Complex Type 2 Diabetes or Type 2 diabetes and cardiovascular disease

Number of patients with diabetes is rising in India and the number of people with prediabetes is rising even more rapidly. In future we will be seeing more and more diabetic patients with heart attacks.

People with diabetes already have established blockages and are among the highest-risk patients for having a heart attack.

We all need to provide them a comprehensive strategy for harm and risk reduction and for this we ned a collaboration between the primary care provider and the various specialists—cardiologist, endocrinologist, and, in many cases, nephrologist and an eye specialist.

The care of patients with diabetes and cardiovascular disease is really a team effort.

Respect the nature: Breast Implants Linked to a Rare Cancer

Eight years back US FDA first reported a suspicious link between breast implants and a rare cancer of the immune system. Evidence of that connection is now stronger than ever, with 457 confirmed cases of anaplastic large cell lymphoma (ALCL) reported in women who have received implants in recent years.

FDA is advising patients and medical care providers to remain aware of the potential risks involved with breast implant surgery.

"After a thorough data analysis, we are reporting that, as of September 2018, the agency has received a total of 660 total medical device reports (MDRs) regarding breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) cases in the US since 2010," the FDA reports. "Of the 660 MDRs, our in-depth analysis suggests that there are 457 unique cases of BIA-ALCL, including 9 patient deaths."

The exact nature of the link between implants and ALCL, or even if the relationship is strictly causative, is yet to be convincingly established.

Though the number of identified cases of BIA-ALCL is small compared to the estimated 1.5 million patients who receive breast implants worldwide every year, confirmed data and published information reviewed to date suggests that patients with breast implants have an increased risk of BIA-ALCL.

"Choosing to obtain a breast implant is a very personal decision that patients and their providers should make based on individual needs and with the most complete information about products."