Incidence Of End-Stage Renal Disease Attributed To Diabetes Among Persons With Diagnosed Diabetes United States And Puerto Rico, 20002014

Incidence of End-Stage Renal Disease Attributed to Diabetes Among Persons with Diagnosed Diabetes  United States and Puerto Rico, 20002014

Incidence of End-Stage Renal Disease Attributed to Diabetes Among Persons with Diagnosed Diabetes United States and Puerto Rico, 20002014

Incidence of End-Stage Renal Disease Attributed to Diabetes Among Persons with Diagnosed Diabetes United States and Puerto Rico, 20002014
Weekly / November 3, 2017 / 66(43);11651170
The incidence of end-stage renal disease attributed to diabetes (ESRD-D) in the U.S. population with diagnosed diabetes began to decline in the mid-1990s.
During 20002014, the age-standardized incidence of ESRD-D has continued to decline significantly in the United States and in most states, the District of Columbia, and Puerto Rico. No state experienced an increase in rates.
What are the implications for public health practice?
Continued awareness of diabetes and interventions to reduce the prevalence of risk factors for kidney failure, improve diabetes care, and prevent type 2 diabetes might sustain the decline in ESRD-D incidence rates in the population with diagnosed diabetes.
During 2014, 120,000 persons in the United States and Puerto Rico began treatment for end-stage renal disease (ESRD) (i.e., kidney failure requiring dialysis or transplantation) (1). Among these persons, 44% (approximately 53,000 persons) had diabetes listed as the primary cause of ESRD (ESRD-D) (1). Although the number of persons initiating ESRD-D treatment each year has increased since 1980 (1,2), the ESRD-D incidence rate among persons with diagnosed diabetes has declined since the mid-1990s (2,3). To determine whether ESRD-D incidence has continued to decline in the United States overall and in each state, the District of Columbia (DC), and Puerto Rico, CDC analyzed 20002014 data from the U.S. Renal Data S Continue reading

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Children and Type 2 Diabetes: Whats New?

Children and Type 2 Diabetes: Whats New?

Children and Type 2 Diabetes: Whats New?
No one likes hearing that they cant have something, especially the foods they love. Children with Type 2 diabetes have an especially complicated relationship with food. Type 2 diabetes is becoming more common; more than 80% of all children and teens with Type 2 diabetes are overweight, and about 40% are clinically obese. Because weight is a contributing factor to Type 2 diabetes, it is important to look for new ways to help children control their weight and to understand which new medical treatments are available. While children have little control over the foods in their environment, some new practices can help them choose healthier foods and eat mindfully. Some new devices and medicines also may potentially help control children and teens glucose levels. It is important to remember that it will most likely be a combination of interventions that will help your child learn to live with the disease and become healthier over time.
One practice that is gaining popularity is called mindful eating or eating with intention. A recent study has showed that when parents restrict food to promote healthier behaviors, it will work in the short-term. However, in the long-term, restrictive eating has proved to be harmful. Children who have restricted diets are at risk for increased eating when they are not hungry, not learning how to self-regulate and trust their bodys signals, thus causing weight gain. The approach to mindful eating is to help the child create a dialog of kindness with his or her own body. Instead of focusing on hunger as a n Continue reading

All About Needles Used for Diabetes | Ask D'Mine

All About Needles Used for Diabetes | Ask D'Mine

Written by Wil Dubois on September 16, 2017
Hey, All -- Got questions about life with diabetes? Then you've come to the right place! That would be our weekly diabetes advice column, Ask D'Mine, hosted by longtime type 1 and diabetes author W il Dubois in New Mexico, who spent many years working as a clinical specialist helping those with diabetes.
This week, he takes on a trio of questions about needles and injection-related therapy. Here's Wil, "taking a stab" at this theme...
{Got your own questions? Email us at [email protected] }
Natsu, type 1 from Japan, asks: Is it possible to hit an organ when inserting a diabetic cannula on the stomach?
[email protected] DMine answers: Nope! Your innards are fully safe and secure. OK, in point of fact, most cannulas are worn on the stomach, so your worry is common. In fact, before my own diagnosis one of my wifes aunts had type 2 requiring insulin, and I knew she took shots in the stomach. I ignorantly assumed she used some giant six-inch needle and had to insert this medieval torture device all the way into her stomach. Every day.
Under the circumstances, I found her to be a remarkably jolly person.
Later, when my own doctor calmly told me that I needed to take shots in my stomach, I nearly fainted. Of course, the truth is we take our shots into the insulating fat layer below the skin -- a layer of fat that even skinny people have, and is thicker than youd think. Oh, and below that fat is a layer of muscle. The organs are below the muscle. So you can see youve got quite a bit of issue between the top of the skin an your inte Continue reading

HEALTH MATTERS: Comedian learns pre-diabetes is no laughing matter

HEALTH MATTERS: Comedian learns pre-diabetes is no laughing matter

You probably recognize actress and comedian Cocoa Brown from Tyler Perry’s critically acclaimed comedy series “For Better or Worse” on Oprah Winfrey’s OWN network or from the feature films, “Single Mom’s Club,” and “Ted 2.”
Three years ago, Brown was pregnant and overjoyed with the anticipation of the birth of her child. The joy of her first pregnancy was quickly overshadowed in her last trimester when she was diagnosed with gestational diabetes.
“I had to inject five insulin shots a day,” Brown said.
Typically, most women with gestational diabetes have no symptoms. Women may experience symptoms that are a little more severe than the typical symptoms resulting from a normal pregnancy, such as extreme thirst, fatigue, frequent urination and snoring.
Pregnant women are more at risk to get gestational diabetes if they are overweight before they get pregnant, are of ethnic background (African-American, Asian, Hispanic or Native American), have high blood sugar levels, other family members with diabetes or previous history of gestational diabetes.
Brown, who mastered the art of comedy, knew that her weight gain was no laughing matter.
“At my heaviest, I weighed 273 pounds,” she said. “I am 5-5 and was wearing a triple X dress size or a size 22-24.”
Brown is known for her stand-up comedic performances on top-rated comedy shows including BET’s “Comic View,” “One Mic Stand” and “Showtime at the Apollo.”
Gestational diabetes is temporary.
“After giving birth to my son, it disappeared,” Brown said. “So, I didn’t change my eating hab Continue reading

You’re Increasing Your Risk of Diabetes and Alzheimer’s With This 1 Horrible Habit

You’re Increasing Your Risk of Diabetes and Alzheimer’s With This 1 Horrible Habit

You’ve heard it before — your high-sugar diet is increasing your risk of diabetes, and all those loud concerts up your chances of developing Alzheimer’s. And that’s not to mention how your genetic makeup may be working against you. Cleaning up your diet and getting regular exercise are key in disease prevention, but that’s not all there is to it. There’s still one horrible habit most of us let slide — and it could be the one that kills you.
Alzheimer’s and diabetes are inflammatory diseases
So, what do Alzheimer’s and diabetes have in common? They’re both diseases that can result from chronic inflammation. Let’s be clear — your inflammatory response is actually designed to protect your body, but chronic inflammation can really hurt you and lead to a wealth of issues. And if the chronic issue goes untreated, it can damage your cells and tissue over time, which contributes to the development of these lifelong ailments.
Your bad diet and poor exercise routine can contribute to inflammation, but so can the following habit you need to stop asap.
Binge-watching TV is killing you
According to researchers from the Baker Heart and Diabetes Institute, there’s a crucial (and deadly) link between binge-watching your favorite show and the development of chronic inflammatory disease. The researchers surveyed 8,900 adults and found “every extra hour per day spent watching television led to a 12% higher risk of death linked to inflammation … ”
So, who’s watching the most TV? Older folks, current and ex-smokers, those with lower household incomes, and those Continue reading

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