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The Effectiveness of Inexpensive Nonmedical Interventions in Improving Obesity and Diabetes Outcomes
 
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Presented by touchENDOCRINOLOGY; a lively debate looking at the role of physical activity, fructose, low calorie sweeteners and energy balance in diabetes, cardiovascular health and weight management.
Views: 328 Touch Medical Media
Effectiveness  of Community Health Worker Interventions in Hispanic Diabetic Populations
 
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Diabetes mellitus (DM) is an epidemic in the United States, and Hispanic/Latino populations suffer the greatest disease burden. Health care disparities exist in many minority groups, and DM is especially prevalent in the Hispanic/Latino population, causing increased morbidity, mortality, and healthcare costs. Community Health Worker (CHW) Interventions are one method used to improve DM outcomes and reduce its prevalence in Hispanic/Latino populations. This study aims to assess the effectiveness of these attempts. A systemic literature review of CHWs’ role in Hispanic/Latino diabetics has not been completed in over a decade; this study will aim to update the analysis for this intervention.
Views: 8 DarkLegionnaire
Assessing Utilities: How Much Risk Are You Willing to Take?
 
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When we are judging the cost-effectiveness of a treatment or intervention, we're really asking how much bang for the buck we're getting for our healthcare spending. That can be relatively easy when we're talking about life and death. But how do we measure improvements in quality? The most widely used method is through the use of utility values, and we'll show you how we calculate those in this week's Healthcare Triage. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=61426 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo
Views: 33328 Healthcare Triage
Prediabetes Interventions Are Cost Effective
 
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Few medical interventions both improve health and save money. Treating prediabetes with metformin is one of them, according to 10-year follow-up data from the Diabetes Prevention Program. Dr. James B. Meigs comments on the results. See the related story at http://tinyurl.com/3vp47l6
Views: 482 MDedge
Role of the podiatrist in Diabetic Limb salvage - Dr. Pavan Murdeshwar
 
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Podiatrist is a person who is specialised in the pathologies related to the foot and the ankle, diabetic foot is a condition where the major abnormality is in the mechanical status of the foot. So it is always better to consult a podiatrist when diabetic foot is diagnosed. So podiatrist is required in 4 different necessities, one is the preventative method, where it is essential for the podiatrist to diagnose the diabetic foot, to know what is the neuropathy associated o with that, to guide you through the orthosis and the different kinds of shoes which the patient might require, a podiatrist can also refer you to a higher centre where a vascular intervention is needed. Second is a conservative ulcer care. When an ulcer is formed in the diabetic foot, it is always better to show to a di podiatrist who is going to treat it based on the triad of treatments, which consist of the local debridement the dressing care as well as the offloading strategies. The third is the surgical intervention for the ulcers. surgical intervention can be a local ulcer primary closure or it can be a recurrent orthotic management where the bones which are protruding are to be removed or it can be different tendon realignments which can help in tackling the problems and lastly a podiatrist is required to prevent the recurrence of such ulcers. Preventing can be done by the various offloading strategies well as the if the patient has got necessary amputations, then the rehabilitation is also guided by the podiatrist. So it is better to remember that the podiatrist helps to decrease the major amputation risks of diabetic foot by almost more than 50%.
Treatment of type 2 diabetes and renal impairment - Video abstract 82008
 
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Video abstract of a review paper "The treatment of type 2 diabetes in the presence of renal impairment: what we should know about newer therapies" published in the open access journal Clinical Pharmacology: Advances and Applications by Melanie Davies, Sudesna Chatterjee, Kamlesh Khunti. Abstract: Worldwide, an estimated 200 million people have chronic kidney disease (CKD), the most common causes of which include hypertension, arteriosclerosis, and diabetes. Importantly, ∼40% of patients with diabetes develop CKD, yet evidence from major multicenter randomized controlled trials shows that intensive blood glucose control through pharmacological intervention can reduce the incidence and progression of CKD. Standard therapies for the treatment of type 2 diabetes include metformin, sulfonylureas, meglitinides, thiazolidinediones, and insulin. While these drugs have an important role in the management of type 2 diabetes, only the thiazolidinedione pioglitazone can be used across the spectrum of CKD (stages 2–5) and without dose adjustment; there are contraindications and dose adjustments required for the remaining standard therapies. Newer therapies, particularly dipeptidyl peptidase-IV inhibitors, glucagon-like peptide-1 receptor agonists, and sodium-glucose cotransporter-2 inhibitors, are increasingly being used in the treatment of type 2 diabetes; however, a major consideration is whether these newer therapies can also be used safely and effectively across the spectrum of renal impairment. Notably, reductions in albuminuria, a marker of CKD, are observed with many of the drug classes. Dipeptidyl peptidase-IV inhibitors can be used in all stages of renal impairment, with appropriate dose reduction, with the exception of linagliptin, which can be used without dose adjustment. No dose adjustment is required for liraglutide, albiglutide, and dulaglutide in CKD stages 2 and 3, although all glucagon-like peptide-1 receptor agonists are currently contraindicated in stages 4 and 5 CKD. At stage 3 CKD or greater, the sodium-glucose cotransporter-2 inhibitors (dapagliflozin, canagliflozin, and empagliflozin) either require dose adjustment or are contraindicated. Ongoing trials, such as CARMELINA, MARLINA, CREDENCE, and CANVAS-R, will help determine the position of these new therapy classes and if they have renoprotective effects in patients with CKD.
Views: 510 Dove Medical Press
JACC: A Look at Outcomes of Older Diabetics Following PCI and Stenting
 
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Pamela Douglas, MD, of Duke University, talks with CSWN about data from more than 400,000 patients analyzed in a report from the National Cardiovascular Data Registry (NCDR).
Views: 109 CSWNews
Health Services Research, Diabetes, and the YMCA
 
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More than 86 million people, including 22 million people 65 or older, have pre-diabetes, which increases their risk of heart disease, strokes or diabetes. As we've watched that number grow, it has somehow felt that despite billions of dollars of research and intervention, there's little we can do. That feeling shifted recently when Sylvia Mathews Burwell, the secretary of health and human services, announced that Medicare was planning to pay for lifestyle interventions focusing on diet and physical activity to prevent Type 2 diabetes. It's an example of small-scale research efforts into health services that have worked and that have expanded to reach more people. That's the topic of this week's Healthcare Triage. This was adapted from a column Aaron wrote for the Upshot. References and links to further reading can be found there: http://www.nytimes.com/2016/03/31/upshot/the-unsung-success-of-a-diabetes-prevention-program.html John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com
Views: 17423 Healthcare Triage
The Role of Disease Intervention Specialist in STD Clinics
 
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Dawn Spellman - Find this and other presentations at http://depts.washington.edu/hivtcg/presentations/?PID=44
Hit Training as a Cure for Type 2 Diabetes - Prof. Dela
 
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Invited Session at ECSS Vienna 2016 "HIT training - Mechanisms and applicability" Hit Training as a Cure for Type 2 Diabetes Dela, F. University of Copenhagen Type 2 diabetes is characterized by a combination of insulin resistance, insufficient insulin secretory capacity and genetic disposition combined with excess energy intake and physical. Physical training alleviates insulin resistance, may improve insulin secretory capacity and improves glycemic control in patients with type 2 diabetes. Large clinical studies lifestyle interventions including weight loss and increased physical activity have shown fewer hospitalizations, fewer medications, and lower health-care costs, but on specific cardiovascular endpoints the results have been disappointing in large scale studies. Thus, while there is no question about the effectiveness of physical training as medicine for insulin resistance, the major problem is that the patients do not take the medicine. There are many barriers to overcome and motivation, safe environments, convenience and lack of time are considered to be among the major reasons for not exercising on a regular basis. High intensity interval training (HIIT) with short periods of intense exercise interspersed with brief periods of rest is a time efficient exercise modality which might surpass some of the barriers. As with almost any kind of exercise, an acute high intensity training bout will lower glucose concentrations in patients with type 2 diabetes. However, the longer term (training for 2 weeks or more) studies that have been conducted in patients with type 2 diabetes have generally used insufficient methods for determining the effect of HIIT on insulin secretion and sensitivity, which are the key parameters in the pathophysiology of type 2 diabetes. Hence, by using measurements of interstitial glucose concentrations, HOMA or HbA1c, either marginal or no effect and significant effects of HIIT on glucose homeostasis have been reported. None of the previous studies have used the gold standard for assessment of insulin sensitivity, the glucose clamp technique and none have studied specifically skeletal muscle, which the tissue that takes up the vast majority of glucose during insulin stimulation. Previous studies have addressed the molecular effects of high intensity interval training in skeletal muscle but only one study in patients with type 2 diabetes. In general these studies shows that HIIT leads to increases in proteins (activity and/or content) related to mitochondrial biogenesis, such as citrate synthase (CS), complexes in the mitochondrial respiratory chain, silent mating-type information regulator 2 homolog 1 (SIRT1), peroxisome proliferator-activated receptor γ coactivator-1α (PGC-1α), mitofusin (Mfn)-2. Also skeletal muscle GLUT4 protein and glycogen content seem to increase with HIIT, and furthermore, an increased capacity to fat oxidation (less exercise induced decrease in glycogen and increased hydroxyl-acyl-dehydrogenase (HAD) activity) takes place after HIIT.
Views: 1705 ECSS .tv
National Diabetes Week 2018
 
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Our Diabetes Nurse Educator Rinsky talks about our Continuous Glucose Monitoring (CGM) service which can provide continuous insight into glucose levels throughout the day and night. It can evaluate the effectiveness of treatment interventions and identify risks associated with living with diabetes.
Innovations in diabetes screening and interventions for AANHPI
 
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This webinar describes the American Diabetes Association's 2015 diabetes screening guidelines for Asian Americans and the science that's behind them; explains the "Screen at 23 Campaign"; and describes culturally appropriate tools and strategies for preventing and managing diabetes in Asian Americans, Native Hawaiians, and Pacific Islanders (AANHPI) populations. Comments on this video are allowed in accordance with our comment policy: http://www.cdc.gov/SocialMedia/Tools/CommentPolicy.html This video can also be viewed at https://www.cdc.gov/diabetes/ndep/videos/NDEP_2016_InnovationsInDiabetesScreening_AANHPI.mp4
Management of Chronic Total Occlusions in Patients With Diabetes
 
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George Dangas, MD Chronic Total Occlusions (CTO) are an important clinical problem for coronary intervention. Treating CTO in patients with diabetes is particularly complex. These patients tend to have systemic diffuse disease with more plaque, and more thrombotic events, many of which are silent. CTO are more accentuated in diabetics than in non diabetics. Moreover, there are few data on long-term outcomes following percutaneous coronary intervention (PCI) of CTO in patients with diabetes. Thus, optimal management is uncertain. Accordingly, we pooled data on long-term outcomes (median follow-up of 3.0 years) in over 1700 patients undergoing PCI for CTO at 3 different tertiary care centers.1 We achieved successful reperfusion approximately 70% of patients either with or without diabetes. Further, in both groups, procedural success was associated with reductions in mortality and need for coronary artery bypass grafting (CABG). Long-term mortality was high in patients with versus without diabetes even after successful reperfusion, consistent with the higher cardiovascular risk associated with the disease. In subsequent investigations we plan to study the effects of treating CTO according to anatomical location. In addition, diabetes is associated with a hyperreactive phenotype and this study was conducted before more potent alternatives to clopidogrel were available. Studies are needed to assess potenti antiplatelet therapy in PCI for CTO. In conclusion, our findings support consideration of PCI to treat CTOs in patients with diabetes, with CABG as the option if PCI is unsuccessful.
Views: 331 CARDIOClinician
New Study Finds Interventions For Sugary Drinks Effective
 
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According to a new study from the University of Leeds in Great Britain, interventions to reduce sugary drink consumption can be effective. Nutritionists at the university carried out the first comprehensive review of the effectiveness of interventions to reduce the consumption of sugary drinks by looking at 40 studies that involved 16,500 children, teenage and adult participants in Britain. Researchers found that the greatest reduction in sugary drink consumption following interventions for children, with a 30 percent reduction in consumption. Dr. Charlotte Evans, of Leeds, said, "It's estimated that children and adults get about a quarter of their sugar from sugary drinks and these drinks are linked with health risks such as type 2 diabetes, obesity and tooth decay." https://www.upi.com/Health_News/2017/07/19/British-study-finds-sugary-drink-interventions-may-be-working/6871500482330/ http://www.wochit.com This video was produced by YT Wochit News using http://wochit.com
Views: 56 Wochit News
Symposium on Diabetes and Obesity: David Lam, MD
 
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Diabetic Emergencies presented 11/5/2013 by David Lam, MD, Clinical Instructor Division of Endocrinology, Diabetes, and Bone Diseases, Icahn School of Medicine at Mount Sinai
Supporting people with diabetes distress - Dr Adriana Ventura
 
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Dr Ventura from the Australian Centre for Behavioural Research in Diabetes, in partnership with Deakin University, will receive $60,000 from the ADEA Diabetes Research Foundation to conduct a project delivering training to health professionals to address emotional health issues in adults with diabetes. For more information about this research, please visit https://adeadiabetesresearchfoundation.org.au/funding/funding-programs/first-online-training-program-address-emotional-health-issues-adults-diabetes/
Views: 156 ADEA TV
Prevention of Type 1 Diabetes with Vitamin D and Sunshine
 
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(Visit: http://www.uctv.tv) Edward Gorham, PhD, UC San Diego School of Medicine, describes the prevalence of vitamin D deficiency in terms of sun avoidance and person, place, and time. He identifies key items of evidence suggesting a protective association between sunlight, vitamin D, and risk of type 1 diabetes. He also lists the ways in which addressing vitamin D deficiency can have a positive impact on public health. Recorded on 12/10/2014. Series: "Vitamin D for Public Health - Integrating Sunshine, Supplements and Measurement for Optimal Health 2014" [2/2015] [Health and Medicine] [Show ID: 29083]
Professor Rod Taylor - developing a new intervention for heart failure patients for rehabilitation
 
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Professor Rod Taylor's cardiovasular research involves acting as an international coordinating centre and developing new interventions for heart failure patients for rehabilitation at home. For more information about research at the University of Exeter Medical School visit www.exeter.ac.uk/medicine
Childhood Obesity Prevention Programs: Comparative Effectivness of Interventions
 
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In this presentation we look at prevention of childhood obesity prevention approaches based upon a settings approach derived from a meta-analysis. Various settings explored include school-based, home-based, community-based, primary care-based, and combinations thereof using an evidence-based approach.
Views: 1814 Brian P. Mangum
DIABETES and MEDITATION
 
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This research was published in Behavioral Medicine: "A Mixed-Methods Pilot Study of the Acceptability and Effectiveness of a Brief Meditation and Mindfulness Intervention for People with Diabetes and Coronary Heart Disease" How meditation and mindfulness can affect people with diabetes mellitus and coronary heart disease??? Source http://www.sciencedaily.com/releases/2014/05/140529142313.htm Pictures http://www.google.co.jp/imgres?imgurl=http%3A%2F%2Fwww.tm.org%2Fblog%2Fwp-content%2Fuploads%2F2011%2F08%2FDiabetes.jpg&imgrefurl=http%3A%2F%2Fwww.tm.org%2Fblog%2Fresearch%2Fdiabetes%2F&h=160&w=160&tbnid=8kBCOZVd3Nf48M%3A&zoom=1&docid=MEIjRTxlOG0WDM&ei=qeCcU-n2C5D78QWi9YK4Ag&tbm=isch&iact=rc&uact=3&page=1&start=0&ndsp=20&ved=0CBwQMygBMAE https://www.google.co.jp/search?espv=2&tbm=isch&sa=1&q=meditation+diabetes&oq=meditation+diabetes&gs_l=img.3...1129625.1132401.5.1132522.11.0.11.0.0.0.0.0..0.0....0...1c.1.46.img..5.6.69.lqr3yd6-eq4&biw=1366&bih=595&dpr=1&cad=cbv&sei=qOCcU5qwLIeE8gWm3YKIBA#facrc=_&imgdii=_&imgrc=SH-TScNEgfKYgM%253A%3BsR5WQQFeKBfPFM%3Bhttp%253A%252F%252Fmedia-cache-ak0.pinimg.com%252F236x%252F4c%252F00%252Fd7%252F4c00d74eaa0f3de6aada329db34d37e2.jpg%3Bhttp%253A%252F%252Fwww.pinterest.com%252Fdiabetesabout%252Fliving-with-diabetes%252F%3B236%3B236
Views: 237 m tina
Diabetes Self Testing & Glucose Profiles
 
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Patient self testing is an important strategy in the management of diabetes. Self testing should be carried out by those using insulin, those using sulphonylureas and those that find it helpful as a management strategy. This short animation illustrates the benefits of self testing, including patients getting feedback on the effectiveness of the management of diabetes and allowing patients to plan their daily management interventions including food, exercise and medication.
Views: 3 Capability Group
Improving Diabetes Care and Outcomes on the South Side of Chicago
 
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http://alliancefordiabetes.org/ "Working to Improve Diabetes Care" - Alliance to Reduce Disparities in Diabetes The Merck Company Foundation supports an initiative working with community-based organizations across the United States to help improve the quality of care for people with diabetes, particularly in underserved communities. Chicago's South Side African-American neighborhoods have higher prevalence rates of diabetes (12%) compared to predominantly White (4%) and Mexican (6%) neighborhoods, as well as the city of Chicago overall (7%). About 28,000 African-Americans 18 years and older residing on the South Side of Chicago have diabetes and form the target population for this initiative. High rates of diabetes and complications from the disease are due in large part to socioeconomic challenges that make access to care and self-management difficult. Our project aims to reduce diabetes disparities in Chicago's South Side taking into account the region's marketplace, socioeconomic challenges, and history of racial mistrust. We propose to test the effectiveness of a collaborative model program implanted in six clinics in the South Side catchment area. The collaboration will involve the community, clinics and academia. This multi-factorial intervention incorporates culturally tailored patient activation, cultural competency and communication training for clinicians, clinic redesign with patient advocates, nurse care management, and enhanced community partnerships and resources. The intervention will also increase the number of persons with diabetes from underserved populations who access comprehensive care in safety net health centers through patient advocates and partnerships with community-based organizations. Our project will provide important information for other regions seeking to reduce racial / ethnic disparities in diabetes care and outcomes. Key elements include the integration of clinics and the community, recognition of the socioeconomic challenges of the South Side of Chicago as well as the formidable strengths in the community, examination of the economic ramifications of the intervention, and analysis of the implementation process. About The Merck Company Foundation The Merck Company Foundation is a U.S.-based, private charitable foundation. Established in 1957 by healthcare leader Merck, the Foundation is funded entirely by the company and is Merck's chief source of funding support to qualified non-profit, charitable organizations. Since its inception, The Merck Company Foundation has contributed more than $600 million to support important initiatives that address societal needs and are consistent with Merck's overall mission to help the world be well. For more information, visit http://www.merckcompanyfoundation.org
Views: 1785 cmcdumich
Cost Effective Diabetes treatment: Kerala's Discovery gets global recognition
 
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http://in.news.yahoo.com/kerala-doctors-win-global-recognition-cost-effective-telemedicine-075608010.html http://www.ncbi.nlm.nih.gov/pubmed/22734662
Heart Minute | CABG Cost-effective in Diabetic Patients
 
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CABG Cost-effective in Diabetic Patients
Interventions with potential to reduce sedentary time in adults: What's the evidence?
 
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Health Evidence hosted a 60 minute webinar examining the effectiveness of interventions which include a sedentary behaviour outcome measure in adults. Click here for access to the Slides for this webinar: https://www.slideshare.net/HealthEvidence/interventions-with-potential-to-reduce-sedentary-time-in-adults-whats-the-evidence Anne Martin, Postdoctoral Research Associate, Physical Activity for Health Research Centre, Institute for Sport, Physical Education and Health Sciences, University of Edinburgh, and Nanette Mutrie, Professor, Director of Physical Activity for Health Research Centre, Institute for Sport, Physical Education and Health Sciences, University of Edinburgh led the session and presented findings from their systematic review: Martin A., Fitzsimons C., Jepson R., Saunders D., van der Ploeg H.P., Teixeira P.J., et al. (2015). Interventions with potential to reduce sedentary time in adults: Systematic review and meta-analysis. British Journal of Sports Medicine, 0, 1-10. There is growing public health concern about the amount of time spent sedentary. Too much time spent in sedentary behaviours is linked with poor health, including higher cardiometabolic risk markers, type 2 diabetes and premature mortality. The primary aim of this review is to evaluate the effect of interventions which include a sedentary behaviour outcome measure in adults. 51 randomised trials (involving 18,480 participants over 18 years old) assessed the effects of interventions which included sedentary behaviour as an outcome measure in adults. There is strong evidence that it is possible to intervene to reduce sedentary behaviours in adults by 22 min/day. This webinar provided an overview of the effectiveness of interventions on sedentary behaviour in adults and explored implementation recommendations.
Views: 333 Health Evidence
THE BEST TIPS TO COMBAT DIABETES WITH NATURAL MEDICINE
 
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http://www.tiny.cc/Diabetes-Destroyer ← DISCOVER THE NATURAL TREATMENT FOR DIABETES SUCCESSFULLY TESTED MORE !!! If you suffer or suffer from diabetes and would like to try some natural treatment for diabetes, then you are in the right place, in this video we will show you a good number of options. There are numerous natural remedies to cure diabetes available today. And due to the good results produced by the use of these natural resources, increasingly more people are resorting to the help of these natural medicines. But Does it really work this natural medicine talk so much about? The best natural medicines for diabetes The use of conventional medicine (or use of drugs) has changed, and this is because that there are more people who find some kind of side effect. Treatments with natural medicines do not mean any threat to the health of a person with diabetes since they do not produce side effect some making sure your use without any kind of risk and its effectiveness has been tested by thousands of people who suffer from diabetes. Herbs are the most effective within the natural medicine to cure diabetes. For example the bitter Melon. One of the most commonly used to help cure diabetes. It is so effective, because it helps to lower high levels of sugar in the blood. The juice of this plant is used. And it really helps with treatment due to the natural compound that possesses similar to the insulin. The consumption of garlic and onion will also help to reduce the sugar in the blood. What the alil propil disulfuro (APDS) in garlic and Onion really helps. The APDS fights in the places in which insulin is inactivated in the liver, can also help release insulin in the body. A low dose of onion extract helps to reduce blood sugar. So it's definitely worth considering as a natural medicine for diabetes. Another herb that has proved to be useful and effective for this treatment is lhe leaf of cranberry. These leaves have been used for years by people with diabetes as a natural medicine. It contains a natural compound that is weaker than the insulin but much less toxic. This compound is known as myrtillin and only a single dose of the compound can give benefits up to a week. There are a number of natural remedies that you can use to help in your treatment for diabetes; And all are extremely effective and provided that they do not cause any problem of health definitely worth trying it. These have been the best tips to combat Diabetes with Natural Medicine. As you can see to treat diabetes is something that can be done without the use of drugs. treatment for diabetes treatments for diabetes treatment of diabetes Diabetes Cure the treatment of diabetes cure for diabetes treatments for diabetes treatment of dm cure diabetes remedy for diabetes remedy for diabetes remedies for diabetes treatment for diabetics diabetes remedies treatment of diabetes cure for diabetics cure diabetes remedy for diabetes Video: https://youtu.be/9ALaR6g3IBM
The Empowering Neurologist - David Perlmutter, MD, and Dr. Valter Longo
 
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There is clear scientific evidence that supports the idea that lifestyle interventions like caloric restriction, fasting, and a ketogenic support the health of positive gene pathways, enhance the production of endogenous stem cells, power up the brain, increase the production of antioxidants, and even reduce inflammation. But there is no doubt that implementing these ideas, in terms of creating a workable diet, may well prove challenging. Our guest today on The Empowering Neurologist is Valter Longo, PhD. Dr. Longo has created a new dietary approach that in many ways mimics the effectiveness of the more difficult approaches described above, but at the same time is much easier to implement. He calls this diet the Fasting-Mimicking Diet, or FMD, and it is described in great detail in his new, best-selling book, The Longevity Diet. Let me tell you a little bit about Dr. Longo. He is the Edna M. Jones Professor of Gerontology and Biological Sciences, and Director of the Longevity Institute at the University of Southern California – Davis School of Gerontology, Los Angeles. He is also a Senior Group Leader at the IFOM, the FIRC Institute of Molecular Oncology Foundation and holds four professorships across top EU academic centers. Dr. Longo’s studies focus on the fundamental mechanisms of aging in simple organisms, mice and humans. The Longo laboratory has identified several genetic pathways that regulate aging in simple organisms and reduce the incidence of multiple diseases in mice and humans. His laboratory also described both dietary and genetic interventions that could reverse the course of Diabetes and Alzheimer’s and protect cells and improve the treatment of cancer and other diseases in mammals. Dr. Longo’s most recent studies are on dietary interventions that can affect stem cell-based regeneration to promote longevity in mice and humans. The Longevity Institute in Los Angeles, directed by Dr. Longo, includes over 40 faculty members focused on topics ranging from regeneration to dietary interventions aimed at improving health and lifespan in the near future. Among the accolades received by Dr. Longo are the 2010 Nathan Shock Lecture Award from the National Institute on Aging (NIA/NIH) and the 2013 Vincent Cristofalo “Rising Star” Award in Aging Research from the American Federation for Aging Research (AFAR). Dr. Longo is recognized as a global leader in aging and nutrition. With more than 106 peer reviewed publications in journals like Science, Nature, Cell, JAMA, Circulation, Cancer Cell, Journal of Translational Medicine, etc. He is recognized by Time Magazine, with three features in less than two years, as Longevity Guru. He is one of the most recently featured scientists by global media and news feeds. Dr. Longo was born and raised in Genoa, Italy and received his undergraduate degree from the University of North Texas, where he majored in biochemistry with a minor in jazz performance. He received his Ph.D. in Biochemistry from the University of California, Los Angeles (UCLA) in 1997 and his postdoctoral training in the Neurobiology of Aging and Alzheimer’s Diseases at USC. He started his independent career in 2000 at the University of Southern California, School of Gerontology, one of the first and leading programs for aging research and education. Today we will explore Dr. Longo’s research that went in to his creation of the fasting mimicking diet. I think you will find this to be a fascinating interview. I would also mention that all of the proceeds from his book, The Longevity Diet, are donated to charities as well as his ongoing research. You can find Dr. Longo, and follow his research, on Facebook.
Views: 12562 DavidPerlmutterMD
Results of a Prostate Cancer/Vitamin D Trial: Effectiveness Safety Recommendations
 
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(Visit: http://www.uctv.tv/) Bruce W. Hollis, PhD, Medical University of South Carolina shares the results of a recent trial including identifying the vitamin D level needed to protect the prostate gland. Recorded on 12/09/2014. Series: "Vitamin D for Public Health - Integrating Sunshine, Supplements and Measurement for Optimal Health 2014" [Health and Medicine] [Show ID: 29079]
FREEDOM: PCI or CABG in Patients with Diabetes and Multivessel CAD
 
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CSWN talks with Steven P. Marso, MD, director of interventional cardiology of the University of Texas Southwestern Medical Center, about the results of the FREEDOM trial and use of PCI or CABG in patients with diabetes and multivessel CAD.This interview was conducted at TCT 2014 in Washington, DC.
Views: 639 CSWNews
How long does it take for a diabetic foot ulcer to heal ? | Best Health Channel
 
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It can also cause reduced or altered blood flow, which prevent injuries from healing. To an ineffective diabetic wound treatment plan, causing long term complications or amputation. These treatments are usually used for two to four weeks or until the ulcer begins healing again william jeffcoate, foot trials unit, department of diabetes and been established that analysis effectiveness routine care does not require approval by those ulcers long which patient was unaware. Diabetic ulcers treatment & management approach diabetes foot medlineplus medical encyclopedia. Wound healing is an innate mechanism of action that works reliably most the time. Foot ulcers harvard health treating foot diabetes self management diabetesselfmanagement url? Q webcache. Our patients often suffer from depression as they can't do what will ask how long the healing process take Treating foot ulcers diabetes self management. Diabetic foot problems & ulcers how to cure a diabetic ulcer youtube. Taking wound etiology and radius into account, the expected healing time can 18 treatment for diabetic foot ulcers pain varies depending on their causes. See what common diabetic foot problems cleveland clinic treats. Diabetes and wounds caring for foot sores skin webmd. 18 foot ulcers are common for diabetics as they often suffer from reduced sensation on the skin. Go to a hypothesisin patients with diabetic foot and pressure ulcers, early intervention biological therapy will either halt long arrow points human skin equivalent. Wound healing can be improved by taking these measures once a wound has manifested, it is critical to get the proper treatment plan in place as soon possible standard for diabetic foot ulcers typically combination of surgically however, this take long time and doesn't always work. Foot complications american diabetes association. Foot ulcers podantics podiatry adelaide. The efficacy and safety of natural honey on the healing foot diabetic problems aofas. Why a diabetic foot ulcer is life threatening 6 key factors in treating wound advanced tissue. Tcc ez casting system dramatically increases healing process of. Leg and foot ulcers in diabetic patients have three common underlying causes venous cover the ulcer give illusion that has healed, when it fact not. Diabetes, foot care and ulcersdiabetes, ulcers patient fofoot health determinants estimation of healing times in diabetic pain causes treatments healthline. It take weeks or even several months for foot ulcers to heal. Nerve damage is a long term effect and can even lead to loss of feeling in your feet. Diabetic foot ulcers wounds that do not heal or become infected. Foot ulcers harvard health. Chronic wounds such as diabetic and venous ulcers are also caused by a foot ulcer is major complication of diabetes mellitus, probably the component. Because minor to take care of the foot, you should do following 21 2011. Healing of diabetic foot ulcers and pressure with human why should i watch how long a wound takes to heal if have diabetes? . Treating foot ulcers diabetes self management. Ulcers take longer to heal if your blood sugar is high and can prevent further nerve damage relieve the pain you do have 14 diabetic foot ulcers, as shown in images below, occur a result of with ulceration, failure aggressively debride treat 17 read patient information from medlineplus diabetes ulcers. Be caused by illnesses or medical drugs used over a long period, for example steroids. Doctors use sea salt spray to treat diabetic foot ulcers 21 when you have diabetes, it's vital injuries right away. They sometimes require surgery however, in some people with diabetes the skin on feet does not heal so well foot ulcers can become worse and take a long time to if 1 day ago poor blood supply as normal is diabetic ulcer an open sore or wound that occurs approximately 15 percent of primary goal treatment obtain healing soon possibletaking pressure off area, called loading; Removing you are at high risk have do following determinants estimation times. Infections skin how long is recovery? . Ate of healing neuropathic ulcers the foot in diabetes and its harvard health. Twenty nine of 30 wounds that healed did so after a single application the hse. When a diabetic foot how does apligraf compare to other wound care products? . A key feature of wound healing is stepwise repair lost extracellular matrix 56 percent individuals with foot ulcers who do not have an amputations 13 the use natural honey in management chronic proved to be diabetic neuropathic ulcer 8 weeks time diabetes mellitus can cause serious problems. A practical manual of diabetic foot care google books resultprevention and treatment leg ulcers in diabetes mellitusdiabetic ulcer wikipedia. Foot ulcers are more common in diabetics and the elderly, can take from days to this is very important help healing place; Do give up smoking if don't sit or stand one position for a long time advised against this; Don't diabetes condition whi
Learn How to Reverse Diabetes Naturally - Pritikin
 
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If you're looking to learn how to reverse diabetes naturally, watch this video for doctor and nutritionist approved advice. Can you control diabetes? Reverse it? Absolutely. We can beat diabetes. The disease process associated with diabetes (which leads to heart attacks, strokes, and other crippling illnesses) can be slowed and even partially reversed by controlling blood glucose and other cardiovascular disease risk factors. For maximum effectiveness, blood glucose must be controlled at near normal levels throughout most of the day via loss of excess weight, particularly belly fat, as well as daily physical activity, and, if necessary, medications and insulin injections. Results of the Pritikin Program Research published on Type 2 diabetics coming to the Pritikin Longevity Center illustrate how profoundly beneficial early intervention can be. This study followed 243 people in the early stages of diabetes (not yet on medications). Within three weeks of coming to Pritikin, their fasting glucose fell on average from 160 to 124. Studies have also found that the Pritikin Program reduces fasting insulin by 25 to 40% . Research has found, too, that the Pritikin Program can actually reverse the Metabolic Syndrome. In 50% of adult Americans studied, the Pritikin Program reversed the clinical diagnosis of Metabolic Syndrome, and in just three weeks. In research following children with the Metabolic Syndrome, 100% no longer had the syndrome within two weeks of starting the Pritikin Program. Learn more about reversing diabetes naturally here: https://www.pritikin.com/your-health/health-benefits/diabetes.html.
Views: 281 PritikinCenter
What is the impact of taking expired insulin? - Dr. Mahesh DM
 
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The most important aspect of any drug is all drugs have what is called as the shelf life, which means their effectiveness is constant for a certain period of time, after which it will come down gradually. So what we usually see is the effect of insulin will be significantly reduced. Say for example if you take 5 units of insulin before its expiry, it will work for 5 units only. But of it is expired, you take 5 units it may be as effective as only one unit or even sometimes totally non effective also. The second aspect of any medicines is its preservatives that will be there. They have the ability to keep the insulin in a particular state that is in a liquid state for a longer period of time, beyond which the insulin may get precipitated. So your risk of developing some allergic reactions may go up and the insulin may totally not function at all. It is very important to understand this because the risk of taking an expired insulin is the sugars will usually go very high and in Type 1 diabetes where the insulin is a must, you are likely to get develop diabetic ketoacidosis, which is actually a very life threatening condition and needs hospital admission and ICU admission and sometimes even cause death as a complication. So never take expired insulin and when you buy, always look at the expiry of the insulin. Don’t buy any insulin that is likely to get expired in 15 days or 1 month because you need to understand how many days you will use insulin. So always preferably take insulin that is going to last for atleast 2 to 3 months whenever you see. So always look at the expiry date whenever you take any insulin and also for that matter any drug, always look at the expiry date.
Improving Diabetes Care and Outcomes on the South Side of Chicago
 
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http://alliancefordiabetes.org/ "Working to Improve Diabetes Care" - Alliance to Reduce Disparities in Diabetes The Merck Company Foundation supports an initiative working with community-based organizations across the United States to help improve the quality of care for people with diabetes, particularly in underserved communities. Chicago's South Side African-American neighborhoods have higher prevalence rates of diabetes (12%) compared to predominantly White (4%) and Mexican (6%) neighborhoods, as well as the city of Chicago overall (7%). About 28,000 African-Americans 18 years and older residing on the South Side of Chicago have diabetes and form the target population for this initiative. High rates of diabetes and complications from the disease are due in large part to socioeconomic challenges that make access to care and self-management difficult. Our project aims to reduce diabetes disparities in Chicago's South Side taking into account the region's marketplace, socioeconomic challenges, and history of racial mistrust. We propose to test the effectiveness of a collaborative model program implanted in six clinics in the South Side catchment area. The collaboration will involve the community, clinics and academia. This multi-factorial intervention incorporates culturally tailored patient activation, cultural competency and communication training for clinicians, clinic redesign with patient advocates, nurse care management, and enhanced community partnerships and resources. The intervention will also increase the number of persons with diabetes from underserved populations who access comprehensive care in safety net health centers through patient advocates and partnerships with community-based organizations. Our project will provide important information for other regions seeking to reduce racial / ethnic disparities in diabetes care and outcomes. Key elements include the integration of clinics and the community, recognition of the socioeconomic challenges of the South Side of Chicago as well as the formidable strengths in the community, examination of the economic ramifications of the intervention, and analysis of the implementation process. About The Merck Company Foundation The Merck Company Foundation is a U.S.-based, private charitable foundation. Established in 1957 by healthcare leader Merck, the Foundation is funded entirely by the company and is Merck's chief source of funding support to qualified non-profit, charitable organizations. Since its inception, The Merck Company Foundation has contributed more than $600 million to support important initiatives that address societal needs and are consistent with Merck's overall mission to help the world be well. For more information, visit http://www.merckcompanyfoundation.org
Views: 200 AllianceDiabetes
Exercise, cerebral blood flow and perceived exertion in type 2 diabetes.. - Prof. van Lieshout
 
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Invited Session at ECSS Vienna 2016 "Physical activity and brain vascular function" Exercise, cerebral blood flow and perceived exertion in type 2 diabetes patients Van Lieshout, J.J. Academic Medical Centre, University of Amsterdam, Netherlands & School of Life Sciences, University of Nottingham, United Kingdom Reduced exercise tolerance in type 2 diabetes mellitus (T2DM) patients is incompletely understood, and has been attributed to cardiac impairment and impaired muscle metabolism. Physical activity by T2DM patients markedly improves the impaired insulin action, but unfortunately these patients also perceive sustained aerobic exercise to be considerably more strenuous than healthy, non-diabetic people. This, in turn, sets a limit to the effectiveness of physical activity as a preventive life-style factor for this patient population. In this talk I will review ideas about the role of brain blood flow (BBF) control during exercise in their physiological limits of performance. When the brain is activated, as during exercise, an increment in BBF enhances cerebral oxygenation. The cerebral hyperperfusion in the early phase of exercise may be an important precaution because BBF declines in the later stages of exercise, mainly by the dominant negative effect of progressive hypocapnia on BBF. Brain function deteriorates when its oxygenation is reduced by more than 10% from the resting level. In contrast, skeletal muscles tolerate oxygen desaturation down to 10%. In healthy exercising subjects a progressive reduction in cerebral oxygenation precedes development of so-called central fatigue. Debate continues on whether the subsequent reduction in cerebral oxygenation in the later stages of exercise could play a role in the development of central fatigue with reduced motor drive to working muscles. A key focus of the lecture will be on how in T2DM an inability to increase cardiac output sufficiently may interfere with the normal increase in BBF in response to exercise with consequences for maintaining brain oxygenation.
Views: 210 ECSS .tv
The Role of Low-calorie Sweeteners in Diabetes
 
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What are the real causes of energy imbalance? Are low calorie sweeteners the answer? Comments from John Foreyt, Professor of Medicine and Director of the Behavioral Medicine Research Center, Baylor College of Medicine
Return from Chaos: Treating PTSD | Peter Tuerk | TEDxCharleston
 
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Peter Tuerk, the director of a VA PTSD program, introduces how we process experiences and trauma. Using examples from his research, he describes how it's possible to process memories and their associated meanings to overcome a traumatic incident. When active avoidance impedes natural recovery the most effective healing is facilitated through treatment designed to limit avoidance and to assist with the processing of relevant information. Peter Tuerk is the section chief of the PTSD Clinical Team at the VA in Charleston, South Carolina and Associate Professor of Psychiatry at the Medical University of South Carolina. His clinical research and training focuses on the treatment of combat-related PTSD in the areas of therapy effectiveness, treatment enhancement and dissemination, as well as telehealth and applied technologies. The author of 40 publications regarding the integration of technology into treatment, Dr. Tuerk has made numerous presentations, in the U.S. and internationally. What he has learned and developed through the VA, he has transformed to share with others. Dr. Tuerk founded the Japanese/U.S. Evidence-based Mental Health Response Initiative (JEMRI), a non-profit organization that supports the dissemination of effective PTSD treatment for people who have experienced natural disasters. youtube.com/user/PeterTuerksChannel This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at http://ted.com/tedx
Views: 101645 TEDx Talks
Big Data and CVD Benefits of Anti-Diabetes Medications
 
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Zachary Bloomgarden, MD; Robert Gabbay, MD, PhD, FACP; Silvio Inzucchi, MD; and Dennis P. Scanlon, PhD, reflect on results of the CVD-REAL study and discuss the usefulness of observational data in future diabetes/heart failure research.
Views: 196 AJMCtv
Teaching Intervention - Pt. 2
 
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A Teaching Intervention to Improve the Self-efficacy of Internationally Educated Nurses through the use of Computer Assisted Human Patient Simulation.
Chloe Thomas - Personalised Medicine and Resource Allocation Conference, Oxford
 
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Cost-Effective Allocation of Resources for Type-2 Diabetes Prevention between High-Risk Subgroups. Type-2 diabetes is a complex disease with multiple risk factors and health consequences. This talk presents a microsimulation model which has been developed to evaluate the effectiveness and cost-effectiveness of diabetes prevention interventions, both in the general population or in sub-groups at high risk of diabetes in the UK. The results have implications for the allocation of public health resources between different subgroups at risk of type-2 diabetes, and demonstrate the ability of the model to estimate the benefits of flexibly specified interventions for highly specific population subgroups.
Views: 6 CPM Oxford
PCI vs. CABG in Insulin and Non-insulin Treated Diabetics: Lessons from FREEDOM
 
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Michael E. Farkouh, MD, of the Peter Munk Cardiac Centre and director of the Heart and Stroke Lewar Centre at the University of Toronto, Canada, discusses a comparison of two treatments for multivessel CAD in individuals with diabetes. This interview was conducted at ESC 2014. Further reading: Dangas GD, Farkouh ME, et al. J Am Coll Cardiol. 2014;64: 1189-97. http://content.onlinejacc.org/article.aspx?articleID=1905458
Views: 245 CSWNews
Manage Diabetes With Easy To Follow Diet And Nutrition Tips
 
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Janvi Chitalia is a certified and one of the renowned nutritionist of Mumbai. In this video, she has given her expert advice on diet and proper nutrition for managing diabetes. She has mentioned specific diabetic foods that are beneficial for controlling blood sugar levels and certain foods to avoid by a person having diabetes. Diet for controlling sugar levels - 01:58 • Glycemic load and Glycemic index – 02:55 • Quality of Carbs - 03:37 How many months does it take to normalize sugar levels? - 05:58 Possibility of getting off of medication through a diet – 09:03 Foods a diabetic should avoid and foods a diabetic should eat - 10:45 Relation between weight and diabetes- Is weight management THE key to tackle diabetes?- 14:10 Nutrition guidelines for people with Hypoglycemia - 16:30 Home remedies and their effectiveness -18:20 Secondary complications of diabetes and the diet for it - 20:34 Interventions to normalize the process of insulin generation – 24:40 Guidelines for eating outside food - 27:58 Leave your valuable feedback and suggestions on topics you would like us to cover in the comments below! Thanks for watching :) Visit our website - https://thefitnesity.com/ Follow us on: Facebook - https://www.facebook.com/thefitnesity/ Instagram - https://www.instagram.com/thefitnesity/ Twitter - https://twitter.com/TheFitnesity LinkedIn - https://www.linkedin.com/in/the-fitnesity-25259115a/ Pinterest - https://in.pinterest.com/thefitnesity/
Views: 423 TheFitnesity.com
Role of Early Intervention in Preventing Progression to T2D
 
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Zachary T. Bloomgarden, MD, MACE, remarks on the prevalence of prediabetes, and discusses interventions that can help reduce the risk of progression to diabetes.
Views: 19 AJMCtv
Battling Obesity, Hunger and Diabetes
 
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For more information head to our website: http://www.valleycentral.com.
When Theory Meets Theology: Examining Assumptions of Faith-based and Faith-placed Interventions
 
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This presentation will illuminate and discuss assumptions associated with faith-oriented interventions that can be incommensurate with the theological and operational contexts of churches and other faith institutions. Faith settings are logical as potential venues for lifestyle change interventions related to weight management and diabetes control in black communities. Addressing these and other assumptions can lead to improvements in intervention effectiveness, uptake, and sustainability.
Impact of Using Health IT Interventions for Cancer Screening, Diabetes, and Childhood Illnesses
 
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This Web conference, held 7/31/14, reviewed the methodology, implementation, and evaluation of health IT interventions that affect preventive cancer screening rates, diabetes outcome measures, and utilization of telemedicine services for acute childhood illnesses. Third in a series of 4 Webinars designed to increase practitioners’ ability to improve health care decisionmaking, support patient-centered care, and improve the quality and safety of care through the use of health IT. Video also at: http://healthit.ahrq.gov/novelhealthitinterventionsteleconference
Views: 15 AHRQ Health IT
T2DM Guideline Series: Blood Glucose Control, Patient Education in Type 2 Diabetes
 
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A growing global epidemic of diabetes reflects a current incidence of 246 million people worldwide -- this is expected to affect 380 million by 2025. Every 10 seconds a person dies from diabetes-related causes, every 10 seconds two people develop diabetes. In Australia diabetes is the fastest growing chronic disease and ranks as the 6th most common cause of death. Type 2 diabetes is associated with reduced life expectancy and significant morbidity due to increased risk of microvascular and macrovascular complications which in turn impact on quality of life. Reduction of possible co-morbid conditions has been shown to be related to effective glycaemic control. Lifestyle modification and therapeutic interventions play a large role in improving blood glucose control in people with type 2 diabetes. Integral to this is effective patient education. All people with type 2 diabetes should be referred for structured diabetes patient education and cost effective strategies sought to implement this in a culturally appropriate manner. This program in a four part series on the new type 2 diabetes Guidelines, looks at two evidence based guidelines; Patient Education in Type 2 Diabetes and Blood Glucose Control in Type 2 Diabetes. The program discusses practice points and changes in goals for management related to these guidelines. Produced by the Rural Health Education Foundation http://www.rhef.com.au/
PRESENT Diabetes Speaks with Ronald Tamler, MD LIVE from the
 
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The PRESENT Diabetes team interviewed Ronald Tamler, MD, Mount Sinai Diabetes Research Leader LIVE from the 2007 ADA Scientific Sessions
Views: 792 Alan Sherman