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Diabetes Health Care

Diabetes Health And Wellness Institute

Diabetes Health And Wellness Institute

Baylor Health Care Community Outreach Diabetes Health and Wellness Institute In 2009, Baylor Health Care System Foundation launched support forits southern sector health initiative, which seeks to improve care for people with diabetes in South Dallas by creating a family-centric model that focuses on health care, education and research. Baylor committed $15 million over three years to create the Diabetes Health and Wellness Institute at the Juanita J. Craft Center in the Frazier community of South Dallas. The institute will provide an on-site physician and nurse practitioner in addition to nutrition and cooking classes and a diabetes drug distribution system. It will also collaborate with other community organizations, such as public health programs, schools and churches, to improve health. The idea is to not just provide diabetes care, said Donna Rice, BSN, MBA, president of the Diabetes Health and Wellness Institute. This clinic will change the health outlook for the entire family. Dallas County, particularly the southern sector, has a higher prevalence of diabetes, higher rates of short- and long-term complications, and more frequent hospitalization for diabetes than the nation and the state of Texas. The diabetes burden in Dallas is borne disproportionately by the low-income populations of the citys southern sector. The diabetes-related hospitalization rate is 17 percent higher for southern sector residents. Across Baylor Health Care System, about 30 percent of hospital admissions are due to diabetes or a diabetes-related condition. Of the 3.7 million adults in Dallas/Fort Worth, more than 256,000 are living with diabetes. A case study conducted by Pfizer in 2006 found that poor diabetes control can result in up to $56.6 million a year in avoidable costs for patien Continue reading >>

Diabetes Education For Healthcare Professionals And Patients

Diabetes Education For Healthcare Professionals And Patients

Diabetes Education for Healthcare Professionals and Patients The Expert in Diabetes Education for Healthcare Professionals and Patients AADE offers state-of-the-art education related to diabetes for healthcare professionals and patients. Our sophisticated team of instructional design experts work collaboratively with clients to structure and implement effective diabetes training for healthcare professionals and resources for patients. We offer unparalleled access to the greater diabetes community, as well as fully accredited continuing education programs. Our meticulous program development, engaging delivery and stellar follow-up enables our clients to achieve their education goals and contribute toward better diabetes management for patients. We deliver the most accurate, credible and timely information for education related to diabetes. With more than 14,000 members nationally, we serve the multidisciplinary needs of diabetes educators in a wide variety of settings. This means AADE can deliver the audience you want to target for your diabetes education programs, as well as enabling us to draw upon top talent for our clients educational events. AADE offers a comprehensive array of services in a variety of formats, such as live programming, electronic media and print publications. Our services include: AADE focuses on the outcomes that help our clients achieve their business objectives. With our programs, clients can: Achieve their education and training goals Contribute to better diabetes management for patients Deliver CME and other continuing education compliant programs Continue reading >>

Your Diabetes Health Care Team

Your Diabetes Health Care Team

en espaolEl equipo mdico para tu diabetes Managing your diabetes takes a team you, your parents, doctors, certified diabetes educators, dietitians, and mental health pros working together to get the job done. Your diabetes health care team will help develop a treatment plan that's made just for you. Also, the team can help you cope with some of the emotions and feelings that people with diabetes have to deal with. You'll probably meet one or more of these diabetes health care team members during your checkups: A pediatric endocrinologist (pronounced: en-duh-krih-NOL-eh-jist) is a doctor who specializes in caring for kids and teens with diseases of the endocrine system , such as diabetes and growth disorders . But pediatricians, family practitioners, and other medical doctors also treat people with diabetes. Doctors ask detailed questions about how you feel and do physical exams, which can include checking several parts of your body and taking your blood pressure. They also may check your diabetes records and your blood sugar level, and they may ask you for a urine (pee) sample. Your doctor can help teach you about diabetes and any other health problem you may have. After getting treatment suggestions from other diabetes health care team members as needed, your doctor will write down what you need to do to manage your diabetes in a treatment plan, or diabetes management plan. Think of your doctor as your diabetes team coach who develops a game plan for managing diabetes. Doctors also write prescriptions for insulin and other medicines and can refer you to other specialists as needed. Don't be afraid to ask your doctor questions, and make sure you understand the answers. If you're uncomfortable asking questions in front of your parents, ask to speak to your doctor alone. Continue reading >>

How Health Care Reform Affects Your Diabetes Care

How Health Care Reform Affects Your Diabetes Care

How Health Care Reform Affects Your Diabetes Care Health care reform has brought important benefits to people, including those with chronic conditions like diabetes. Plans can no longer deny enrollment because of a pre-existing condition like diabetes. And they must offer a range of benefits that help you manage your illness, no matter your age. Young adults, including those with diabetes, can stay on their parents' plan until age 26. Savings on Mail-Order Diabetes Supplies for Seniors The National Mail-Order Program can be used to order diabetic supplies and have them delivered to your home. It costs the same to purchase diabetic supplies whether you get them delivered to your home or purchase them in the store. Some diabetic supplies that can be ordered through a mail order program include: You can only use this program if you have traditional Medicare. If you use a Medicare Advantage plan, ask your plan where to get supplies. Medicare will pay 80% of the cost of your diabetes supplies after you pay your deductible. You pay 20% of the costs. You can buy supplies by mail order or from a store. But you must buy them from a Medicare-enrolled supplier to get this discount. Ask your pharmacy if they accept "Medicare assignment." Or call 800-MEDICARE (800-633-4227) to find ones near you that do. The new law is helping to close the gap in Medicare coverage for prescription drugs . You probably know this gap as the donut (doughnut) hole. The donut hole occurs after you and your health plan have spent a combined amount of $3,310 in 2016 and $3,700 in 2017. After you hit that amount, youre in the donut hole. That means your health plan will not help pay for your medicines again until you have spent another $4,850 in 2016 and $4,950 in 2017. However, it's getting easier to affo Continue reading >>

Patients Perspectives On Diabetes Health Care Education

Patients Perspectives On Diabetes Health Care Education

Living with Type 2 diabetes requires that patients develop a range of competencies that allow them to take greater control over the treatment of their disease. This requires education that promotes health whilst respecting individuals self-perceived needs and voluntary choices. Whilst such a concept is not new in the field of diabetes, health professionals are still struggling with how to administer it successfully. This paper presents the findings of a research trial of a theoretically constructed educational intervention. It focuses on the patients perspectives of what they valued about the intervention which was found to be clinically effective over a short-term period only. Limitations to maintaining effects were associated with a number of factors. The study found that whilst patients can be educated toward greater autonomy, not all health professionals are ready to work in partnership with them. It highlighted the importance of clinical staff not only gaining a better understanding of diabetes management, but also of the theoretical principles underlying patient empowerment. This paper outlines these principles and shows how they were synthesized to produce a framework for informing practice. Patients views are utilized to provide guidelines for improving the outcomes of patient education. With the increasing public health burden of chronic diseases has come universal recognition of the need to manage them more effectively. Davis et al. identify a range of generic strategies that can be applied to chronic disease management ( Davis et al., 2000 ). These include education with the explicit aim of enhancing active involvement of patients so that they become partners in their health care process. Such a model has arisen with realization that patients are both the pr Continue reading >>

Health Care Disparities Between Men And Women With Type 2 Diabetes

Health Care Disparities Between Men And Women With Type 2 Diabetes

Health Care Disparities Between Men and Women With Type 2 Diabetes ORIGINAL RESEARCH Volume 15 April 19, 2018 Suggested citation for this article: Mesa MS. Health Care Disparities Between Men and Women With Type 2 Diabetes. Prev Chronic Dis 2018;15:170120. DOI: . Regular medical checkups indicate a patients level of adherence to health care treatment, and the frequency of cancelled appointments or no-shows can indicate adherence. This study investigated the use of health care services by men and women and its impact on the control of their type 2 diabetes. This study observed 100 patients with type 2 diabetes aged 45 years or older who lived in Ventura County, California, during January 1, 2015, to January 31, 2016. The data were collected by Magnolia Family Medical Center. A Pearson 2 test compared differences between men and women in whether they received a glycated hemoglobin A1c (HbA1c) test in previous 6 months, a low-density lipoprotein cholesterol test in previous year, and a retinal examination in previous year. A Wilcoxon signed-rank test compared attendance to medical appointments and HbA1c values for men and women. Women had a higher rate of scheduling, cancelling or rescheduling, and showing up to their medical appointments than did men, and men had a higher median HbA1c value than did women; all the Wilcoxon signed-rank tests showed a significant difference (P < .001). None of the 2 tests were significant. Although men and women had similar health care services for diabetes, men had less control of their disease and took less advantage of medical appointments than did women. The prevalence of type 2 diabetes increased from 1980 through 2014 (1). Dieting, exercising, attending regular medical check-ups, and screenings may prevent or control such disease (2) Continue reading >>

Overview Of Medical Care In Adults With Diabetes Mellitus

Overview Of Medical Care In Adults With Diabetes Mellitus

INTRODUCTION The estimated overall prevalence of diabetes among adults in the United States ranges from 5.8 to 12.9 percent (median 8.4 percent) [1,2]. More personal health care resources are estimated to be spent on diabetes than any other condition [3]. Numerous factors, in addition to directly related medical complications, contribute to the impact of diabetes on quality of life and economics. Diabetes is associated with a high prevalence of depression [4] and adversely impacts employment, absenteeism, and work productivity [5]. This review will provide an overview of the medical care for patients with diabetes (table 1). The management approach is consistent with guidelines from the American Diabetes Association (ADA) for health maintenance in patients with diabetes, which are published yearly [6]. Consensus recommendations for the management of glycemia in type 2 diabetes were published in 2006 and are updated regularly. Detailed discussions relating to screening, diagnosis, and management of hyperglycemia are discussed separately. (See "Screening for type 2 diabetes mellitus" and "Clinical presentation and diagnosis of diabetes mellitus in adults" and "Initial management of blood glucose in adults with type 2 diabetes mellitus" and "Management of persistent hyperglycemia in type 2 diabetes mellitus".) EVALUATION Initial — Patients with newly diagnosed diabetes require a history and physical examination to assess the characteristics of onset of diabetes (asymptomatic laboratory finding or symptomatic polyuria and polydipsia), nutrition and weight history, physical activity, cardiovascular risk factors, history of diabetes-related complications, hypoglycemic episodes, diabetic ketoacidosis (DKA) frequency (type 1 diabetes only), and current management. Although th Continue reading >>

The High Cost Of Insurance Gaps If You Have Diabetes

The High Cost Of Insurance Gaps If You Have Diabetes

The High Cost of Insurance Gaps If You Have Diabetes Written by Ginger Vieira on July 17, 2018 Researchers say 1 in 4 people with type 1 diabetes go at least 30 days without health coverage. That gap can be damaging financially and physically. Living well with type 1 diabetes requires a great deal more than a healthy diet and some regular exercise. Type 1 diabetes is an unpreventable autoimmune type of diabetes that causes a person to no longer produce insulin, the hormone all mammals need in order to stay alive. A person with the disease must have quarterly doctor appointments that come with a variety of blood tests to assess whether their medications need to be adjusted and if their overall blood levels are in the safest possible range. They also need a large amount of life-saving insulin and medical technology. Paying for that technology and treatment out of pocket would be nearly impossible for them. A study published in the July issue of Health Affairs from the University of Michigan discovered that 1 out of every 4 adults with type 1 diabetes have experienced a minimum of 30 days during which they had no health insurance coverage. More importantly, the average length of time those people went without insurance coverage was three years. With the cost of insulin and test strips alone costing nearly $1,000 for one months supply, going 30 days without insurance can be devastating financially to people with diabetes, as well as to their overall well-being. The study reports that people with type 1 diabetes with a gap of insurance coverage for more than 30 days are five times more likely to visit the emergency room or urgent care center. If they live in poverty or a low-income household, they can easily find themselves choosing between paying their rent over buying mor Continue reading >>

Diabetes Supplies | Diabetic Testing Supplies | Diabetes Care

Diabetes Supplies | Diabetic Testing Supplies | Diabetes Care

One Source, Total Solution for Diabetes Care We understand that managing diabetes can be challenging and ensuring you have all the supplies to manage it effectively can be time consuming. We make getting the supplies you need simpler by being the one source, total solution for all your diabetes supplies needs. We carry a full line of diabetes products and diabetes testing supplies including blood glucose meters, diabetes test strips, lancets, insulin pumps, pump supplies, continuous glucose monitors and supplies. There are several benefits to working with Byram for your diabetes supply needs, a few include: Clinical Resources: Our toll free Diabetes CareLines are available for clinical support from Certified Diabetes Educators (CDEs) between healthcare provider visits. Staffed by our Certified Diabetes Educator English: 1-877-902-9726 ext. 43397 Diabetes Educational Updates: We recognize there are constant new advances in technology and information on living well with diabetes. We keep our patients informed by sending newsletters, product updates, recipes and delivering online resources about diabetes care. Our customer service team is specialized in supporting patients with Type 1, Type 2 and Gestational diabetes. At our Diabetes Center of Excellence we continually train our customer service team so they can be responsive and give the best service possible. Continue reading >>

Financial Help For Diabetes Care

Financial Help For Diabetes Care

How costly is diabetes management and treatment? Diabetes management and treatment is expensive. According to the American Diabetes Association (ADA), the average cost of health care for a person with diabetes is $13,741 a year—more than twice the cost of health care for a person without diabetes.1 Many people who have diabetes need help paying for their care. For those who qualify, a variety of government and nongovernment programs can help cover health care expenses. This publication is meant to help people with diabetes and their family members find and access such resources. 1American Diabetes Association. Economic costs of diabetes in the U.S. in 2012. Diabetes Care. 2013;36(4):1033–1046. What is health insurance? Health insurance helps pay for medical care, including the cost of diabetes care. Health insurance options include the following: private health insurance, which includes group and individual health insurance government health insurance, such as Medicare, Medicaid, the Children’s Health Insurance Program (CHIP), TRICARE, and veterans’ health care programs Starting in 2014, the Affordable Care Act (ACA) prevents insurers from denying coverage or charging higher premiums to people with preexisting conditions, such as diabetes. The ACA also requires most people to have health insurance or pay a fee. Some people may be exempt from this fee. Read more about the ACA at HealthCare.gov or call 1–800–318–2596, TTY 1–855–889–4325. Key Terms Some terms listed here have many meanings; only those meanings that relate to the financial and medical aspects of diabetes and its management and treatment are included. affiliation period: a period of time that must pass before health insurance coverage provided by a health maintenance organization (HMO) be Continue reading >>

Standards Of Medical Care For Patients With Diabetes Mellitus

Standards Of Medical Care For Patients With Diabetes Mellitus

Diabetes is a chronic illness that requires continuing medical care and patient self-management education to prevent acute complications and to reduce the risk of long-term complications. Diabetes care is complex and requires that many issues, beyond glycemic control, be addressed. A large body of evidence exists that supports a range of interventions to improve diabetes outcomes. These standards of care are intended to provide clinicians, patients, researchers, payors, and other interested persons with the components of diabetes care, treatment goals, and tools to evaluate the quality of care. While individual preferences, comorbidities, and other patient factors may require modification of goals, targets that are desirable for most patients with diabetes are provided. These standards are not intended to preclude more extensive evaluation and management of the patient by other specialists as needed. For more detailed information, refer to Skyler (Ed.): Medical Management of Type 1 Diabetes (1) and Zimmerman (Ed.): Medical Management of Type 2 Diabetes (2). The recommendations included are diagnostic and therapeutic actions that are known or believed to favorably affect health outcomes of patients with diabetes. A grading system (Table 1), developed by the American Diabetes Association (ADA) and modeled after existing methods, was utilized to clarify and codify the evidence that forms the basis for the recommendations. The level of evidence that supports each recommendation is listed after each recommendation using the letters A, B, C, or E. CLASSIFICATION, DIAGNOSIS, AND SCREENING Classification In 1997, the ADA issued new diagnostic and classification criteria (3). The classification of diabetes mellitus includes four clinical classes: Type 1 diabetes (results from β Continue reading >>

Diabetes Care Program

Diabetes Care Program

We offer a personalized approach to diabetes care to help you manage the condition over the long term. Our program is certified by the American Diabetes Association and supported by a grant from the National Institutes of Health. Specialized expertise in treating all types of diabetes, including rare forms such as post-transplant and cystic fibrosis-related, using the latest diabetes technology. Go to Conditions Treated Advanced treatment options such as medication, behavior modification, and self-care training to help you manage diabetes and live a full life. Go to Treatments Clinical trials for diabetes that offer eligible patients access to the latest technology and treatments not widely available at other medical centers. Go to Clinical Trials Team-based approach to treatment, with Certified Diabetes Educators working together to coordinate the best treatment plan for you. Go to Your Care Team Comprehensive support services in English and Spanish to learn healthy lifestyle habits such as cooking and fitness classes, and nutrition counseling. Go to Support Services Ease of access to diabetes specialists at three convenient program locations in the Bay Area for coordinated care close to home and work. Go to Accessing Care We are recognized by the American Diabetes Association for quality diabetes self-management support. We offer comprehensive care for people with all types of diabetes to help manage this chronic condition over the long term. We work with you to develop a personalized treatment plan for diabetes and any potential complications. Depending on your specific needs, we may use a single treatment, or we may combine therapy options to give you the best results. Our expertise includes care for the following conditions: Learn about our monthly diabetes classe Continue reading >>

The Health Insurance Marketplace & People With Diabetes

The Health Insurance Marketplace & People With Diabetes

The Health Insurance Marketplace & People with Diabetes The Health Insurance Marketplaces are open for business! Despite federal efforts this year to change the Affordable Care Act, you can still buy health insurance through your state Health Insurance Marketplace and financial help to lower monthly premiums and out of pocket costs is still available. But you must act soon: Open Enrollment begins November 1, 2017 and ends December 15, 2017. (Some states may allow more time to enroll after December 15- check with your state Health Insurance Marketplace). Individuals and families can buy health insurance through a Health Insurance Marketplace (Marketplace) available in every state. Starting in 2014, all new health insurance plans, whether sold inside or outside the Marketplace, cannot deny coverage, charge more, or refuse to cover treatments because you or someone in your family has diabetes. People who meet certain income requirements may also qualify for help paying their premiums and other costs for plans purchased in the Marketplace. A Health Insurance Marketplace is a way for individuals, families, and small businesses to shop for and compare various private health insurance options all in one place. Plans offered in the Marketplace must meet certain requirements for benefits, consumer protections, and cost to the consumer. Marketplace plans are separated into four different categories: Bronze, Silver, Gold, and Platinum. These categories are based on an average of how much the plan pays for covered benefits. In general, moving from Bronze to Platinum, out of pocket costs get lower while premiums tend to get higher. Who Can Buy Health Coverage in a Marketplace? Generally, anyone who buys health insurance on their own can buy it through a Marketplace. However, only t Continue reading >>

Diabetes Health Coverage: State Laws And Programs

Diabetes Health Coverage: State Laws And Programs

Diabetes Health Coverage State Laws and Programs Diabetes Health Coverage: State Laws and Programs This is a policymaker and consumer guide to state insurance mandated coverage, Medicaid coverage and state-sponsored diabetes programs. It was published 2011and updated material was added January 2016 All state law diabetes mandates and minimum coverage requirements for state-regulated health insurance policies. The tables include the enacted state laws passedsince the firstmandates inCalifornia (1981) and New York (1993). Use links below to go directly to state-based information: State Medicaid diabetes coverage terms and conditions. All Children's Health Insurance Program (CHIP) diabetes coverage. Contact information and an overview of federal funding provided by the Centers for Disease Control and Prevention (CDC) to state-sponsored diabetes prevention and control programs (DPCPs). DPCPs represent the front line in battling diabetes in most states. An overview of other state activities and initiatives, such as creation of diabetes coordinator positions in the executive branch to fight diabetes. Federal Health Reform.The federal Affordable Care Act (ACA) signed March 2010, has led to changed and expanded coverage termed "EssentialHealth Benefits." Newly Released: NCSL Survey:Diabetes Drug coverage: A new survey of2016 Insurance Plans in 50 states, examining 1) patient access to the scores of diabetes drug treatments and2) results in the 46 states with laws mandating or offering diabetes coverage. NCSL original research, published summer 2016. [Read the report] December 2015: " Diabetes: Addressing the Costs; A 50-State Budget Survey for FY 2014 ." NCSL released its latest diabetes report, taking a closer look at programs and budget appropriations that play a role in con Continue reading >>

Diabetes Health Center

Diabetes Health Center

The largest program of the Health Trust, the Diabetes Health Center, works to prevent and reduce the incidence of acute and chronic complications associated with diabetes by providing culturally competent Diabetes Self-Management Education and Medical Nutrition Therapy to residents of the greater Pajaro Valley area. Using a multi-disciplinary approach, this program gives clients the skills necessary for proper self-management and prevention of diabetes, which ultimately improves their quality of life by reducing the incidence of related complications. Insulin Delivery Training, to include Insulin Pump Training Pre- and Post-Bariatric Surgery Services (Pre and Post Bariatric Surgery nutrition counseling) Nutrition Counseling and Medical Nutrition Therapy (MNT) for purposes that Include: Chronic Disease (Prevention and) Management, Weight Loss, Pediatric Nutrition, Mitigating Food Allergies, (Gastrointestinal Disorders), Eating Disorders, Sports Nutrition, (Optimizing Health) and Graceful Aging Nutrition Education, Eating Healthy on a Budget, Optimizing Health, Chronic Disease Prevention and Management, Diabetes, Diabetes Prevention Education, Pain Management, Stress Management Education, Stress Reduction Techniques and Lifestyle, Graceful Aging, and Mindfulness. Continue reading >>

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