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Linking Readmission, Reimbursement Exposes Complex Needs Of Diabetes Patients

Linking Readmission, Reimbursement Exposes Complex Needs of Diabetes Patients

Linking Readmission, Reimbursement Exposes Complex Needs of Diabetes Patients


Linking Readmission, Reimbursement Exposes Complex Needs of Diabetes Patients
Coverage from the 2017 meeting of the American Association of Diabetes Educators.
Few elements of the Affordable Care Act (ACA) have forced health systems to rethink their role in patients lives like the penalties Medicare charges if they fare poorly on 30-day readmission rates.
While the Hospital Readmission Reduction Program has sparked debate since it started in 2012, it has forced healthcare staff to reach into the community, to ask why some patients land back in the hospital and others dont. With the earliest 30-day measures measuring how many returned after heart attacks, heart failure, and pneumonia, patients with diabetes quickly captured health systems attention since they were likely candidates for readmission.
What hospitals are learning, according to a speaker at the American Association of Diabetes Educators annual meeting in Indianapolis, Indiana, is that a patients diabetes may not be first on the list of health problems. That makes successful interventions complicated, and it often means that solutions must be customized to a patients unique needs.
Virginia Peragallo-Dittko, RN, CDE, BC-ADM, FAADE, executive director of the Diabetes and Obesity Institute of NYU Winthrop Hospital and professor of Medicine at Stony Brook School of Medicine, told educators gathered Saturday that the right model for reducing readmissions doesnt have the hospital at the topit has the community at the top.
Transitions are going to look different, she said. While the ACA has forced changes and thi Continue reading

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Improve your health naturally | Diabetes Treatment With Mango Leaves Is Really An Effective Option?

Improve your health naturally | Diabetes Treatment With Mango Leaves Is Really An Effective Option?


Diabetes Treatment With Mango Leaves Is Really An Effective Option?
Diabetes treatment with mango leaves is a new possibility to fight the disease
Diabetes treatment and prevent the disease naturally is an article that is intended to alert about the harmful consequences of the disease and how to treat diabetes and prevent it naturally respecting and putting into practice a system of life ordained by following simple easy tips to meet. You just have to be disciplined and persistent.
Different studies have shown that there are several natural remedies that can regulate blood sugar levels and reduce or alleviate the disease.
But one of the last options to meet this goal is the use of mango leaves, which seems to be really effective in controlling the disease.
Mango leaves are rich in enzymes, antioxidants, vitamins and minerals and have traditionally been used to treat different ailments like diarrhea, varicose veins, insomnia, bronchitis, high blood pressure and strengthen blood vessels.
Boil in a glass of water about 8 -10 leaves of mango, the more tender better and let them rest until the next morning, now drink the infusion of mango leaves on an empty stomach.
For more sustained results follow this daily treatment for about two- three months.
You can also dry the leaves in a dark place and then grind them. In a glass of water add teaspoon of mango powder twice daily
When blood glucose levels are above normal values it is said diabetes disease is present. Most food we eat are converted in the body into sugar or glucose to generate energy body. The hormone insuli Continue reading

Factors related to lifestyle goal achievement in a diabetes prevention program dissemination study

Factors related to lifestyle goal achievement in a diabetes prevention program dissemination study


, Volume 7, Issue4 , pp 873880 | Cite as
Factors related to lifestyle goal achievement in a diabetes prevention program dissemination study
The U.S. Diabetes Prevention Program (DPP) showed that lifestyle participants who achieved 7% weight loss and 150min/week physical activity experienced the greatest reduction in type 2 diabetes incidence. Demographic, clinical, and program factors that are related to achieving both these lifestyle goals have seldom been explored in community-delivered DPP programs. The purpose of this investigation is to examine factors associated with concurrent achievement of weight loss and physical activity goals in a 12-month community DPP lifestyle intervention. Adults [n=223; age=58.4 (SD=11.5); BMI=33.8 (SD=6.0)] with glucose or HbA1c values in the pre-diabetes range and/or metabolic syndrome risk factors enrolled from one worksite and three community centers in the Pittsburgh, PA metropolitan area between January 2011 and January 2014. Logistic regression analyses determined the demographic, clinical and program adherence factors related to goal achievement at 6, 12, and 18months. Participants achieving both intervention goals at 6months (n=57) were more likely to attend sessions [Adjusted Odds Ratio (AOR) =1.48], self-weigh (AOR=1.19), and self-monitor behaviors (AOR=1.18) than those meeting neither goal (n=35; all p<0.05). Baseline BMI (AOR=0.87, p<0.01), elevated glycemic status (AOR=0.49, p<0.05), and female sex (AOR=0.52, p<0.05) were inversely related to goal achievement at 6months. Meeting either lifestyle goal at 6months had the str Continue reading

A Website to Promote Physical Activity in People With Type 2 Diabetes Living in Remote or Rural Locations: Feasibility Pilot Randomized Controlled Trial

A Website to Promote Physical Activity in People With Type 2 Diabetes Living in Remote or Rural Locations: Feasibility Pilot Randomized Controlled Trial

Background: Research supports the use of Web-based interventions to promote physical activity in diabetes management. However, previous interventions have found poor levels of engagement or have not included health professionals and people with diabetes in the design of the tool.
Objective: To develop and explore the feasibility and indicative effect of a Web-based physical activity promotion intervention in people diagnosed with type 2 diabetes living in remote or rural locations.
Methods: A qualitative approach using focus groups that included patients with diabetes and health professionals were run to identify key concepts, ideas, and features, which resulted in the design of a physical activity website. This site was tested using a quantitative approach with a qualitative 6-month pilot study that adopted a three-armed approach. Participants were randomized into three groups: a control group who received written diabetes-specific physical activity advice; an information Web group, a Web-based group who received the information online; and an intervention Web group, an interactive Web-based group who received online information plus interactive features, such as an activity log, personalized advice, and goal setting.
Results: A website was designed based on patient and health professional ideas for effective physical activity promotion. This website was tested with 31 participants, 61% (19/31) male, who were randomized into the groups. Website log-ins decreased over time: 4.5 times in month 1, falling to 3 times in month 6. Both the information Web group—mean 134.6 (SD Continue reading

One Weird Spice that Destroys Diabetes

One Weird Spice that Destroys Diabetes


An urgent message from Dr Scott Saunders, MD to reverse diabetes without drugs.
Tags: , Barton Publishing , diabetes , diabetes reversed remedy report , diabetes solution kit , dr scott d saunders , health , home remedy , natural cure , natural remedies , natural treatment , reverse diabetes
If you or someone you love suffers from Pre-Diabetes, Type 1 or Type 2 Diabetes read this now.
As a Medical Doctor, I am sick and tired of how people with high blood sugar, pre-diabetes or diabetes are being treated by the mainstream medical system.
Thats why I am going to turn the tables on the Big Drug Companies that sell $114 BILLION each year in Diabetes and blood sugar drugs.
Its no secret they would love to keep you buying their drugs
I am going to show you how to improve your blood sugar levels and gain relief from your problems without side effects associated with the prescription medication.
Dr Scott Saunders, MD Diabetes Reversed
I am the mother of 3 teenagers. I was diagnosed with diabetes and my doctor put me on the prescription drug Metformin and then also on a statin drug. I had unbearable side effects. I got bad stomach cramps and felt ill. I became extremely tired (always), depressed and couldnt function on a day to day basis.
I got your tips. It was the best thing I have ever done in my life. Ultimately, was able to move off drugs. It was so simple and straightforward, so easy. My sugar levels are down, and my energy level is up. I now go to the gym and have lost weight.
Amazing story, isnt it? Joannes true story is just one from many people who have gai Continue reading

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