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Screening For Type 2 Diabetes: Do Screen-detected Cases Fare Better?

Screening for type 2 diabetes: do screen-detected cases fare better?

Screening for type 2 diabetes: do screen-detected cases fare better?


, Volume 60, Issue11 , pp 22002209 | Cite as
Screening for type 2 diabetes: do screen-detected cases fare better?
We aimed to investigate whether diabetes cases detected through screening have better health outcomes than clinically detected cases in a population-based cohort of adults who were eligible to be screened for diabetes at 10year intervals.
The Vsterbotten Intervention Programme is a community- and individual-based public health programme in Vsterbotten County, Sweden. Residents are invited to clinical examinations that include screening for diabetes by OGTTs at age 30, 40, 50 and 60years (individuals eligible for screening, n=142,037). Between 1992 and 2013, we identified 1024 screen-detected cases and 8642 clinically detected cases of diabetes using registry data. Clinically detected individuals were either prior screening participants (n=4506) or people who did not participate in screening (non-participants, n=4136). Study individuals with diabetes were followed from date of detection until end of follow-up, emigration, death or incident cardiovascular disease (CVD), renal disease or retinopathy event, and compared using Cox proportional hazard regression adjusted for calendar time, age at detection, year of detection, sex and socioeconomic status.
The average age at diabetes diagnosis was 4.6years lower for screen-detected individuals compared with clinically detected individuals. Overall, those who were clinically detected had worse health outcomes than those who were screen-detected (HR for all-cause mortality 2.07 [95% CI 1.63, 2.62]). Compared with s Continue reading

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The effect of insulin on bone mineral density among women with type 2 diabetes: a SWAN Pharmacoepidemiology study

The effect of insulin on bone mineral density among women with type 2 diabetes: a SWAN Pharmacoepidemiology study

Abstract
This was a longitudinal study examining the effects of insulin use on bone mineral density loss. Insulin use was found to be associated with greater bone mineral density loss at the femoral neck among women with diabetes mellitus.
Women with diabetes mellitus (DM) have higher bone mineral density (BMD) and experience slower BMD loss but have an increased risk of fracture. The data regarding the effect of insulin treatment on BMD remains conflicted. We examined the impact of insulin initiation on BMD.
We investigated the annual changes in BMD associated with the new use of insulin among women with DM in the Study of Women’s Health Across the Nation (SWAN). Propensity score (PS) matching, which is a statistical method that helps balance the baseline characteristics of women who did and did not initiate insulin, was used. Covariates with a potential impact on bone health were included in all models. Mixed model regression was used to test the change in BMD between the two groups. Median follow-up time was 5.4 years.
The cohort consisted of 110 women, mean age, 53.6 years; 49% white and 51% black. Women using insulin (n = 55) were similar on most relevant characteristics to the 55 not using insulin. Median diabetes duration for the user group was 10 vs. 5.0 years for the non-user group. There was a greater loss of BMD at the femoral neck among insulin users (− 1.1%) vs non-users (− 0.77%) (p = 0.04). There were no differences in BMD loss at the spine − 0.30% vs − 0.32% (p = 0.85) or at the total hip − 0.31% vs − 0.25 (p = 0.71), respectively.
Women with T Continue reading

20 Famous Celebrities Living with Diabetes in 2017

20 Famous Celebrities Living with Diabetes in 2017

Diabetes is a disease which has been known to affect millions of people worldwide. The above statement is true not only for common men but for celebrities too. Today, a lot of celebrated people suffer from either type 1 or type 2 diabetes and the associated complications which come along with the disease.
Type 1 diabetes is the condition in which the pancreas of the body is not able to produce the required amount of insulin in the body. Type 2 diabetes is the condition which occurs when the body is not able to process the level of sugar or glucose present in the blood properly.
The main factors causing the condition include poor lifestyle, weight gain, lack of physical exercise, smoking, and drinking, amongst others. As such, a lot of our favorite celebrities are also known to be dealing with the problem. In this article, we discuss ‘20 Famous Celebrities known to be Living with Diabetes in 2017.’
Celebrities who are Living with Diabetes in 2017
Let us have a look at the 20 famous celebrities who are suffering from diabetes in 2017. These celebrities are the perfect idol for all those who want to lead a normal life in spite of suffering from diabetes.
Following is the list:
1. Halle Berry
The 50-year old actress is suffering from the disease since 1988. During her shoot for the show, Living Dolls, she just fainted and was later on diagnosed to be suffering from diabetes. The Cat woman actress is known to be suffering from type 2 diabetes. The actress has, ever since, started a program to promote awareness of the disease and runs a campaign for the same under the name Di Continue reading

Shankara Wellness Blog | Does Ayurveda Hold The Key To The Diabetes Problem In Children And Adults? - Shankara Wellness Blog

Shankara Wellness Blog | Does Ayurveda Hold The Key To The Diabetes Problem In Children And Adults? - Shankara Wellness Blog


Does Ayurveda Hold The Key To The Diabetes Problem In Children And Adults?
Ayurveda & Nutrition , Body Mind Complex , Lifestyle , Uncategorized
So what does Ayurveda have to offer for treating the lifestyle nightmare that Diabetes has come to be?
We asked some experts from Sri Sri Ayurveda all the questions where answers would be helpful, about Diabetes among children; and also does Ayurveda have any healthy alternative to calm sugar cravings?!
Too much sugar or glucose in the blood causes diabetes. Energy is stored in the body in the form of glucose. When glucose is not absorbed well in the blood, diabetes is caused. Insulin secreted by the pancreas is critical in absorbing this glucose in the body.
1) What are some common symptoms of Diabetes Type 2 in children?
Thirst, more hunger, itching, urination, dryness in the body are some of the most common symptoms. But with children diagnosed with Diabetes Type 1, it can be symptom-less. These symptoms do appear in Diabetes type 2.
2)What are the common lifestyle mistakes that lead to the disease?
It is widely known that erroneous lifestyle is the most common cause followed by hereditary and medical reasons leading to Diabetes. Wrong eating habits over prolonged periods of time can damage pancreatic function.
An important point to consider is the time of day we eat and how often do we eat. Today, snacking is very common. But for those who do not have Diabetes yet and wish to keep it at bay, Ayurveda recommendsDwikal Bhojanam two main meals a day. And other times, it is recommended to have something light like butterm Continue reading

Evaluating Adherence to Dilated Eye Examination Recommendations Among Patients with Diabetes, Combined with Patient and Provider Perspectives

Evaluating Adherence to Dilated Eye Examination Recommendations Among Patients with Diabetes, Combined with Patient and Provider Perspectives


Evaluating Adherence to Dilated Eye Examination Recommendations Among Patients with Diabetes, Combined with Patient and Provider Perspectives
Maxine D. Fisher , PhD, Yamina Rajput , MS, Tao Gu , PhD, Joseph R. Singer , MD, Amanda R. Marshall , BS, Seonyoung Ryu , PharmD, John Barron , PharmD, and Catherine MacLean , MD, PhD
Director, Real World Evidence, Vector Oncology, Memphis, TN, and was with HealthCore at the time of the study
Chief Medical Value Officer, Hospital for Special Surgery, New York, NY, and was with Anthem at the time of the study.
Maxine D. Fisher, Director, Real World Evidence, Vector Oncology, Memphis, TN, and was with HealthCore at the time of the study;
Received 2016 Jan 22; Accepted 2016 May 20.
Copyright 2016 by Engage Healthcare Communications, LLC
Diabetes mellitus remains the leading cause of new cases of blindness among US adults. Routine dilated eye examinations can facilitate early detection and intervention for diabetes-related eye disease, providing an opportunity to reduce the risk for diabetes-related blindness in working-aged Americans. The Healthcare Effectiveness Data and Information Set (HEDIS) established criteria for performing dilated eye examination in patients with diabetes.
To obtain information about adherence and nonadherence to diabetic eye examinations among insured patients to understand the barriers to routine dilated eye examinations, and to identify ways to improve the quality of care for these patients.
This retrospective claims analysis is based on administrative claims from the HealthCore Integrated Research Continue reading

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