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What Is A Diabetes Comprehensive?

Comprehensive Diabetes Management Course: Tools To Care For Todays Complex Patient

Comprehensive Diabetes Management Course: Tools To Care For Todays Complex Patient

Tools to Care for Todays Complex Patient 1 out of every 3 patients being cared for by a nurse could be suffering unknowingly from uncontrolled hyperglycemia. It gets worse...these patients experience higher mortality rates upon discharge. You need to do more than just react to your patient's blood sugar at a given moment. Designed specifically for nurses like you, this comprehensive diabetes management course gives you techniques and tips to increase your confidence and ability to mitigate negative consequences from your complex patients. Walk away from this selfpaced online course chocked full of great information and a deeper understanding of: Strategies to reduce incidence of hypo & hyperglycemia Clinical interventions for the patient in crisis Comparison of correctional scale & sliding scale How to layer nutritional insulin with basal insulin Differentiating ADA guidelines between the American Association of Clinical Endocrinologists guidelines Individualizing treatment plans easy to use formulas Comorbidities and treatment recommendations The reality is that patients are dying when this disease is not managed well. Get educated today to help educate your patients and increase their chances of living a long and healthy life. Comprehensive Diabetes Management Course: Tools to Care for Todays Complex Patient Earn up to 12.6 CE Hours included in the course tuition but hurry, this discount won't be here for long! This cuttingedge course explores the full spectrum of diabetes management in two focused parts: Improving Diabetes Management: Tools for the Nurse Module 2: Diabetes in the Emergency Department Diagnostic criteria and treatment of DKA & HHS Associating mean blood glucose and inhospital mortality Guidelines for subcutaneous insulin therapy Insulin sensitivity a Continue reading >>

Uab - School Of Medicine - Comprehensive Diabetes Center - Patient Care

Uab - School Of Medicine - Comprehensive Diabetes Center - Patient Care

Diabetes is a group of disorders in which blood sugar levels are above normal due to defects in insulin production from pancreatic beta cells, insulin action, or both. Diabetes can lead to severe complications and even death if improperly controlled. Complications include heart disease, kidney failure, blindness, and amputation of lower limbs. Approximately 30 million Americans (9% of the population) have been diagnosed with diabetes andthe prevalence of diabetes is rapidly increasing. In fact, a report inPopulation Health Metrics predicts thatthe diabetes prevalence will triple and that up to one in three Americans will have diabetes by 2050. Of note, Alabama has one of the highest rates of diabetes in the nation. Aside from the human suffering, the health care costs of diabetes are also extremely high. The yearly medical costs of treating diabetes and its complications are estimated to be approximately $176 billion. The yearly indirect costs (disability, work loss, premature death) of diabetes are estimated to be $69 billion. Continue reading >>

Comprehensive Diabetes Care

Comprehensive Diabetes Care

For more information, please call 304.691.1000 At the Byrd Clinical Center, located just a block from Cabell Huntington Hospital's campus, the Chertow Diabetes Center is a busy place. It is staffed by a complete team of endocrinologists, diabetes educators and specialty personnel who treat and manage diabetes. The center, which is accredited by the American Diabetes Association, is a testament to years of teamwork between Cabell Huntington and Marshall University. Many years ago, Bruce S. Chertow, MD, dedicated his medical career to diabetes treatment, and now the comprehensive diabetes center is dedicated to him. Patients areevaluated inthe Diabetes Centerand offered treatmentand support, such aslifestyle intervention, oral diabetic agents, insulin pumps or continuous glucose monitoring systems. Largest single group of board-certified endocrinologists in WV Dr. Henry Driscoll, Dr. Ayman Elkadry, Dr. Omolola Olajide,Dr. Nesreen BenHamed, Dr. Rodhan Khthir and Dr. Prasanna Santhanam make up the largest single group of board-certified endocrinologists in West Virginia, giving them a unique expertise to address the needs of a growing number of diabetic patients. "We were committed to the care of patients with diabetes even before it was widely realized how great the scope of the problem is," said Dr. Driscoll. Dr. Driscoll, section chief,has a long involvement in diabetes care at Cabell Huntington Hospital and believes the team involvement of physicians, nurses, pharmacists, dietitians, educators, lab specialists and therapists is critical. Patient educators Heather Venoy, Anise Nash and Gerry Bryant Whether they are reviewing a diabetic patient's diet or creating a plan to manage blood glucose, patient educators play a key role in the program's success. Anise Nash, FNP, Continue reading >>

Tnic

Tnic

Are you or is someone you love struggling to manage Diabetes? Are you looking for a natural way to make lasting changes with regards to your Diabetes? Do you want to achieve optimal health and quality of life? This 3Week Course is tailor-made to the person who is showing symptoms of Pre-Diabetes or Diabetes, as well as for their friends, family and their loved ones. It involves an informational class, 3workshop format interactive classes, a Nutrition Response TestingSworkup each week and implementation program for the individual. If a person desires to really improve their health and wellness, then this is the course for them. The 5 "Health and Healing" topics emphasize those choices of yours that impact your body's symptom presentation. These 5 topics include emotional, chemical, physical, environmental and spiritual aspects of health and healing. By the end of the workshop, a tailor-made program chosen by you will be your fresh start to a healthieryou. Successfully implemented lessons impact everyday life decisions and help each person with controlling blood sugar, cravings, and puts you in control of managing your body's expression of symptoms. Most people who have gone through this class are amazed at the turnaround they haveachieved. Workshop attendees have been able to normalize their blood sugars or put it on a trend that is more close to normal, weight is often lost, inches are lost by theparticipants, and reports of urinalysis results becoming morenormaltoo. The testimonials speak for themselves. We are able to see such great results, and the staff are often amazed too. Call today to reserve your spot at either office or jump onto our "Contact Us" page and schedule yourself for our next workshop through the Scheduler! I always felt like I was dragging extra we Continue reading >>

Comprehensive Diabetic Care

Comprehensive Diabetic Care

GOALS IN TREATMENT OF PATIENTS Our goals in treatment of patients with diabetes can always be reviewed by two perspectives. Management of diabetes control, which includes prescription of medication as well as medical nutritional therapy and exercise regimen to get patients’ diabetes to goal with an A1 C of 6.5% or lower. The other important goal that we always keep in mind is prevention of complications that is why at every visit, presence of complications is evaluated and monitored to ensure that existing complications are not worsening or new complications are not developing. Once any complication is identified, patients are treated appropriately to avoid any permanent damage from these complications. CONSULT FOR DIABETES TREATMENT Patients may be referred in by their primary care physicians or patients may come in on their own for evaluation of their diabetes state as well as treatment recommendations. We are very experienced in treatment of diabetes and adept at instituting therapies to get patients diabetes control to goal to prevent complications. Once patients’ diabetes is not controlled or difficult to control, the primary care physicians or other physicians that are seeing patients, may refer patients to our care to evaluate and assess their status of their diabetes and to treat them to goal. This consultation can be one time visit where patients are assessed and report/assessment is given to the primary care physicians as well as patients to adjust treatment to control patients’ blood glucose levels and if preferred by the primary care, patients can be fol - lowed up at the center for treatment and management of their diabetes. CONSULT ON INSULIN TREATMENT Many patients in the course of their diabetes are recommended to start taking insulin. We are able Continue reading >>

Type 2 Diabetes Treatment: Types, Benefits, And Side Effects | Everyday Health

Type 2 Diabetes Treatment: Types, Benefits, And Side Effects | Everyday Health

Lifestyle measures to manage stress and other issues Specialist care to prevent and treat complications The cornerstone for all diabetes treatment is a healthy lifestyle that includes diet and exercise, says Kathleen Dungan, MD , an endocrinologist at The Ohio State University Wexner Medical Center in Columbus. However, diabetes is a progressive disease, which means that even if you are doing well with a particular treatment, it usually fails over time. Thus, Dr. Dungan explains, you may need to have your treatment plan assessed regularly with A1C tests which measure your average blood sugar level over the past three to five months every six months or every three months if your blood sugar levels arent on target. ( 1 ) The latest updates about care for type 2 diabetes can be found from the American Diabetes Associations 2018 Standards of Medical Care , which lists updates related to diabetes, related complications, new technology, and more. RELATED: What to Know About the ADAs 2018 Standards of Medical Care if You Have Type 2 Diabetes What Different Medication Can Help Treat Type 2 Diabetes? Many people with type 2 diabetes start with the oral drug Glucophage (metformin) to help control blood sugar levels. Later, you may add other drugs to your regimen, either soon after your diagnosis or months or years later. There are currently more than 10 classes of diabetes drugs, each of which lowers blood sugar in a different way. If your current drug regimen isn't lowering blood sugar enough, your doctor may elect to add a drug from a different class. Down the line, you may also need to add insulin to your treatment regimen. Metformin is a pill that can reduce excess release of glucose from the liver, acting as an insulin sensitizer,explains Dungan. Its considered a first-line Continue reading >>

Comprehensive Diabetes Care In Hyderabad | About Us | Rv Diabetes Hyderabad

Comprehensive Diabetes Care In Hyderabad | About Us | Rv Diabetes Hyderabad

With a family of above 24,000 patients, we are increasing towards diabetes free society. R.V.Centre for Diabetes was founded with a vision to prevent, treat and cure diabetes, in May 2004. With Diabetes reaching epidemic proportions, a need was felt to start an out-patient clinic in the World capital of Diabetes, Hyderabad. Hence, with extensive research and world class modelling along with some of the best in the field from USA and Australia we laid the foundation of R.V. Centre for Diabetes. It offers complete diabetic solution with well equipped facilities to offer Total Diabetes diagnosis and care. Extensive usage and effective integration of equipment's coupled with a time tested and proven system of procedures adds strength and quality to the clinic, so essential to become ONE STOP Centre for SCREENING, DETECTION, MONITORING and TREATMENT of Diabetes and its complications. State of Art Diagnostic Laboratory has a fully configured interface with computerization providing fast and accurate results. The Clinic has exceled in the facility for early diagnosis of Diabetes triggered diseases affecting the Heart, Kidneys, Eyes, Feet, Nervous System and Metabolism. Having being able to help more than 20, who visit the clinic for control of their diabetes and its complications, R.V. Centre is the right place and choice to have A SINGLE PRESCRIPTION for Diabetes and its various complications, which save the agony, time and money of the patients. To provide comprehensive and Total Diabetic Care i.e. not only routine treatment of diabetes but also for its complications with a vision to prevent, treat and cure diabetes. To provide modern and efficient Diabetic Solution, right in the heart of Hyderabad so that the facilities could be made available to a greater fold of the soci Continue reading >>

Diabetes Care

Diabetes Care

*Additional exclusion criteria are required for this indicator, which will result in a different eligible population from all other indicators. This indicator is only reported for the commercial and Medicaid product lines. Diabetes is a complex group of diseases marked by high blood glucose (blood sugar) due to the bodys inability to make or use insulin. Left unmanaged, diabetes can lead to serious complications, including heart disease, stroke, hypertension, blindness, kidney disease, diseases of the nervous system, amputations and premature death.1 Proper diabetes management is essential to control blood glucose, reduce risks for complications and prolong life. With support from health care providers, patients can manage their diabetes with self-care, taking medications as instructed, eating a healthy diet, being physically active and quitting smoking.1 Centers for Disease Control and Prevention (CDC). 2014. National diabetes statistics report: estimates of diabetes and its burden in the United States, 2014. Atlanta, GA: U.S. Department of Health and Human Services. Continue reading >>

Diabetes Care Journal Features Comprehensive Endobarrier Meta-analysis

Diabetes Care Journal Features Comprehensive Endobarrier Meta-analysis

Diabetes Care journal features comprehensive EndoBarrier meta-analysis GI Dynamics Inc. (ASX: GID), a medical device company that is developing EndoBarrier for patients with type 2 diabetes and obesity, is pleased to announce the meta-analysis, "Effects of the Duodenal-Jejunal Bypass Liner on Glycemic Control in Type 2 Diabetic Patients with Obesity: A Meta-analysis with Secondary Analysis on Weight Loss and Hormonal Changes," by Pichamol Jirapinyo, MD, of Brigham and Women's Hospital in Boston, Massachusetts, and Diplomat of the American Board of Obesity Medicine, has been published in Diabetes Care, the journal of the American Diabetes Association. The meta-analysis is comprised of 17 published studies that evaluate EndoBarrier (also referred to as duodenal-jejunal bypass liner [DJBL]) outcomes in patients with type 2 diabetes and obesity. The primary outcomes of the meta-analysis were change in hemoglobin A1c (HbA1c) and homeostatic model assessment of insulin resistance (HOMA-IR). Secondary outcomes were change in weight and change in hormones critical to the regulation of metabolic and bariatric disorders: GIP, GLP-1, PYY and ghrelin. "The analysis shows that DJBL is effective at treating diabetes in this patient population with a reduction in HbA1c of 1.3%, and with many patients coming off diabetic medication," said Jirapinyo. "This reduction in HbA1c is significantly better by 0.9% as compared to optimal medical management alone. In addition, this study demonstrates that patients who receive DJBL experience significant improvements in insulin resistance and weight loss, which persist up to at least six months after device removal." Jirapinyo's study also highlighted a clinically and statistically significant improvement in insulin resistance. IDF launches initi Continue reading >>

Individualizing Comprehensive Diabetes Care

Individualizing Comprehensive Diabetes Care

Individualizing Comprehensive Diabetes Care Patients with diabetes suffer from multiple comorbidities and complications and frequently experience decreased quality of life, as well as earlier mortality. About one-third of Americans have diabetes or prediabetes, according to the American Association of Clinical Endocrinologists (AACE), based on data from the CDC. Through early recognition, patients with diabetes can achieve a higher quality of life by being diagnosed appropriately (Table 1) and by receiving intensive interventions to get patients to treatment goals safely. Several medical societies and associations have established clinical guidelines that address the prevention, diagnosis, and/or management of diabetes. Most offer a plethora of useful information, but it can be challenging for clinicians to find specific information that they need easily and quickly. With this in mind, along with awareness that much has changed in diabetes care in recent years, AACE created the 2011 Medical Guidelines for Clinical Practice for Developing a Diabetes Mellitus Comprehensive Care Plan. We decided to simplify the guidelines, says co-chair Yehuda Handelsman, MD, FACP, FACE, FNLA. We identified 20 important questions and chose 23 of the countrys top leaders in those areas to answer them. The guidelines provide roughly five pages of answers per subject matter. A more in-depth executive summary provides specific answers to each of the 20 questions. Previous guidelines from AACE and other groups have identified diabetes-related issues like blood pressure, heart disease, and lipids. However, Dr. Handelsman says these documents usually do not stress that clinicians should cover all of these domains when they see patients. Only about 40% to 50% of the population with diabetes reach Continue reading >>

New Diabetes Guidelines Address Gap In Comprehensive Care

New Diabetes Guidelines Address Gap In Comprehensive Care

New Diabetes Guidelines Address Gap in Comprehensive Care April 28, 2011 (San Diego, California) In an effort to address the dangerous comorbid conditions that often accompany diabetes, as well as the symptoms of the disease itself, the American Association of Clinical Endocrinology (AACE) has released new clinical practice guidelines that emphasize individualized, comprehensive healthcare for patients with diabetes. Until now, that comprehensive care has been a missing piece in the healthcare that patients with diabetes receive, said 2 experts here at the AACE 20th Annual Meeting and Clinical Congress. "When you look at comorbid conditions that commonly affect those with diabetes, such as heart attack, congestive heart failure, and chronic kidney disease, statistics show us that diabetic patients suffer these complications at a rate 3 to 7 times greater than those without diabetes," said Yehuda Handelsman, MD, president of AACE and medical director of the Metabolic Institute of America. Unfortunately, many patients with diabetes do not have the most common complications of the disease high lipids and high blood pressure, in addition to high blood sugar under control, Dr. Handelsman said. Only 7% to 13% of patients with diabetes in the United States have good cholesterol, blood sugar levels, and blood pressure that are under control and also take aspirin to reduce the risk for heart attack, according to Dr. Handelsman. "Diabetics are not getting comprehensive care, and with the new guidelines, we hope to address that problem," he added. "This is the first year that our guidelines have been so comprehensive," said Daniel Einhorn, MD, immediate past president of AACE and clinical professor of medicine at the University of CaliforniaSan Diego. The new guidelines address n Continue reading >>

A Comprehensive Review Of The Fda-approved Labels Of Diabetes Drugs: Indications, Safety, And Emerging Cardiovascular Safety Data

A Comprehensive Review Of The Fda-approved Labels Of Diabetes Drugs: Indications, Safety, And Emerging Cardiovascular Safety Data

1. Introduction Approximately 30 million American children and adults have type 1 or type 2 diabetes mellitus and the incidence keeps increasing (T1DM or T2DM).1 Major complications of diabetes include hypertension, dyslipidemia, cardiovascular disease (CVD), stroke, blindness, kidney disease, and amputation.2 In 2012 the estimated annual cost of diabetes in the U.S. was $245 billion mainly due to expenses related to management of diabetic complications.3 Therefore, achieving optimal glycemic control in patients with diabetes is critical.4,5 However, it is estimated that only 30% of adult patients with T1DM, 17% of adolescents with T1DM, and 50% of adults with any type of diabetes achieve optimal glycemic control with current management.6 Therefore, there is a need for effective and safe medications that can improve the management of diabetes and decrease complications. The physicians refer to the drug labels as an important source of information to prescribe medications to improve glycemic control of diabetes. Furthermore, in 2008, FDA published a Guidance for Industry recommending that new drug applications (NDAs) for diabetes should include evidence that the therapy does not increase the risk of cardiovascular events.7 Given the significant burden of diabetes and the importance of drug labels to guide physicians in the management of diabetes, we undertook this study to evaluate all FDA-approved medications for the treatment diabetes. The aims of this research were to (1) overview the different classes of medications that are FDA approved for use in patients with type 1 and type 2 diabetes, (2) examine the different indications for pediatric patients versus adults with diabetes, (3) review adverse events and warnings and precautions per class of drugs, and (4) investi Continue reading >>

Diabetes Test Panel

Diabetes Test Panel

Direct-to-consumer lab testing; No doctor referral or insurance necessary 2,000+ conveniently located CLIA-certified U.S. labs Comprehensive and easy-to-use website About Our Diabetes Test Panel The diabetes test panel includes multiple tests relevant to diagnosing and monitoring diabetes. Diabetes is a group of diseases that result in blood sugar (glucose) levels that are too high. Type 1 Diabetes is characterized by the body failing to produce insulin. Type 2 Diabetes is characterized by failing to produce enough insulin for proper function or by the body not reacting to insulin. Approximately 90 percent of diabetes cases are Type 2. Gestational diabetes affects pregnant women. It occurs when their bodies have very high glucose levels and not enough insulin to transport it into cells. Often women with gestational diabetes have no symptoms, so testing is important if you are considered an at-risk patient. Our Diabetes Panel includes the following: Hemoglobin A1c (HbA1c) / Glycohemoglobin - The Hemoglobin A1c (glycohemoglobin or glycated hemoglobin) test evaluates the average amount of glucose in the blood over the past 8-12 weeks. Random Microalbumin, Urine Test - Healthy kidneys filter waste and toxins from the blood and hang on to the healthy components, including proteins such as albumin. Kidney damage can cause proteins to leak through the kidneys and exit the body via urine. Albumin is one of the first proteins to leak when the kidneys become damaged. Comprehensive Metabolic Panel (CMP); 14 health tests that measure blood sugar (glucose) levels, electrolyte and fluid balance, kidney function, and liver function. Albumin - Albumin is a protein made by the liver. Measuring levels of albumin is helpful in diagnosing liver disease. An albumin test measures how well yo Continue reading >>

What Is Comprehensive Diabetic Care And Prevention?

What Is Comprehensive Diabetic Care And Prevention?

What is Comprehensive Diabetic Care and Prevention? Diabetes is a disease that affects how your body uses glucoseor blood sugar. Glucose is important because it is fuel for your brain, muscles, and cells. If you have diabetes, you have too much glucose in your body which can lead to serious health problems. Diabetes is very common disease, affecting just under 10 percent of the population. It's prevalence is becoming even more common each year. People of any age can be diagnosed with diabetes, and it's especially common to be diagnosed during childhood or as a senior citizen.While there is no cure for diabetes, it can be controlled allowing patients to lead full and productive lives. Type 1:Children and young adults are typically diagnosed with Type 1 Diabetesor juvenile diabetes. This is when your body does not make insulin.Only about 5 percent of the people who have diabetes have Type 1. Type 2:Most people with diabetes have Type 2. This is when your body doesn't use insulin properly. It makes too much insulin and over time it can't make enough to keep your blood sugar levels normal. Gestational: This is diabetes that occurs only during pregnancy, and goes away after delivery. Prediabetes:This is a potentially reversible type of diabetes where your blood sugar levels are higher than normal, but not high enough to be classified as diabetes. Risk factors vary depending on the type of diabetes. Type 1 diabetes cannot be prevented. There are some things you can do to prevent or reduce the risk of Type 2 diabetes, gestational diabetes, or prediabetes. Make healthy food choices: Focus on fruits, vegetables, and whole grains. Try to eat more fiber and less fat. Exercise: It is recommended that everyone get 30 minutes of physical activity every day. That can be as simple as Continue reading >>

Comprehensive Management Of Patients With Type 2 Diabetes: Establishingpriorities Of Care.

Comprehensive Management Of Patients With Type 2 Diabetes: Establishingpriorities Of Care.

1. Am J Manag Care. 2001 Aug;7(10 Suppl):S327-43; quiz S344-8. Comprehensive management of patients with type 2 diabetes: establishingpriorities of care. (1)International Diabetes Center, 3800 Park Nicollet Blvd, Minneapolis, MN 55416, USA. Type 2 diabetes is a complex metabolic disorder characterized by elevated bloodglucose levels and a marked increase in the risk of cardiovascular disease (CVD).The increased CVD risk is caused by a unique cluster of metabolic abnormalities, including dyslipidemia, hypertension, insulin resistance, and hyperglycemia. Toreduce the risk of cardiovascular complications in patients with type 2 diabetes,comprehensive management of risk factors is essential. Aggressive treatment ofdyslipidemia and hypertension is known to benefit patients with type 2 diabetes. In addition, intensive glycemic control and targeted treatment of insulinresistance can further reduce the enormous burden of CVD in this high-riskpopulation. Increasing evidence suggests that insulin resistance is one of theearliest markers of risk for both CVD and diabetes, and it is known that insulin resistance alone can significantly increase the risk of CVD. Type 2 diabetes and insulin resistance are both associated with disordered lipid metabolism, manifestin elevated triglyceride levels, low levels of high-density lipoproteincholesterol, and small, dense low-density lipoprotein cholesterol particles.Patients with type 2 diabetes and insulin resistance have an increased risk ofhypertension, which further contributes to their CVD risk. Each of these factors can also contribute to the risk of microvascular disease. To ensure that patientswith type 2 diabetes receive comprehensive, high-quality care, specific standardshave been developed. These standards can help providers establ Continue reading >>

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