July 20, 2009

Hypoglycemia and Diabetes: Possible? Yes, Misconceptions? Many!

It’s true. With today’s goals and efforts to help people tighten their blood glucose control to minimize the long term diabetes complications, practitioners can increase the risks and possible occurrences of low blood glucose (hypoglycemia) for some.

However, if all you knew about the risks for and likely frequency of hypoglycemia was from the news (as well as movie and stage theatrics) you’d be convinced that every person with diabetes is likely to keel over regularly.

 
June 23, 2009

A1C Measure Replaces Glucose to Diagnose Diabetes and High Risk

For years the way to diagnose diabetes has been to draw a blood sample and check the glucose count, either fasting or random (any time of day). Two high levels on two different days and the diagnosis of diabetes was made. Glucose tolerance tests went by the wayside years ago other than for diagnosing gestational diabetes.

 
May 15, 2009

Chronic Support for Chronic Diseases, But, How to Reimburse for It?

On 5/13 President Obama, in his effort to keep healthcare reform on the front burner, sent a few deputies on a mission: find the best private-sector employee wellness and prevention practices in an effort to help other companies and federal workplaces implement these. I bet one of best practice that will be an element of each success story will be programs utilizing technology-based solutions (telephonic, intranet, internet, hand-held device, etc.) to provide frequent and chronic support.

 
June 26, 2008

Diabetes Incidence Just Keeps Rising

Revised numbers from the U.S. Centers for Disease Control and Prevention (CDC) were just published in the National Diabetes Fact Sheet and they are, once again, disheartening and staggering but not surprising:

 
March 18, 2008

Face the Facts and Figures about Pre- and Type 2 Diabetes, Next Take Action

The facts and figures about the financial costs of diabetes as well as the numbers of children and adults at risk of developing type 2 diabetes due to genetics, but more so being overweight, are staggering…and “sobering” as noted by Drs Judith Fradkin and Griffin Rodgers, from the diabetes division of the National Institutes of Health, in their Diabetes Care editorial The Economic Imperative to Conquer Diabetes (extract).

 
February 22, 2008

How low should blood glucose go?

How low should blood glucose go? Recent news from two large studies in people (~ 10,000 each) with type 2 diabetes—the ACCORD and ADVANCE trials—raised this question…yet again. Perspective is pertinent! It’s well known that managing type 2 diabetes is not only about blood glucose control. It’s also about treating blood pressure (goal: <130/80) and blood lipids (LDL: <100 or less) to into the healthy zone.

 

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