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Wednesday, November 28th, 2012
Dynamic modeling of incidence, mortality, and population growth
ADA: 12/1/12
OBJECTIVE To forecast the number of U.S. individuals aged <20 years with type 1 diabetes mellitus (T1DM) or type 2 diabetes mellitus (T2DM) through 2050, accounting for changing demography and diabetes incidence.
RESEARCH DESIGN AND METHODS We used Markov modeling framework to generate yearly forecasts of the number of individuals in each of three states (diabetes, no diabetes, and death). We used 2001 prevalence and 2002 incidence of T1DM and T2DM from the SEARCH for Diabetes in Youth study and U.S. Census Bureau population demographic projections. Two scenarios were considered for T1DM and T2DM incidence: 1) constant incidence over time; 2) for T1DM yearly percentage increases of 3.5, 2.2, 1.8, and 2.1% by age-groups 0–4 years, 5–9 years, 10–14 years, and 15–19 years, respectively, and for T2DM a yearly 2.3% increase across all ages. Read More
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Wednesday, November 28th, 2012
HealthDay: 11/21/12
WEDNESDAY, Nov. 21 (HealthDay News) — Full body X-ray scanners and luggage X-rays may damage some insulin pumps and continuous glucose monitors, both used by many people with diabetes to manage their conditions.
It’s likely that every day, large numbers of travelers expose these diabetes care devices to X-rays while going through airport security “and some may unknowingly experience mild [or worse] malfunctioning as a result,” wrote the authors of a recent editorial in the journal Diabetes Technology & Therapeutics.
They recommend carrying a letter that details all of the medical supplies someone with diabetes needs to carry on board with them. They also recommend that if someone wears an insulin pump or continuous glucose monitors, the letter specifically state that these devices shouldn’t be subjected to X-rays, either from a full body scanner or the X-ray machine that scans carry-on luggage. Instead, these devices should be hand-checked, according to editorial co-authors Andrew Cornish and Dr. H. Peter Chase, from the University of Colorado Denver. Read More
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Wednesday, November 28th, 2012
DMS Journal: 11/21
Background
The American Diabetes Association (ADA) has published several diabetes treatment algorithms, but none have been tested in real-life settings. The aim of this study is to analyze the feasibility of achieving and/or maintaining HbA1c levels <7.0% using current diabetes treatment guidelines and the resources available in the public health care system of Brazil.
Methods
A one-year, single-arm interventional study was conducted with type 2 diabetes patients in a primary care unit. Intervention consisted of intensification of lifestyle changes and sequential prescription of drugs based on ADA guidelines using the medications available through the publicly funded Unified Health System (Sistema Unico de Saude, SUS). Read More
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Wednesday, November 28th, 2012
SAGE: November 21, 2012
Purpose Adults hospitalized with diabetes are likely to have multiple comorbid conditions contributing to suboptimal health-related quality of life. The purpose of this study was to survey urban, very low-income, hospitalized adults with diabetes about disease severity, anticipated disease trajectory, and self-rated health-related quality of life.
Methods Data were collected using the Brief Illness Perception Questionnaire, the 36-item Short Form Health Survey (SF-36), the comparative risk perception questionnaire, and glycosylated hemoglobin. Severity was defined by glycosylated hemoglobin level and current microvascular complications from diabetes. Read More
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Wednesday, November 28th, 2012
NDEP: 11/14/12
Family health history is an important risk factor for developing type 2 diabetes.
Did you know?
- Nearly 26 million Americans have diabetes.
- Seven million people with diabetes do not even know that they have this disease.
- An estimated 79 million adults in the U.S. have prediabetes, placing them at increased risk for developing type 2 diabetes.
- Having a family history of diabetes places you at increased risk for developing type 2 diabetes.
- If you are a woman who had gestational diabetes during pregnancy, you are at increased risk for developing diabetes, and the child of that pregnancy is at increased risk for obesity and type 2 diabetes. Read More
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Minority Diabetes Reports
Wednesday, November 28th, 2012
Jamanetwork: Nov 26, 2012
Early detection of diabetic retinopathy (DR) is crucial to prevent blindness. Timely intervention with laser therapy can reduce the risk of severe vision loss by more than 90%.1 Despite well-accepted national and international guidelines, on average, less than 50% of patients with diabetes mellitus (DM) undergo screening for retinopathy in the United States.2– 3 Barriers to care include socioeconomic factors, geography, lack of patient education, and cultural barriers among minorities. Read more
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Minority Diabetes Reports
Wednesday, November 28th, 2012
Jamanetwork: Nov 26, 2012
Communication between African American patients and white health care providers has been shown to be of poorer quality when compared with race-concordant patient-provider communication. Fear on the part of patients that providers stereotype them negatively might be one cause of this poorer communication. This stereotype threat may be lessened by a values-affirmation intervention.
Methods In a blinded experiment, we randomized 99 African American patients with hypertension to perform a values-affirmation exercise or a control exercise before a visit with their primary care provider. We compared patient-provider communication for the 2 groups using audio recordings of the visit analyzed with the Roter Interaction Analysis System. We also evaluated visit satisfaction, trust, stress, and mood after the visit by means of a questionnaire. Read More
