Do not routinely request / perform thyroid ultrasound in subjects without signs and / or symptoms of thyroid disease and not belonging to risk groups for thyroid cancer and limit the indication and execution of fine needle aspirations on low-risk nodules.
Thyroid ultrasound is a fundamental test in the diagnosis of thyroid pathologies; its use, however, must take place in an appropriate clinical setting. Small thyroid nodules are very common in the general population and, in most cases, benign. Furthermore, in the last...
Don’t perform routine measurement of C-peptide in diabetes patients.
It is not necessary to dose hematic C-peptide for the diagnosis of type 1 and type 2 diabetes . Measurement of the response by C-peptide to glucagon or to mixed meals can help in rare cases in which it is difficult to differentiate the diagnosis between the two types...
Don’t treat diabetes patients indiscriminately with antiplatelet drugs.
Antiaggregant therapy with acetyl salicilic acid (75-160 mg/daily) is suitable for diabetic patients with previous cardiovascular or cerebrovascular events or with chronic obstructive arteriopathy, and in initial prevention, only in diabetic patients with high...
Don’t prescribe routine glucose self-monitoring to Type 2 diabetes patients who are being treated with drugs that do not cause hypoglycemia.
In patients with type 2 diabetes being treated with drugs which do not cause hypoglycemia, once the glycemic objective has been reached and the results of self- monitoring become fairly predictable, daily monitoring of the glycemia does not add information for...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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