Diabetes Prevention In Older Adults

Diabetes Prevention in Older Adults

Diabetes Prevention in Older Adults

Today's Dietitian
Vol. 19, No. 4, P. 30
With the introduction of the Medicare Diabetes Prevention Program, dietitians will have even more ammunition to help prevent this costly disease.
The number of people in the United States aged 65 and older is estimated to reach more than 98 million by 2060,1 and as this aging population continues to grow, there will be more cases of type 2 diabetes. The Centers for Disease Control and Prevention (CDC) projects that the number of older individuals with diabetes will double or even triple by 2050, affecting one in three adults older than 65.2 In addition, more Medicare dollars are spent on beneficiaries with diabetes.3 The good news is type 2 diabetes can be prevented or delayed with appropriate lifestyle changes.
This article discusses the prevalence of diabetes and prediabetes in older adults, associated diabetes complications, the Diabetes Prevention Program (DPP) and Medicare DPP (MDPP), and strategies for nutrition professionals counseling older adults on diabetes prevention.
Diabetes Prevalence
According to CDC projections, even if diabetes rates level off, the aging population will change the face of diabetes, and the incidence of diabetes will continue to grow. In fact, it's projected to double in the next 20 years.4
Diabetes is a costly disease—personally and economically. Older adults with diabetes experience diabetes complications such as lower-extremity amputation, myocardial infarction, visual impairment, and end-stage renal disease at rates higher than any age group.4 Those aged 75 and older are twice as likely to visit Continue reading

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Dairy, Diabetes, and Your Heart

Dairy, Diabetes, and Your Heart

My wife’s grandfather passed away two weeks ago. At 94, he'd lived an amazing life. He grew up in a family that owned large areas of land near Farmington, New Mexico, and Durango, Colorado. He served as a pilot in World War II, married a wonderful woman, and had seven children. His wife died in her late fifties of ovarian cancer, and he lived another 40 years alone as a widower.
He worked hard his entire life and continued to farm and ranch into his nineties. His legacy is left through his family, and through the many people he touched with small acts of kindness. He was a loving man of few words, but when we spoke, the words he chose were always uplifting.
He lived his long, active life on a diet rich in meat and dairy products, which we’re often advised to avoid for heart health.
The first few years I knew him, I think my wife’s grandfather had whole milk and a steak for at least two of his daily meals. You'd think that such a diet could be harmful, but he remained independent in his home, still working, until a stroke suddenly took his life.
When I see patients in the clinic, one of the first things they mention when we discuss diet is that they intend to cut out all dairy products. Because nutritional guidelines often recommend a low-fat diet, most people believe this means they should consume less dairy fat.
But is this a good idea? Are milk, cheese, butter, and other dairy products really harmful to your health, and should you avoid them? Personal experience and new clinical research sheds light on this question.
The Facts on Dairy Products and Your Health
First Continue reading

Home Remedies to Prevent and Control Diabetes Naturally

Home Remedies to Prevent and Control Diabetes Naturally

Diabetes is the 7th most fatal disease causing death every year. Globally, 1 out of 11 adults are suffering from diabetes. Diabetes is known as the silent killer. The reason it is called a silent killer is because, the symptoms of diabetes are not so evident in the initial stages. Over 25% of patients suffering from diabetes are not even aware of it. If not detected at early stage, it can have dire consequences on health and well being. The most common diabetes that most of the people are suffering from is Type 2 diabetes. Type 2 diabetes can be prevented and controlled by adopting healthy living and eating habit. Today, we are going to talk about some of the most effective natural home remedies to prevent and control diabetes.
According to International Diabetes Federation (IDF), more than 642 million people are expected to have diabetes by the 2040, and that’s definitely scary. Even if diabetes can easily be prevented and control with proper diabetes friendly food and lifestyle, if it’s not detected at early stage, then one have to live on medications for the rest of the lifetime. Obviously, that’s not good for your health and finances. Prolonged diabetes can have negative impact on one financial condition due to medical expenses and loss of wages.
Earlier the diabetes was considered to be a disease of rich and adults, but today it’s affecting even the children. Diabetes can substantially increase the chances of other health complications and death. Hence, it is crucial
Cause and symptoms of type 2 diabetes
Insulin is a hormone produced by pancreas in your body. I Continue reading

Fatigue, vitamin deficiencies, and diabetes: 7 health problems that your hands are warning you about

Fatigue, vitamin deficiencies, and diabetes: 7 health problems that your hands are warning you about

“Let me hear your body talk!” We know it’s not what that catchy tune was talking about, but your body certainly does have a language, and it’s up to you to understand it.
Your body reacts to what you eat and how you treat it and tells you what it needs. Changes in mood, energy, pain, and even cravings all reflect the fluctuations of our health, but another unique way your body can communicate is through your hands.
Hands can signal distress in a number of different ways, as a warning of underlying diseases or deficiencies. Pain in certain fingers might reflect nerve damage, while a black or blue color in your hand might indicate problems with circulation. These are the most common symptoms that manifest in your hands, which everyone should be familiar with:
Numbness and Inability to Feel Pain or Temperature
Type 2 diabetics are constantly exposed to high levels of blood sugar, which can damage nerve fibers altering our sense of touch. It does this by interfering with nerve signals and damaging blood vessels, making it harder to get nutrients and oxygen to nerves. This is called peripheral neuropathy a sign of type 2 diabetes.[i] These symptoms in your hands, as well as your feet, are early signs of type 2 diabetes. Other signs include: [ii] [iii]
Cuts and sores that aren’t healing
Changes in digestion
Urination abnormalities
Altered sexual function
Weight loss
Blurred vision
Increased hunger
The VeinCare Centre video below explains this concept in more detail:
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Medical group cuts uncontrolled diabetes by 29% in less than 90 days

Medical group cuts uncontrolled diabetes by 29% in less than 90 days

Borgess Health employed an array of intensive patient engagement strategies, letting the data lead the way.
CHICAGO -- Cindy Gaines, a registered nurse, said it came as a bit of a surprise when leadership of Kalamazoo, Michigan-based Borgess Health (a member of Ascension Health) approached its medical groups in 2015 with a challenge: For the final quarter of the fiscal year, they were told to improve a quality metric of their choice by 20 percent.
It's rare for most health organizations to even attempt a 20 percent improvement in anything, even over the course of a year, said Gaines, vice president and chief operating officer at Borgess Medical Group, speaking at the HIMSS Pop Health Forum on Monday. Here they were supposed to effect a major turnaround in a critical chronic disease indicator in just 90 days?
Gaines and her colleagues chose to tackle uncontrolled diabetes, focusing on patients with hemoglobin A1c levels greater than 9. But it would be a challenge, to say the least.
"We're very good at taking care of the patient in front of us," said Gaines. "We're very episodic."
But "the real game-changer of pop health is suddenly I'm accountable for you even when you didn't come in front of me," she said. "Just because you haven't been in doesn't make me any less accountable for your care, which means we have to engage our patients differently."
The first step was to take a close look at at the information the medical group had at hand.
"In population health, one of the very basic foundational things you can do is start with the definitions," said Gaines. "Let your data ta Continue reading

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