Stories written by Staff

Fetal Exposure to Parental Smoking and the Risk of Type 2 Diabetes in Adult Women

Diabetes Care August 4, 2014

OBJECTIVE We evaluated the associations of both maternal and paternal smoking during pregnancy with the risk of type 2 diabetes in daughters and explored whether any association was explained by weight at birth or BMI throughout life.

RESEARCH DESIGN AND METHODS We used data from 34,453 participants of the Nurses’ Health Study II. We used Cox proportional hazards models to examine the associations of maternal and paternal smoking during pregnancy with incidence of type 2 diabetes in daughters between 1989 and 2009. Read More

Cognitive Function and the Risk for Diabetes Among Young Men

Diabetes Care August 4, 2014

OBJECTIVE Diabetes is a risk factor for an accelerated rate of cognitive decline and dementia. However, the relationship between cognitive function and the subsequent development of diabetes is unclear.

RESEARCH DESIGN AND METHODS We conducted a historical-prospective cohort study merging data collected at premilitary recruitment assessment with information collected at the Staff Periodic Examination Center of the Israeli Army Medical Corps. Included were men aged 25 years or older without a history of diabetes at the beginning of follow-up with available data regarding their general intelligence score (GIS), a comprehensive measure of cognitive function, at age 17 years. Read More

Geographic Clustering Of Diabetic Lower-Extremity Amputations In Low-Income Regions Of California

Health Aff August 2014

For patients suffering from diabetes and other chronic conditions, a large body of work demonstrates income-related disparities in access to coordinated preventive care. Much less is known about associations between poverty and consequential negative health outcomes. Few studies have assessed geographic patterns that link household incomes to major preventable complications of chronic diseases. Using statewide facility discharge data for California in 2009, we identified 7,973 lower-extremity amputations in 6,828 adults with diabetes. We mapped amputations based on residential ZIP codes and used data from the Census Bureau to produce corresponding maps of poverty rates. Comparisons of the maps show amputation “hot spots” in lower-income urban and rural regions of California. Prevalence-adjusted amputation rates varied tenfold between high-income and low-income regions. Our analysis does not support detailed causal inferences. However, our method for mapping complication hot spots using public data sources may help target interventions to the communities most in need. Read More

McAllen among Highest Rates of Diabetes and Obesity in the Nation, Very Severe and Very Complex

Mega Doctor News: July 28, 2014

Philip Schauer, M.D., the Director of Cleveland Clinic’s Bariatric and Metabolic Institute spoke to Mega Doctor News during their important partnership with Doctors Hospital at Renaissance (DHR).

During this conversation he said that the strategy was education, bringing awareness to patients and doctors in this region about the problem of obesity, treatment, and preventive strategies.

Dr. Schauer also said that this has been a relationship that has developed for the past two years. “Our bariatric and metabolic institute has been present for about ten years and we have been quite successful in many aspects in terms of treatment and research in this area.” Dr. Schauer stated, “We were approached by leadership in DHR to begin dialogue about a working relationship. It also was quite convenient and coincidental that one of the trainees, our surgical fellow, Dr. Singh happened to get a position with DHR about two years ago. So that was certainly very helpful in bringing this relationship together.” Dr. Singh is the Medical Director of the Doctors Hospital at Renaissance Bariatric and Metabolic Institute. Read More

Age Differences in Visits to Office-based Physicians by Patients With Diabetes: United States, 2010

CDC: July 2014

Key findings

Data from the National Ambulatory Medical Care Survey

  • Office-based physician visits by patients with diabetes increased 20%, from 94.4 million in 2005 to 113.3 million in 2010, but the rate did not change between 2005 and 2010.
  • The visit rate for diabetes increased with age and averaged 1,380 visits per 1,000 persons aged 65 and over in 2010.
  • A majority of visits made by patients with diabetes (87%) were by those with multiple chronic conditions, and the number of chronic conditions increased with advancing age.Read More

Working Together to Manage Diabetes: A Toolkit for Pharmacy, Podiatry, Optometry, and Dentistry (PPOD)

CDC: 7/16/14

Guide for PPOD Providers

Each section of the PPOD Guide provides a “quick course” on that health care specialty and its relation to diabetes. Because each section is written for professionals outside of that specialty, all team members who might care for a person with diabetes can collaborate and make cross-disciplinary treatment referrals.

Inside the PPOD Guide, you will find:

  • An introduction to team care.
  • Tips on communicating with patients.
  • Sections in each of the four PPOD areas.
  • Resources and links to other PPOD-related resources and organizations. Read More

Navajo Nation Turns to Plant-Based Foods to Reverse Diabetes

Indian Country Today Media Network: 7/30/14

Diabetes in Indian country is an on-going theme—as are the efforts to combat the disease. One of the most recent steps forward took place recently (July 18-19) at the inaugural International Conference on Diabetes where global researchers weighed in on a surge in Type 2 diabetes—and the role of dietary intervention as a first-line treatment. Nearly three dozen researchers from six countries and leading research institutions presented the current-day status of their investigations involving risk factors and lifestyle interventions as a starting point toward better health. Read More

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