Kieran has officially finished half of his Royal College Exam to qualify as a General Internist; which means, we are back to new episodes every week to keep listeners up to date with the most recent and important medical research. This week, Kieran and Ashley Minuk delve into two studies examining therapies in people with diabetes.

Diabetes research is looking sweeter: no longer are clinicians only treating secondary complications of the disease, they are now investigating novel treatments to prevent it from occurring in the first place! Ashley leads the discussion on a randomized controlled trial examining the use of liraglutide in patients who are obese with prediabetes as prevention for the development of Type 2 diabetes.

Next, Kieran turns the conversation to outcomes after bariatric surgery in the treatment of diabetes. For long term glycemic control, is treatment with bariatric surgery plus intensive medical therapy better than medical therapy alone? Listen to find out!

Last, but definitely not least, the Good Stuff segment. What happens to quality of care when patients and caregivers are rude to the healthcare team? Then, how do you like your fecal transplant: frozen, freeze-dried, or fresh?

Like what you hear? Rate us on iTunes! Chat with us on Twitter @roundstable and tweet at Kieran directly @kieranlquinn and Ashley @ashleyminuk.

The Papers

1. Liraglutide for Diabetes Risk Reduction: http://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(17)30069-7.pdf

2. Bariatric Surgery vs Medical Treatment: http://www.nejm.org/doi/full/10.1056/NEJMoa1600869

Good Stuff

1. Being rude leads to care that is crude: https://mobile.nytimes.com/2017/02/27/well/family/what-happens-when-parents-are-rude-in-the-hospital.html?_r=0&referer=

2. How do you like your feces – fresh or frozen? https://www.sciencedaily.com/releases/2017/03/170314081623.htm

Music Credits

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