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This is a picture of a teenage boy with Gynecomastia. Obviously, gynecomastia is an abnormal enlargement of the male breasts. It happens in some teenagers - and is worse in those with obesity. Just how cruel do you think these kids are treated in high school and middle school? I have a young boy who is 13 and has marked gynecomastia which has been present for over two years. I requested a plastic surgery consult (which is usually my practice) in this situation and the surgeon agreed that he was a good candidate for a surgical fix and submitted the request to our Medicaid managed care provider. I have never had a denial of this when the situation clearly seemed to warrant this. In fact, this child had been approved to have the procedure done a year prior to now but had not gotten it done out of fears and misconceptions about the procedure. Join discussion...

Selenium supplementation does not seem to prevent type 2 diabetes, and it may increase risk for the disease. Join discussion...

By the Agency for Healthcare Research and Quality. Join discussion...

To assist the practitioner in the initial laboratory investigation in patients with suspected Hypoglycemia Join discussion...

Iatrogenic hypoglycemia causes recurrent morbidity in most people with type 1 diabetes and many with type 2 diabetes, and it is sometimes fatal. The barrier of hypoglycemia generally precludes maintenance of euglycemia over a lifetime of diabetes and thus precludes full realization of euglycemia’s long-term benefits. While the clinical presentation is often characteristic, particularly for the experienced individual with diabetes, the neurogenic and neuroglycopenic symptoms of hypoglycemia are Join discussion...

Our interim findings from this ongoing study were inconclusive regarding the effect of rosiglitazone on the overall risk of hospitalization or death from cardiovascular causes. There was no evidence of any increase in death from either cardiovascular causes or all causes. Rosiglitazone was associated with an increased risk of heart failure. The data were insufficient to determine whether the drug was associated with an increase in the risk of myocardial infarction. Join discussion...

The review, which is published online on July 18, 2007, in the Cochrane Database of Systematic Reviews, was led by Dr Bernd Richter (Heinrich-Heine University, Düsseldorf, Germany). It examined only published studies of at least 24 weeks in duration of rosiglitazone in type 2 diabetics. Join discussion...

MMI 15 mg/d is suitable for mild and moderate GD, whereas MMI 30 mg/d is advisable for severe cases. PTU is not recommended for initial use. Join discussion...

The incidence of diabetes is expected to double over the next two decades, which will result in more people with complications of diabetes.1 Diabetic polyneuropathy is one of the most common, with a prevalence of around 30-50%. It can have a major impact on patients' quality of life, and treatment is usually needed for many years.2 3 Community based studies report the prevalence of painful diabetic polyneuropathy as around 16-26%,4 and in one study 80% of the patients had moderate or severe pai Join discussion...