A study just published by VSP® Vision Care, a 56 million-member non-profit vision benefits and services company, reports that VSP has saved its clients $4.5 billion in potential healthcare expenditures via early detection of chronic eye diseases.
The rate of foot and leg amputations among people with diabetes fell by as much as 36 percent in one four-year period, according to a study of patients at Veterans Affairs clinics. Taking patients' age and sex into account, amputations-major and minor-dropped from about seven per 1,000 patients in 2000 to between four and five per 1,000 by 2004. The latter figure is a reduction of around 36 percent, with the biggest decrease coming in above-the-knee amputations.
British researchers say that testosterone replacement therapy for type 2 men with low testosterone levels could reduce their death rate significantly. Over the course of a six-year study by the University of Sheffield, only 8.6 percent of low-testosterone subjects who were given replacement therapy died, compared to 20 percent of low-testosterone subjects who did not receive the therapy.
Over 80 years ago, famed diabetologist Elliot Joslin said about the treatment of patients with type 1 diabetes: "Ketoacidosis may kill a patient, but frequent hypoglycemic reactions will ruin him." Unfortunately, hypoglycemia continues to be the most difficult problem facing most patients, families, and caregivers who deal with the management of type 1 diabetes on a daily basis. Frequent hypoglycemia episodes not only can "ruin," or adversely impact the quality of life for patients, but also, when severe, can cause seizures, coma, and even death.
More than 60 percent of adults with type 1 diabetes are not physically active, according to a study in the November 2008 issue of Diabetes Care. Their reason is fear that exercise will bring on hypoglycemia, leading to such severe consequences as loss of consciousness or even death.
In its ongoing Health and Nutrition Strategist™ syndicated study, Decision Analyst recently asked 9,265 respondents about various health and lifestyle issues. Among respondents 20 and older, 9.6 percent said they had diabetes. Among all ages, about 23.6 million Americans have diabetes, according to the National Diabetes Information Clearinghouse.
Results from a Harris survey commissioned by the American Association of Diabetes Educators (AADE) show that people with diabetes who must take insulin often struggle with dread and negative impacts on their lives because of it. But more than half of them—52 percent—are reluctant to share their concerns with their healthcare providers.
July 27, 2008 marked the eighth full month that my son has not used insulin. His last A1c was 5.9%, on July 9, 2008. On August 14th of this year, it will be one year since he was originally diagnosed with type 1. As you know, he was taken off insulin on November 27, 2007, about a month after getting the experimental drug teplizumab. I don't know if it is the drug or not, but others have taken it with good results. It will be interesting to see if they ever get the drug approved and can use it quickly on newly diagnosed type 1s.
Researchers at three centers in the United Kingdom have been successful in demonstrating that using an insulin pump helps to control blood sugar and A1c levels, and can assist in preventing serious diabetes complications in a variety of patients-from long-term type 1s with erratic control to children and pregnant women.
A study published in the December 1998 issue of the Canadian Journal of Diabetes Care says that regular exercise is an important component of the treatment regimen for all people with diabetes. Gayle Lorenzi, RN, CDE, who conducted the study at the University of California, San Diego, says that exercise, when combined with dietary management and drug therapy, generally contributes to improved blood glucose control, as well as decreased cardiac risk, blood pressure control, lipid profiles and psychological well-being. Oftentimes, however, initiating an exercise program is a tough sell for most diabetes physicians and educators. The decision to start an exercise program requires motivation to get started, and then a commitment to maintaining the program.
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