February 2004, Volume 34 Number 2 , p 33 - 33 [FREE]



© 2004 Lippincott Williams & Wilkins, Inc. Volume 34(2)             February 2004             p 33 Nurses rise to the top again [Clinical Rounds: News, updates, research: NATIONAL ETHICS SURVEY]

In an annual Gallup poll on the honesty and ethics of various professionals, nurses once again rose to the top. In four out of the five times nurses have been included in the poll, Americans rated them higher than any other professionals. (Firefighters beat out nurses in 2001, the only year they appeared on the list.) In all, 83% of respondents said that nurses' honesty and ethics are “very high” or “high.” Following nurses, in order of rank, were physicians, veterinarians, pharmacists, and dentists.

At the bottom of the barrel? Stockbrokers, advertising practitioners, insurance salesmen, health maintenance organization managers, and car salesmen.

The poll was based ...


New guidelines for diabetes mellitus lower the cutoff for impaired fasting glucose from 110 mg/dl to 100 mg/dl. This change could increase the number of people diagnosed with prediabetes by about 20%.


The new guidelines, the first since 1997, were issued by an international committee of experts. Committee members hope that lowering the glucose threshold will help clinicians identify patients at risk for diabetes and prevent or delay progression from impaired glucose tolerance to diabetes. They also hope that earlier intervention will help reduce the risk of diabetic complications, although research hasn't yet proven that lowering glucose levels reduces the risk of cardiovascular disease.



"Lowering the Criterion for Impaired Fasting Glucose Is in Order," Diabetes Care, S. Genuth, November 2003; "The Singapore Impaired Glucose Tolerance Follow-Up Study," Diabetes Care, M. Wong, et al., November 2003.