Mastery In Diabetes Management: New Diabetes Diagnosis Criteria Req'd For Asian Patients?

Mastery in Diabetes Management: New Diabetes Diagnosis Criteria Req'd for Asian Patients?

Nina Suda, MD
Nina Suda, MD, of Albert Einstein College of Medicine and Montefiore Medical Center in New York, spoke with MedPage Today at AACE 2017, the annual meeting of the American Association of Clinical Endocrinologists, about a case study involving a young Southeast Asian woman presenting with newly diagnosed type 2 diabetes and advanced diabetic nephropathy. Suda's full poster may be downloaded by clicking here.
Following is a transcript of her remarks:
The title of my poster is 'Newly diagnosed insulin-dependent diabetic nephropathy: Do we need different criteria for screening and diagnosis of diabetes in South-East Asians?'
This was a 27-year-old female, she was Sri Lankan, and she came to us with a neck abscess that she had been complaining of for two weeks. She initially presented to an urgent care center and they had said, "Here's some amoxicillin, Advil -- it should get better over time." Unfortunately, it didn't and then she came to Montefiore Medical Center where she presented in the ED, and with which she complained of an abscess that was growing.
What we do know about her is that she was diagnosed with hypertension two years ago. This was on a routine physical. She had seen her primary care doctor, she told us, and they started her on Enalapril. She's been completely compliant with it. So, the only meds that she was taking was the amoxicillin and the Advil, which was for the abscess that she had for about a week. She said that she was on no other medications.
Her family, they didn't have any medical conditions other than diabetes that were diagnosed, and a Continue reading

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Study confirms link between high blood pressure and diabetes

A new study has confirmed people with high blood pressure have a much greater chance of developing diabetes.
The study looked at the health records of four million adults in the United Kingdom and clarified earlier research which had been inconclusive.
But the jury is still out on whether diabetes is actually caused by high blood pressure.
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Professor Anoushka Patel, chief scientist at the George Institute for Global Health, said the new data was quite definitive.
She said those with high blood pressure had an almost 60 per cent greater chance of developing diabetes.
"The study used data from routine GP visits, so the data was very reliable and ... a very large ... number of patients were involved," she said.
"We can't say that it's definitely caused by high blood pressure, the study design doesn't allow us to make that conclusion. It's highly suggested."
Professor Patel said the study showed high blood pressure often preceded diabetes and not the other way around.
"The study ... excluded people at the beginning who already had diabetes, so it only included people without diabetes, without heart disease," she said.
"[It] looked at the heart pressure levels then looked at people over a period of time and looked at whether ... they developed diabetes.
"It does actually present that relationship over time. Blood pressure's respective to diabetes rather than the reverse."
However, Professor Patel said researchers would need to do more to prove there was a causal link and investigate whether lowering high bloo Continue reading

Type 1 diabetes | IDDM

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If the body’s insulin production is insufficient or stopped, is called as type-1 diabetes. It is caused by the autoimmune disorder and needs to treat with insulin shots.
Type-1 diabetes is also known as Insulin-Dependent Diabetes Mellitus (IDDM) and juvenile diabetes. It is spelled as type-i diabetes, diabetes one and diabetes 1.
Formerly, it was known as "juvenile diabetes," because it represents a majority of the cases in children, teenagers, or young adults, but now we came to know that it can also affect adults.
Among youth ages younger than ten years, the rate of new cases of type 1 diabetes was 19.7 per 100,000 each year for type 1 diabetes. Among youth aged ten years or older, the rate of new cases was 18.6 per 100,000 each year for type 1 diabetes.
What is Type-1 diabetes?
Only about 10% of the people with diabetes are type 1, remaining 90% are type 2.
What is type 1 diabetes? Type 1 diabetes develops due to the autoimmune destruction of the beta cells in the islet cells of Langerhans in the pancreas. It usually ends up with more or less absolute deficiency of insulin. This destruction process starts a long time before the illness diagnosed. Thus, there exists an opportunity for prevention of diabetes in the future.
To halt or delay pancreas destruction, you should know your type 1 diabetes risk factors and type 1 diabetes symptoms for early type 1 diabetes diagnosis to stop or slow down beta cells destruction.
Type-1 diabetes needs insulin treatment and healthy diabetes lifestyle change for proper blood-glucose level maintenance and to avoid diabete Continue reading

Type 2 diabetes complications - levels of amputations at ‘record high’

Diabetes UK has branded the rate of diabetes-related amputations in England a ‘national scandal’, following the publication of new data this week.
It said the total number of major and minor procedures have risen to 23 every day - which is compared with 20 every day between 2010 and 2013.
People with diabetes have a much greater risk of developing problems with their feet, due to the damage raised blood sugars can cause to sensation and circulation.
Data published by Public Health England and the National Cardiovascular Intelligence Network, and analysed by Diabetes UK, revealed the 25,527 major and minor amputations reported during the period 2013 to 2016 to be a record high.
This represents an increase of more than 3,000 total amputations when compared to the previous three-year period of records.
Robin Hewings, Diabetes UK’s head of policy, said: “It’s a huge concern that the number of amputations is increasing.
“Amputations devastate lives and, despite a slight decline in major amputations, a minor amputation can mean someone losing a toe or a foot.
“With good healthcare and support, four out of five of amputations are preventable.
“But nearly a quarter of hospitals in England still do not have a specialist diabetes foot care team.
“The financial impact on our health service is also massive, at least a £1 in every £140 of NHS spending in England goes on foot care for people with diabetes.
“We need to urgently increase the numbers of podiatrists specialising in diabetes and improve the quality of foot checks at GP practices, or people will continue Continue reading

Making the Switch to Medicare with Diabetes

By Pearl Subramanian and Jeemin Kwon
From enrolling in the four types of plans to what they cover, everything you need to know when making the switch to Medicare with diabetes
Despite covering 58 million Americans in 2017, Medicare can be difficult to navigate. The US-government-run program provides health coverage to people over the age of 65 and to those under 65 who have certain disabilities or other conditions. If you are ready to make the switch over to Medicare or know someone who is, this article is a guide on what you need to know for as smooth a transition as possible, understanding that there are plenty of complexities here!
Click to jump to a section:
About Medicare
Though Medicare is often thought of as one big plan, it actually has four different types of coverage:
Part A covers hospital stays, care in nursing facilities, hospice care, and home health care.
Part B covers doctors’ services, non-hospital (outpatient) care, some medical devices and preventative services. People pay a monthly premium for this coverage.
Part C allows people the option to enroll in private insurance plans (HMOs and PPOs) and to receive their benefits under Parts A and B. Those plans are called Medicare Advantage and some offer additional benefits such as dental and vision.
Part D covers prescription drugs and is voluntary.
For more information on decoding and understanding health insurance language, check out diaTribe’s guide here.
Medicare and Diabetes
Medicare covers certain benefits and supplies specific to people with diabetes, including diabetes drugs, blood glucose monitori Continue reading