Firing on All Cylinders! Hypothyroidism in Pregnancy, (Virtually) Managing Diabetes, and Anticoagulation Post Stroke


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This week on The Rounds Table we’re back by popular demand with another rapid fire episode: just the salient points from FOUR articles instead of two. Same time spent listening, twice the take-home! Kieran Quinn and Mike Fralick tease out the bottom line for listeners.

Both hyperglycemia and hypoglycemia are prevalent, real, concerns for patients and their physicians. Does a virtual glucose management service comprised of an interdisciplinary insulin stewardship team improve glycemic control? Listen to find out!

Next, it appears as though subclinical hypothyroidism in pregnancy affects neurocognitive development in offspring. Thus, screening is widespread. A recent RCT explores whether treating maternal hypothyroidism changes outcomes in offspring.

Back to diabetes! The third article is a systematic review and meta-analysis which examines the risks and benefits of SGLT2 inhibitors when used at the highest recommended doses.

Finally, a retrospective observational cohort study investigates the prognosis associated with resuming oral anticoagulant treatment in patients with atrial fibrillation who have previously sustained a hemorrhagic stroke or intracranial hemorrhage.

Like what you hear? Rate us on iTunes! Chat with us on Twitter @roundstable and tweet at Kieran @kieranlquinn and Mike @FralickMike

The Papers

1. Virtual Glucose Management: http://annals.org/aim/article/2613553/association-between-virtual-glucose-management-service-glycemic-control-hospitalized-adult

2. To Treat or Not to Treat? Hypothyroidism in Pregnancy: http://www.nejm.org/doi/full/10.1056/NEJMoa1606205

3. SGLT2 Inhibitors for T2DM: http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0166125

4. Warfarin After Stroke: http://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2603491

Music Credits

The Rounds Table Theme Music by Brendan Quinn, Creative Director and Composer, Vapor RMW

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