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What Is A Diabetes Comprehensive?

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 >>

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 >>

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 >>

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 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 >>

Comprehensive Diabetes Patient Care Program Yields Measureable Results

Comprehensive Diabetes Patient Care Program Yields Measureable Results

Abbott is a world leader in rapid diagnostics at the point of care, with a focus on cardio metabolic disease, infectious disease and toxicology. Through our mission, we aim to improve clinical outcomes, reduce healthcare costs and deliver earnings growth to our investors. Each territory in Africa is assigned to a specific Alere Business Manager who will have the responsibility to support you for all the essential commercial activities We are a global leader in the field of rapid diagnostic tests designed to improve the quality of patient care. Specific product lines include tests for rapid and early diagnosis in the fields of cardiovascular, infectious diseases, women's health, drugs of abuse and oncology. Point-of-care diagnostics is a growing and dynamic industry helping to improve clinical and economic outcomes globally. Discover a variety of expert viewpoints on new innovations, insights, and impacts that are shaping the future of diagnostics around the world. Our products and services include tests to assist in the diagnosis and management of many cardiometabolic factors and conditions. Our products and services include tests to assist in the diagnosis and management of many infectious diseases. Broad drug and alcohol testing portfolio includes rapid analyzer-based tests, visual-read screening devices, laboratory tests, and immunoassay reagents. Alere Toxicology offers drug testing products and services that are used in a multitude of settings such as hospitals, clinics, physician offices, criminal justice, workplace, rehabilitation, occupational health clinics, and home testing. Our innovative diagnostics provide reliable and actionable information that enables informed decision-making by healthcare professionals at the point-of-care. Our rapid diagnostic product 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 >>

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 Center - Uchicago Medicine

Comprehensive Diabetes Center - Uchicago Medicine

The University of Chicago Kovler Diabetes Center offers a patient-centered, science-based approach for managing: Monogenic diabetes , including neonatal diabetes and maturity onset diabetes of the young (MODY) Our multidisciplinary team works with patients and referring physicians to address all the challenges of diabetes, from hypertension and vascular problems, to foot conditions and kidney disease. We offer second opinions and ongoing treatment for people living with diabetes. Our team integrates the latest research into clinical practice, which gives our patients access to the most advanced diagnostic and treatment services. Accredited by the American Diabetes Association, the Kovler Diabetes Center provides two service options to help people manage their diabetes: In this approach, patients benefit from a full evaluation that results in an individualized diabetes management plan that the patient follows under the care of his or her primary/referring physician. This thorough treatment plan addresses all aspects of managing the patient's diabetes and any related complications. Our team will use previous test results and may conduct additional diagnostic tests such as advanced laboratory analysis, genetic testing, or other methods of evaluation. Under this scenario, after a thorough evaluation by our team, a patient can choose to become a continuing patient at the University of Chicago Kovler Diabetes Center. Patients who come to the Diabetes Center also have access to clinical trials. The Kovler Diabetes Center is a leader in diabetes research, and is one of only seven designated National Institutes of Health Diabetes Research and Training Centers (DRTC) in the nation. The University of Chicago receives more NIH funding for diabetes and endocrinology research than a 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 >>

Comprehensive Diabetes Care

Comprehensive Diabetes Care

Diabetes is a complex disease that can affect other areas of the body.These complications include heart disease, neuropathy, kidney failure, vision loss anddiabetic foot wounds. In order to provide diabetes patients with comprehensive care, Baylor has physicians on our medical staff in these disciplines at many of our locations. Find a physician who meets your needs. Baylor has other programs that assist in providing comprehensive care to diabetic patients as well. Five outpatient Comprehensive WoundCenters across the Metroplex help diabetic patients with diabetic foot wounds andother hard to heal wounds that diabetics sometimes face. Find a Baylor Wound Care Center . Weight Management and Surgical Weight Loss Centers Controlling your diabetes can go hand in hand with managing your weight. Baylor offers Weight Loss Management and Surgical Weight Loss Centers throughout the Metroplex. Finda weight loss center. Baylor has a long history of serving the health needs of those living in underserved areas.One example of this is our collaboration with the City of Dallas to form the Diabetes Health and Wellness Institute in South Dallas, where the incidence of diabetes is the highest in the city. Learn more. Baylor remains active in our efforts to find a cure for diabetes and to improve the lives of our patients with the disease through research. Learn more about research and current,openclinical trials. 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 >>

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 >>

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 >>

Tidepool A Comprehensive Platform For Diabetes Management

Tidepool A Comprehensive Platform For Diabetes Management

Tidepool A Comprehensive Platform for Diabetes Management Editors Note: Tidepool has recently added a clinician portal to helppatients upload and seamlessly share data with theircare providers. Meet Howard Look, Founder and CEO of Tidepool , a secure, open-source platform for diabetes data and the apps that use that data. Hes been VP of software of Pixar, on the founders team that developed TiVo and ran a secret software project at Amazon, harnessing cloud services. He has a Computer Engineering degree from Carnegie Mellon University and a daughter who has Type 1. Recently, he met with President Obama and spoke on the panel of the Precision Medicine Initiative Summit on February 25, 2016. Howard is an impressive and busy dude. Weve also learned here, at Beyond Type 1, that hes passionate about building technology that betters the lives of others and makes living with T1D just a little easier. Tidepool, a grant recipient of Beyond Type 1, offers comprehensive feedback on blood sugar levels for better diabetes management by streamingdata from all these different diabetes devices (such as an insulin pump and CGM or meter) and consolidating that data on a single platform that can be shared with doctors and then analyzed with the added context of food and exercise. Not only will you see when you went low or high, but youll find the reasons as to why, so you can make more informed decisions in your management. Whatsmore its free. BT1: What do you need in order to use Tidepool (apart from your diabetes devices and a computer or phone)? HL: It has to be on a Chrome web browser. We debate this all the time, but as a start up, we had to make a decision and simplify our focus. Its the most popular browser and easy to download if you dont have it.It also lets us offer the Tidepool Continue reading >>

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