings include unilaterally decr...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1988.11700138

    authors: Harper CA 3rd,Haines JD Jr

    更新日期:1988-02-01 00:00:00

  • Chronic hepatitis B. Hope for decreasing its impact.

    abstract::Although chronic hepatitis B is a relatively common disease that may have a serious outcome, the outlook is by no means uniformly poor. Alpha interferon therapy may be helpful in up to one third of patients who have hepatitis B e antigen in serum and elevated serum aminotransferase levels. New drugs that may have even...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Di Bisceglie AM

    更新日期:1995-07-01 00:00:00

  • Frostbite. Methods to minimize tissue loss.

    abstract::If frostbite is to be treated successfully, direct and indirect effects of injury must be understood. Rapid rewarming helps to preserve tissue by limiting the amount of direct cellular injury. Selective management of blisters helps protect the subdermal plexus, and application of Aloe vera cream (eg, Dermaide Aloe Cre...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1990.11704769

    authors: McCauley RL,Heggers JP,Robson MC

    更新日期:1990-12-01 00:00:00

  • Individual and societal consequences of hypoglycemia: A cross-sectional survey.

    abstract:BACKGROUND:Hypoglycemia and fear of hypoglycemia threaten individuals' ability to work and drive. We studied the effect of hypoglycemia on the individual and society, with a focus on possible implications of new European union legislation on patients' continued ability to drive. METHODS:A cross-sectional survey of Dan...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.2015.1045815

    authors: Dømgaard M,Bagger M,Rhee NA,Burton CM,Thorsteinsson B

    更新日期:2015-06-01 00:00:00

  • Irritable bowel syndrome. A cost-effective approach for primary care physicians.

    abstract::Recognition and appropriate treatment of IBS can be challenging. A rational approach to management focuses on a positive diagnosis based on the characteristic pattern of symptoms and the exclusion of organic disorders. Dietary modification and pharmacologic therapy may be useful for relieving symptoms. Patient educati...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.1997.03.184

    authors: Harris MS

    更新日期:1997-03-01 00:00:00

  • Genetic causes and workup of male and female infertility. 3. Details of the clinical evaluation.

    abstract::In the evaluation of male and female infertility the history, family history, physical examination, and endocrine and gonadal functional evaluations are the most informative measures. The cause of the infertility is never found in some 17.5% of couples and in almost one fourth of males. In over one third of cases male...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1979.11715204

    authors: Opitz JM,Shapiro SS,Uehling DT

    更新日期:1979-07-01 00:00:00

  • Understanding serum electrolytes. How to avoid mistakes.

    abstract::Serum electrolyte levels by themselves may be difficult to interpret. For example, an abnormal serum potassium concentration cannot be understood without taking into account the patient's history, other serum electrolyte values, and possibly results of other laboratory tests. Knowledge of the principles of serum elect...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1991.11701146

    authors: Kapsner CO,Tzamaloukas AH

    更新日期:1991-12-01 00:00:00

  • Nonmastectomy treatment of breast cancer. Current status of excision plus radiation.

    abstract::Treatment of primary breast cancer with excision of the tumor plus radiation is now an accepted alternative to mastectomy in women who desire breast preservation and have a suitable clinical presentation. Tumor size and location should be carefully considered before applying treatment with this method, the primary con...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.1986.11699425

    authors: Lichter AS

    更新日期:1986-06-01 00:00:00

  • A primary care approach to Sjögren's syndrome. Helping patients cope with sicca symptoms, extraglandular manifestations.

    abstract::Sjögren's syndrome is a chronic, systemic, autoimmune inflammatory disorder characterized by lymphocytic infiltration of exocrine glands, most notably the salivary and lacrimal glands. It results in loss of functional epithelium, diminished exocrine function, and gradual onset of dryness of the eyes, mouth, and other ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.2004.09.1587

    authors: Derk CT,Vivino FB

    更新日期:2004-09-01 00:00:00

  • Exercise-induced asthma.

    abstract::Exercise-induced asthma can appear as one of many forms of airway hyperreactivity or as a unique clinical entity. Simple spirometry confirms the suspected clinical diagnosis in most instances, although more sensitive measurements of airway obstruction may be required. In general, the asthmatic need not restrict physic...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1980.11715395

    authors: Gerhard H,Schachter EN

    更新日期:1980-03-01 00:00:00