Wednesday, June 7, 2017
The article, “Diabetes 2030,” illustrates that diabetes presents a major health crisis in terms of prevalence, morbidity and costs. Insights from the updated projections show that the crisis will worsen significantly over the next 15 years. There are several reasons cited for the worsening trend, including: 1. An aging population that is living longer, 2. The significant decline in the incidence of deaths caused by diabetes, which implies that more diabetic patients present with significant chronic co-morbidities, 3. The increasing population of African American and Hispanic Americans who are at a higher risk of diabetes, 4. Dramatic increase in type 2 diabetes in children and adolescents, and 5. Increasing obesity may lead to increasing diabetes.
Health care leaders should understand the importance of identifying adults with prediabetes. Health care leaders should also focus on education and awareness, as 1 in 4 Americans do not know that they have prediabetes and it can lead to life threatening complications. There is also a huge gap between a recommended guideline and current practice. A 2014 study by Li et al found that only 6.8% of privately insured, newly diagnosed adults participated in Diabetes Self – Management Education and Training within the first year after diagnosis, even though it was free and strongly recommended. The cost of diabetes will increase by 53% ($408 billion to $622 billion) by 2030. Aggressive efforts at local, state and federal levels in prevention will be needed to significantly reduce the diabetes epidemic by 2030.
The diabetes epidemic can be prevented using a “population wide” approach that addresses health promotion, obesity prevention, and creates a physical, cultural, and psychological environment that supports healthy living naturally.
“Diabetes 2030: Insights from Yesterday, Today and Future Trends” By Rowley MD et al, Population Health Management, Volume 20, Number 1, 2017.
Tuesday, May 12, 2015
at May 12, 2015
Friday, April 3, 2015
Hyperbaric oxygen therapy for diabetic wounds.
Liu showed meta-analysis of 13 trials including 7 prospective randomized trials of 624 patients showing effectiveness.
Liu R, Li L, Yang M, Boden, Yang G. Systematic review of the effectiveness of hyperbaric
oxygen in the management of chronic diabetic foot ulcers. Mayo Clin Proc.2013;88(2):167-175.
The UHMS Quality, Utilization, Authorization and Reimbursement Committee response trying to explain the difference in “efficacy” and “effectiveness” is at https://www.uhms.org/images/
Latest-News/ margolisleinterpret.pdf.Phi-Nga Jeannie Le M.D. Interpretation of the study “Lack of effectiveness of hyperbaric oxygen therapy for the treatment of diabetic foot ulcer and the prevention of amputation”
Sunday, January 18, 2015
Can we use commercially available less expensive infrared thermometers to measure skin surface temperature associated with deep and surrounding wound infection?.
Validation of Commercially Available Infrared Thermometers for Measuring Skin Surface Temperature Associated with Deep and Surrounding Wound Infection
Mufti, Asfandyar BMSc; Coutts, Patricia RN; Sibbald, R. Gary BSc, MD, MEd, FRCPC(Med)(Derm), MACP, FAAD, MAPWCA, DSc(Hons)Advances in Skin & Wound Care:January 2015 - Volume 28 - Issue 1 - p 11-16
Features: Original Investigation
Features: Original Investigation
Sunday, October 12, 2014
see-through, 'smart' bandage that glows to indicate a wound's tissue oxygenation concentration; Awesome discovery
Wound Measurement Techniques: Comparing the Use of Ruler Method, 2D Imaging and 3D Scanner Aj Shah , C. Wollak , BS , J.B. ...
High mortality risks after major lower extremity amputation in Medicare patients with peripheral artery disease. Jones WS , Patel MR ,...