Do Experiences Consistent With a Medical-Home Model Improve Diabetes Care Measures Reported by Adult Medicaid Patients?

Diabetes Care June 19, 2014

OBJECTIVE The patient-centered medical home has gained much traction. Little is known about the relationship between the model and specific health care processes for chronic diseases such as diabetes. This study assesses the impact of features of a medical home on diabetes care.

Do “Walkable” Neighborhoods Reduce Obesity, Diabetes?

ADA: San Francisco, California June 17, 2014

Studies show more sprawl associated with higher incidence of poor health outcomes

People who live in neighborhoods that are conducive to walking experienced a substantially lower rate of obesity, overweight and diabetes than those who lived in more auto-dependent neighborhoods, according to a pair of studies presented at the American Diabetes Association’s 74th Scientific Sessions®.

Researchers in Canada compared adults living in the most and least “walkable” metropolitan areas in southern Ontario and found a lower risk of developing diabetes over a 10-year period for those who lived in neighborhoods with less sprawl, more interconnectivity among streets, and more local stores and services within walking distance, among other measures used to determine a neighborhood’s “walkability.” The researchers controlled for variables, such as health at baseline, in order to rule out the probability that healthier people were choosing more walkable neighborhoods to begin with. A second study that compared neighborhoods, not individuals, found that the most walkable neighborhoods had the lowest incidence of obesity, overweight and diabetes. Read More

Type 1 Diabetes Through the Life Span: A Position Statement of the American Diabetes Association

Diabetes Care July 2014

Type 1 diabetes is characterized by an immune-mediated depletion of β-cells that results in lifelong dependence on exogenous insulin. While both type 1 and type 2 diabetes result in hyperglycemia, the pathophysiology and etiology of the diseases are distinct and require us to consider each type of diabetes independently. As such, this position statement summarizes available data specific to the comprehensive care of individuals with type 1 diabetes. The goal is to enhance our ability to recognize and manage type 1 diabetes, to prevent its associated complications, and to eventually cure and prevent this disease. Read More

Diabetes Management

Future Medicine: May 2014

As diabetes is a common disease state that is often underdiagnosed and undermanaged, this article aims to provide a practical approach to understanding the details of widely accepted recommendations for diabetes in the USA. Three guidelines are reviewed highlighting screening, diagnosis and treatment algorithms, with a focus on practical application to a patient scenario. The guidelines reviewed are published by the American Diabetes Association/European Association for the Study of Diabetes (ADA/EASD), the American Association of Clinical Endocrinologists (AACE) and the American College of Physicians (ACP). By applying to the scenario of a newly diagnosed diabetic patient, this article aspires to highlight treatment differences between each expert recommendation, providing insight into evaluations made to determine the ideal initial treatment regimen. Read More

Patient Preferences for Noninsulin Diabetes Medications: A Systematic Review

Diabetes Care July 2014

OBJECTIVE An evidence-based synthesis of patient preferences for management of hyperglycemia is needed. Our objective was to systematically review patient preferences for noninsulin diabetes medications in adults with type 2 diabetes.

Do Experiences Consistent With a Medical-Home Model Improve Diabetes Care Measures Reported by Adult Medicaid Patients?

Diabetes Care June 19, 2014

OBJECTIVE The patient-centered medical home has gained much traction. Little is known about the relationship between the model and specific health care processes for chronic diseases such as diabetes. This study assesses the impact of features of a medical home on diabetes care.

Type 1 Diabetes Through the Life Span: A Position Statement of the American Diabetes Association

Diabetes Care July 2014

Type 1 diabetes is characterized by an immune-mediated depletion of β-cells that results in lifelong dependence on exogenous insulin. While both type 1 and type 2 diabetes result in hyperglycemia, the pathophysiology and etiology of the diseases are distinct and require us to consider each type of diabetes independently. As such, this position statement summarizes available data specific to the comprehensive care of individuals with type 1 diabetes. The goal is to enhance our ability to recognize and manage type 1 diabetes, to prevent its associated complications, and to eventually cure and prevent this disease. Read More