Diagnosis and Management of Type 2 Diabetes Mellitus in Adults

Size: px
Start display at page:

Download "Diagnosis and Management of Type 2 Diabetes Mellitus in Adults"

Transcription

1 Study Selection Flowchart Study Selection Flowchart: Diagnosis and Management of Type 2 Diabetes Mellitus in Adults screened for retrieval (n=1,309) Excluded (n=842) (n=471) (n=123) Excluded (n=348) (n=143) (n=20) 1

2 Diagnosis and Management of Type 2 Diabetes Mellitus in Adults Recommendation #1.1 BMI and Associated Risk Factors screened for retrieval (n=65) Excluded (n=47) (n=18) (n=5) Excluded (n=13) (n=6) (n=1) 2

3 Diagnosis and Management of Type 2 Diabetes Mellitus in Adults Recommendation #1.2 Cardiovascular and Associated Risk Factors screened for retrieval (n=120) Excluded (n=87) (n=33) (n=6) Excluded (n=27) (n=8) (n=2) 3

4 Recommendation #1.3 Screening Diagnosis and Management of Type 2 Diabetes Mellitus in Adults screened for retrieval (n=234) Excluded (n=172) (n=62) (n=4) Excluded (n=58) (n=4) (n=0) 4

5 Diagnosis and Management of Type 2 Diabetes Mellitus in Adults Recommendation #1.4 Diagnostic Testing for T2DM and 1.5 Diagnosis of T2DM screened for retrieval (n=215) Excluded (n=158) (n=57) (n=6) Excluded (n=51) (n=7) (n=1) 5

6 Recommendation #4 Glycemic Control Diagnosis and Management of Type 2 Diabetes Mellitus in Adults screened for retrieval (n=82) Excluded (n=44) (n=38) (n=14) Excluded (n=24) (n=14) (n=0) 6

7 Recommendation #5.1 Glycemic Control Diagnosis and Management of Type 2 Diabetes Mellitus in Adults screened for retrieval (n=160) Excluded (n=94) (n=66) (n=10) Excluded (n=56) (n=11) (n=1) 7

8 Diagnosis and Management of Type 2 Diabetes Mellitus in Adults Recommendation #5.1 Nutrition Therapy, Sodium (Only searched for existing systematic reviews) screened for retrieval (n=8) Excluded (n=7) (n=3) (n=2) Excluded (n=1) (n=2) (n=0) 8

9 Diagnosis and Management of Type 2 Diabetes Mellitus in Adults Recommendation #5.1 Nutrition Therapy, Monitoring screened for retrieval (n=73) Excluded (n=41) (n=32) (n=9) Excluded (n=23) (n=9) (n=0) 9

10 Recommendation #5.2 Physical Activity Diagnosis and Management of Type 2 Diabetes Mellitus in Adults screened for retrieval (n=49) Excluded (n=27) (n=22) (n=10) Excluded (n=12) (n=13) (n=3) 10

11 Recommendation #5.3 Weight Management Diagnosis and Management of Type 2 Diabetes Mellitus in Adults screened for retrieval (n=41) Excluded (n=25) (n=18) (n=5) Excluded (n=13) (n=6) (n=1) 11

12 Recommendation #5.4 Bariatric Surgery Diagnosis and Management of Type 2 Diabetes Mellitus in Adults screened for retrieval (n=11) Excluded (n=2) (n=9) (n=9) Excluded (n=0) (n=9) (n=0) 12

13 Diagnosis and Management of Type 2 Diabetes Mellitus in Adults Recommendation #5.5 Self-Management and Education screened for retrieval (n=18) Excluded (n=4) (n=14) (n=11) Excluded (n=3) (n=15) (n=4) 13

14 Recommendation #6 Metformin Diagnosis and Management of Type 2 Diabetes Mellitus in Adults screened for retrieval (n=30) Excluded (n=17) (n=13) (n=5) Excluded (n=8) (n=6) (n=1) 14

15 Diagnosis and Management of Type 2 Diabetes Mellitus in Adults Recommendation #7.1 Antihypertensive Therapy screened for retrieval (n=79) Excluded (n=34) (n=45) (n=7) Excluded (n=38) (n=11) (n=4) 15

16 Diagnosis and Management of Type 2 Diabetes Mellitus in Adults Recommendation #7.2 Statin Therapy (High Risk) screened for retrieval (n=26) Excluded (n=19) (n=7) (n=3) Excluded (n=4) (n=4) (n=1) 16

17 Diagnosis and Management of Type 2 Diabetes Mellitus in Adults Recommendation #7.3 Statin Therapy (Moderate Risk) screened for retrieval (n=69) Excluded (n=52) (n=17) (n=8) Excluded (n=9) (n=9) (n=1) 17

18 Recommendation #7.4 Aspirin Therapy Diagnosis and Management of Type 2 Diabetes Mellitus in Adults screened for retrieval (n=29) Excluded (n=12) (n=17) (n=9) Excluded (n=8) (n=9) (n=0) 18

An Interprofessional Approach to Diabetes Management

An Interprofessional Approach to Diabetes Management Disclosures An Interprofessional Approach to Diabetes Management Principal in DiabetesReframed, LLC. Inventor of U.S. Provisional Patent Application No. 61/585,483 METHODS OF USING A DIABETES CROSS- DISCIPLINARY

More information

Baskets of Care Diabetes Subcommittee

Baskets of Care Diabetes Subcommittee Baskets of Care Diabetes Subcommittee Disclaimer: This background information is not intended to be a comprehensive scientific discussion of the topic, but rather an attempt to provide a baseline level

More information

Type 2 Diabetes workshop notes

Type 2 Diabetes workshop notes Group 1 notes Abi / Nicole Type 2 Diabetes workshop notes 4.1 Population The group discussed the following sub groups that may need addressing: Men-as they tend to die earlier compared with women, their

More information

Changing Systems Curriculum

Changing Systems Curriculum Step 1: Statement of Aim The Statement of Aim specifically indicates the goal of the quality improvement initiative. What is the specific Aim of the improvement project? What specifically is trying to

More information

3 WORKSHOP CONGIUNTO SICOb SID SIO 7 MARZO 2014 L integrazione tra terapia medica e chirurgica nel trattamento del paziente obeso diabetico

3 WORKSHOP CONGIUNTO SICOb SID SIO 7 MARZO 2014 L integrazione tra terapia medica e chirurgica nel trattamento del paziente obeso diabetico 3 WORKSHOP CONGIUNTO SICOb SID SIO 7 MARZO 2014 L integrazione tra terapia medica e chirurgica nel trattamento del paziente obeso diabetico Recidive del diabete dopo terapia chirurgica La quantificazione

More information

Treating Patients with PRE-DIABETES David Doriguzzi, PA-C First Valley Medical Group. Learning Objectives. Background. CAPA 2015 Annual Conference

Treating Patients with PRE-DIABETES David Doriguzzi, PA-C First Valley Medical Group. Learning Objectives. Background. CAPA 2015 Annual Conference Treating Patients with PRE-DIABETES David Doriguzzi, PA-C First Valley Medical Group Learning Objectives To accurately make the diagnosis of pre-diabetes/metabolic syndrome To understand the prevalence

More information

嘉 義 長 庚 醫 院 藥 劑 科 Speaker : 翁 玟 雯

嘉 義 長 庚 醫 院 藥 劑 科 Speaker : 翁 玟 雯 The Clinical Efficacy and Safety of Sodium Glucose Cotransporter-2 (SGLT2) Inhibitors in Adults with Type 2 Diabetes Mellitus 嘉 義 長 庚 醫 院 藥 劑 科 Speaker : 翁 玟 雯 Diabetes Mellitus : A group of diseases characterized

More information

Diabetic nephropathy is detected clinically by the presence of persistent microalbuminuria or proteinuria.

Diabetic nephropathy is detected clinically by the presence of persistent microalbuminuria or proteinuria. Kidney Complications Diabetic Nephropathy Diabetic nephropathy is detected clinically by the presence of persistent microalbuminuria or proteinuria. The peak incidence of nephropathy is usually 15-25 years

More information

Is surgery better? Jordan Kautz, MS IV A b atory are C erence, an 08 08 UNC-CH School of Medicine

Is surgery better? Jordan Kautz, MS IV A b atory are C erence, an 08 08 UNC-CH School of Medicine Is surgery better? Bariatric surgery versus medical management in type 2 diabetes mellitus Jordan Kautz, MS IV Ambulatory Care Conference, Jan 08 UNC-CH School of Medicine For the soon-to-be medical resident

More information

TYPE 2 DIABETES MELLITUS: NEW HOPE FOR PREVENTION. Robert Dobbins, M.D. Ph.D.

TYPE 2 DIABETES MELLITUS: NEW HOPE FOR PREVENTION. Robert Dobbins, M.D. Ph.D. TYPE 2 DIABETES MELLITUS: NEW HOPE FOR PREVENTION Robert Dobbins, M.D. Ph.D. Learning Objectives Recognize current trends in the prevalence of type 2 diabetes. Learn differences between type 1 and type

More information

Type 2 Diabetes and Prediabetes: A New Understanding of Cause and Treatment. Bruce Latham, M.D. Endocrine Specialists Greenville Health System

Type 2 Diabetes and Prediabetes: A New Understanding of Cause and Treatment. Bruce Latham, M.D. Endocrine Specialists Greenville Health System Type 2 Diabetes and Prediabetes: A New Understanding of Cause and Treatment Bruce Latham, M.D. Endocrine Specialists Greenville Health System Objectives for this presentation - Understand the thrifty genotype

More information

Secondary Stroke Prevention Luke Bradbury, MD 10/4/14 Fall WAPA Conferfence

Secondary Stroke Prevention Luke Bradbury, MD 10/4/14 Fall WAPA Conferfence Guidelines Secondary Stroke Prevention Luke Bradbury, MD 10/4/14 Fall WAPA Conferfence Stroke/TIA Nearly 700,000 ischemic strokes and 240,000 TIAs every year in the United States Currently, the risk for

More information

Effectiveness of quality improvement strategies on the management of diabetes: Systematic review

Effectiveness of quality improvement strategies on the management of diabetes: Systematic review Effectiveness of quality improvement strategies on the management of diabetes: Systematic review Noah Ivers MD, CCFP PhD Candidate, University of Toronto on behalf of the diabetes QI review team CAHSPR

More information

Adult Diabetes Clinician Guide

Adult Diabetes Clinician Guide Kaiser Permanente National CLINICAL PRACTICE GUIDELINES Adult Diabetes Clinician Guide Introduction JANUARY 2016 This evidence-based guideline summary is based on the 2016 National Diabetes Guideline.

More information

From chronic conditions to chronic diseases: a primary health care research agenda. Vikram Patel

From chronic conditions to chronic diseases: a primary health care research agenda. Vikram Patel From chronic conditions to chronic diseases: a primary health care research agenda Vikram Patel London School of Hygiene & Tropical Medicine Sangath, Goa, India Public Health Foundation of India 1 The

More information

Plan Type Incentive Mechanisms Recommended for: All plans

Plan Type Incentive Mechanisms Recommended for: All plans V-BID EXPANDED PLAN TEMPLATE This template provides recommendations for a comprehensive V-BID benefit plan design to be implemented by employers. It includes recommended core benefits (in yellow) to be

More information

Diabetes Mellitus 1. Chapter 43. Diabetes Mellitus, Self-Assessment Questions

Diabetes Mellitus 1. Chapter 43. Diabetes Mellitus, Self-Assessment Questions Diabetes Mellitus 1 Chapter 43. Diabetes Mellitus, Self-Assessment Questions 1. A 46-year-old man presents for his annual physical. He states that he has been going to the bathroom more frequently than

More information

Guidelines for the management of hypertension in patients with diabetes mellitus

Guidelines for the management of hypertension in patients with diabetes mellitus Guidelines for the management of hypertension in patients with diabetes mellitus Quick reference guide In the Eastern Mediterranean Region, there has been a rapid increase in the incidence of diabetes

More information

Explanation of care coordination payments as described in Section 223.000 of the PCMH provider manual

Explanation of care coordination payments as described in Section 223.000 of the PCMH provider manual Explanation of care coordination payments as described in Section 223.000 of the PCMH provider manual Determination of beneficiary risk Per beneficiary amounts Per beneficiary amounts 1 For the first year

More information

DISCLOSURES RISK ASSESSMENT. Stroke and Heart Disease -Is there a Link Beyond Risk Factors? Daniel Lackland, MD

DISCLOSURES RISK ASSESSMENT. Stroke and Heart Disease -Is there a Link Beyond Risk Factors? Daniel Lackland, MD STROKE AND HEART DISEASE IS THERE A LINK BEYOND RISK FACTORS? D AN IE L T. L AC K L AN D DISCLOSURES Member of NHLBI Risk Assessment Workgroup RISK ASSESSMENT Count major risk factors For patients with

More information

The Challenge of Preventing and Treating Diabesity Los Angeles University of Best Practices

The Challenge of Preventing and Treating Diabesity Los Angeles University of Best Practices The Challenge of Preventing and Treating Diabesity Los Angeles University of Best Practices The Right Care Initiative Long Beach Memorial Hospital July 26, 2013 Francine Ratner Kaufman, MD Distinguished

More information

Objectives. What Is Diabetes? 1/26/2015. Carbs & Meds & Meters, Oh My!: Diabetes in Pregnancy

Objectives. What Is Diabetes? 1/26/2015. Carbs & Meds & Meters, Oh My!: Diabetes in Pregnancy Carbs & Meds & Meters, Oh My!: Diabetes in Pregnancy Jan Tisdale RD, MPH, CDE Nutritionist / Certified Diabetes Educator UAB School of Medicine OB/GYN Maternal-Fetal Medicine 02/2015 Objectives Review

More information

Where can you find current best evidence?

Where can you find current best evidence? Where can you find current best evidence? Advances in the quest for access to high quality evidence, ready for clinical application. Brian Haynes McMaster University EBCP W/S June 2010 By the year 2020,

More information

The weight of the world.

The weight of the world. The weight of the world. SONY ANTHONY Obesity Derived from the Latin word obesus to devour Definition: having a very high amount of body fat in relation to lean body mass Classifications using Body Mass

More information

PCORI Methodology Standards: Academic Curriculum. 2016 Patient-Centered Outcomes Research Institute. All Rights Reserved.

PCORI Methodology Standards: Academic Curriculum. 2016 Patient-Centered Outcomes Research Institute. All Rights Reserved. PCORI Methodology Standards: Academic Curriculum 2016 Patient-Centered Outcomes Research Institute. All Rights Reserved. Module 9: Putting it All Together: Appraising a Systematic Review Category 11: Systematic

More information

CASE A1 Hypoglycemia in an Elderly T2DM Patient with Heart Failure

CASE A1 Hypoglycemia in an Elderly T2DM Patient with Heart Failure Hypoglycemia in an Elderly T2DM Patient with Heart Failure 1 I would like to introduce you to Sophie, an elderly patient with long-standing type 2 diabetes, who has a history of heart failure, a common

More information

TITLE: Diabetic Diets for Frail Elderly Long-Term Care Residents with Type II Diabetes Mellitus: A Review of Guidelines

TITLE: Diabetic Diets for Frail Elderly Long-Term Care Residents with Type II Diabetes Mellitus: A Review of Guidelines TITLE: Diabetic Diets for Frail Elderly Long-Term Care Residents with Type II Diabetes Mellitus: A Review of Guidelines DATE: 15 June 2015 CONTEXT AND POLICY ISSUES People with type 2 diabetes, also known

More information

Treatment for Severely Obese Patients

Treatment for Severely Obese Patients Treatment for Severely Obese Patients Associate Professor Jimmy So Senior Consultant Surgeon Director, Centre for Obesity Management and Surgery (COMS) National University Hospital Obesity Shortens Lives

More information

Table 1 Performance Measures. Quality Monitoring P4P Yr1 Yr2 Yr3. Specification Source. # Category Performance Measure

Table 1 Performance Measures. Quality Monitoring P4P Yr1 Yr2 Yr3. Specification Source. # Category Performance Measure Table 1 Performance Measures # Category Performance Measure 1 Behavioral Health Risk Assessment and Follow-up 1) Behavioral Screening/ Assessment within 60 days of enrollment New Enrollees who completed

More information

Personalized Therapy Algorithms for Type 2 Diabetes: A Phenotypization-based Approach

Personalized Therapy Algorithms for Type 2 Diabetes: A Phenotypization-based Approach Personalized Therapy Algorithms for Type 2 Diabetes: A Phenotypization-based Approach Riccardo Candido on behalf of the Personalized Therapy AMD Study Group Diabetes Canter A.S.S. 1 Triestina, Italy BACKGROUND

More information

Patients as Partners. Kidney Care in a Holistic Perspective

Patients as Partners. Kidney Care in a Holistic Perspective Patients as Partners Kidney Care in a Holistic Perspective All of me All the time All the way Holistic approach Prevention Detection Slowing of progression Replacement Rehabilitation Chronic Kidney Disease

More information

Inpatient Treatment of Diabetes

Inpatient Treatment of Diabetes Inpatient Treatment of Diabetes Alan J. Conrad, MD Medical Director Diabetes Services EVP, Physician Alignment Diabetes Symposium November 12, 2015 Objectives Explain Palomar Health goals for inpatient

More information

Quick Reference Guide

Quick Reference Guide 2013 Clinical Practice Guidelines Quick Reference Guide (Updated March 2016) 416569-16 guidelines.diabetes.ca diabetes.ca 1-800-BANTING (226-8464) Copyright 2016 Canadian Diabetes Association SCREENING

More information

Prevalence and Characteristics of Low Serum Testosterone Levels in Men with Type 2 Diabetes Mellitus Naïve to Injectable Therapy

Prevalence and Characteristics of Low Serum Testosterone Levels in Men with Type 2 Diabetes Mellitus Naïve to Injectable Therapy Prevalence and Characteristics of Low Serum Testosterone Levels in Men with Type 2 Diabetes Mellitus Naïve to Injectable Therapy International Society for Sexual Medicine 2014 Presenter: Felipe Borges

More information

Supplementary Online Content

Supplementary Online Content Supplementary Online Content Arterburn DE, Olsen MK, Smith VA, Livingston EH, Van Scoyoc L, Yancy WS, Jr. Association Between Bariatric Surgery and Long-Term Survival. JAMA. doi:10.1001/jama.2014.16968.

More information

2014 -- H 8166 S T A T E O F R H O D E I S L A N D

2014 -- H 8166 S T A T E O F R H O D E I S L A N D LC000 01 -- H 1 S T A T E O F R H O D E I S L A N D IN GENERAL ASSEMBLY JANUARY SESSION, A.D. 01 A N A C T RELATING TO INSURANCE - ACCIDENT AND SICKNESS INSURANCE POLICIES Introduced By: Representatives

More information

Updates to the Alberta Human Services Drug Benefit Supplement

Updates to the Alberta Human Services Drug Benefit Supplement Updates to the Alberta Human Services Drug Benefit Supplement Effective December 1, 2014 Inquiries should be directed to: Pharmacy Services Alberta Blue Cross 10009 108 Street NW Edmonton AB T5J 3C5 Telephone

More information

KIH Cardiac Rehabilitation Program

KIH Cardiac Rehabilitation Program KIH Cardiac Rehabilitation Program For any further information Contact: +92-51-2870361-3, 2271154 Feedback@kih.com.pk What is Cardiac Rehabilitation Cardiac rehabilitation describes all measures used to

More information

Gateway Health Medicare Assured RubySM (HMO SNP) $6,700 out-of-pocket limit for Medicare-covered services. No No No No. Days 1-6: $0 or $225 copay per

Gateway Health Medicare Assured RubySM (HMO SNP) $6,700 out-of-pocket limit for Medicare-covered services. No No No No. Days 1-6: $0 or $225 copay per Assured RubySM (HMO Premium $0 monthly plan $0 - $33.90 monthly plan Assured GoldSM (HMO $12.40 - $46.30 monthly plan $43.90 - $77.80 monthly plan In Network Maximum Out-of-Pocket $3,400 out-of-pocket

More information

807. USING DEFINED DAILY DOSES, PIVOT TABLES & CHARTS AS A MEANS OF MEASURING MEDICINE UTILISATION TRENDS

807. USING DEFINED DAILY DOSES, PIVOT TABLES & CHARTS AS A MEANS OF MEASURING MEDICINE UTILISATION TRENDS 807. USING DEFINED DAILY DOSES, PIVOT TABLES & CHARTS AS A MEANS OF MEASURING MEDICINE UTILISATION TRENDS Gunn, Brian Conroy; Suleiman, Batool Jaffer Directorate of Rational Use of Medicine, Ministry of

More information

TYPE 2 DIABETES IN CHILDREN DIAGNOSIS AND THERAPY. Ines Guttmann- Bauman MD Clinical Associate Professor, Division of Pediatric Endocrinology, OHSU

TYPE 2 DIABETES IN CHILDREN DIAGNOSIS AND THERAPY. Ines Guttmann- Bauman MD Clinical Associate Professor, Division of Pediatric Endocrinology, OHSU TYPE 2 DIABETES IN CHILDREN DIAGNOSIS AND THERAPY Ines Guttmann- Bauman MD Clinical Associate Professor, Division of Pediatric Endocrinology, OHSU Objectives: 1. To discuss epidemiology and presentation

More information

University of Warwick institutional repository: http://go.warwick.ac.uk/wrap

University of Warwick institutional repository: http://go.warwick.ac.uk/wrap University of Warwick institutional repository: http://go.warwick.ac.uk/wrap This paper is made available online in accordance with publisher policies. Please scroll down to view the document itself. Please

More information

DIABETES MELLITUS GUIDELINES

DIABETES MELLITUS GUIDELINES DIABETES MELLITUS GUIDELINES Virginia Premier Health Plan Virginia Premier Health Plan, Clinical Practice Guideline-Diabetes 1. Population screening a. Indications i. Adults of any age with body mass index

More information

The Canadian Diabetes Association s 2013 Clinical Practice Guidelines and the Pharmacist Rob Roscoe, B.Sc.Pharm., ACPR, CDE, CPT

The Canadian Diabetes Association s 2013 Clinical Practice Guidelines and the Pharmacist Rob Roscoe, B.Sc.Pharm., ACPR, CDE, CPT Welcome! Thank you for joining the webinar: The Canadian Diabetes Association s 2013 Clinical Practice Guidelines and the Pharmacist Rob Roscoe, B.Sc.Pharm., ACPR, CDE, CPT The webinar will begin shortly.

More information

Double Diabetes: Definition, Diagnosis, Treatment, Prediction and Prevention.

Double Diabetes: Definition, Diagnosis, Treatment, Prediction and Prevention. Double Diabetes: Definition, Diagnosis, Treatment, Prediction and Prevention. Professor Paolo Pozzilli University Campus Bio-Medico, Rome Institute of Cell & Molecular Science, Queen Mary, University of

More information

Statins and Risk for Diabetes Mellitus. Background

Statins and Risk for Diabetes Mellitus. Background Statins and Risk for Diabetes Mellitus Kevin C. Maki, PhD, FNLA Midwest Center for Metabolic & Cardiovascular Research and DePaul University, Chicago, IL 1 Background In 2012 the US Food and Drug Administration

More information

Student pharmacists level of confidence in providing DSME prior to entering P4 rotations

Student pharmacists level of confidence in providing DSME prior to entering P4 rotations Student pharmacists level of confidence in providing DSME prior to entering P4 rotations Meredith Tate, PharmD Candidate 2016; Kristi Kelley, PharmD, FCCP, BCPS, CDE, BC-ADM Auburn University Harrison

More information

Bariatric Surgery. OHTAC Recommendation. Bariatric Surgery

Bariatric Surgery. OHTAC Recommendation. Bariatric Surgery OHTAC Recommendation Bariatric Surgery January 21, 2005 1 The Ontario Health Technology Advisory Committee (OHTAC) met on January 21, 2005 and reviewed bariatric surgery for morbid obesity. Obesity is

More information

Subject Index. Bariatric surgery, obesity management 134

Subject Index. Bariatric surgery, obesity management 134 Subject Index Acromegaly, PCOS differential diagnosis 149, 150, 154, 155 Adipokines, see specific adipokines Adiponectin, metabolic syndrome role 41 43 Adolescents, PCOS diagnosis 16, 17 Adrenal hyperplasia,

More information

Understanding diabetes Do the recent trials help?

Understanding diabetes Do the recent trials help? Understanding diabetes Do the recent trials help? Dr Geoffrey Robb Consultant Physician and Diabetologist CMO RGA UK Services and Partnership Assurance AMUS 25 th March 2010 The security of experience.

More information

Metabolic Syndrome Overview: Easy Living, Bitter Harvest. Sabrina Gill MD MPH FRCPC Caroline Stigant MD FRCPC BC Nephrology Days, October 2007

Metabolic Syndrome Overview: Easy Living, Bitter Harvest. Sabrina Gill MD MPH FRCPC Caroline Stigant MD FRCPC BC Nephrology Days, October 2007 Metabolic Syndrome Overview: Easy Living, Bitter Harvest Sabrina Gill MD MPH FRCPC Caroline Stigant MD FRCPC BC Nephrology Days, October 2007 Evolution of Metabolic Syndrome 1923: Kylin describes clustering

More information

Hypertension and Diabetes Status. 2011 Bangladesh Demographic and Health Survey

Hypertension and Diabetes Status. 2011 Bangladesh Demographic and Health Survey Hypertension and Diabetes Status 2011 Bangladesh Demographic and Health Survey Methodology and Sampling Total 18,000 households were selected nationwide (207 in urban and 393 in rural areas) One-third

More information

The first endoscopically-delivered device therapy for obese patients with type 2 diabetes

The first endoscopically-delivered device therapy for obese patients with type 2 diabetes DIABETES WEIGHT ENDOBARRIER THERAPY The first endoscopically-delivered device therapy for obese patients with type 2 diabetes Restore the metabolic health of your patients with EndoBarrier Therapy. Dual

More information

Changes in the Evaluation and Treatment of Sleep Apnea

Changes in the Evaluation and Treatment of Sleep Apnea Changes in the Evaluation and Treatment of Sleep Apnea Joseph DellaValla, MD FACP Medical Director Center for Sleep Medicine At Androscoggin Valley Hospital Sleep Related Breathing Problems Obstructive

More information

The Link Between Obesity and Diabetes The Rapid Evolution and Positive Results of Bariatric Surgery

The Link Between Obesity and Diabetes The Rapid Evolution and Positive Results of Bariatric Surgery The Link Between Obesity and Diabetes The Rapid Evolution and Positive Results of Bariatric Surgery Michael E. Farkouh, MD, MSc Peter Munk Chair in Multinational Clinical Trials Director, Heart and Stroke

More information

Excellence in Care: Diabetes and Pregnancy

Excellence in Care: Diabetes and Pregnancy Excellence in Care: Diabetes and Pregnancy Laura Abbey RN, BSN, MA, CDE INDEPENDENT STUDY Health Professions Institute for Continuing Education Austin Community College The Austin Community College Health

More information

Type 2 diabetes and prostate cancer risk: a population-based case-control study in Montreal, Canada

Type 2 diabetes and prostate cancer risk: a population-based case-control study in Montreal, Canada Type 2 diabetes and prostate cancer risk: a population-based case-control study in Montreal, Canada Audrey Blanc-Lapierre, Pierre I. Karakiewicz, Armen Aprikian, Fred Saad, Marie-Élise Parent June 2 nd

More information

PHYSICIAN ORDERS TRANSIENT ISCHEMIC ATTACK (TIA) OBSERVATION

PHYSICIAN ORDERS TRANSIENT ISCHEMIC ATTACK (TIA) OBSERVATION SCREENING- ABCD-2 Score The ABCD2 score is a risk assessment tool designed to improve the prediction of short-term stroke risk after a transient ischemic attack (TIA). Higher ABCD2 scores are associated

More information

Chronic diseases in low and middle income countries: more research or more action? Shah Ebrahim London School of Hygiene & Tropical Medicine

Chronic diseases in low and middle income countries: more research or more action? Shah Ebrahim London School of Hygiene & Tropical Medicine Chronic diseases in low and middle income countries: more research or more action? Shah Ebrahim London School of Hygiene & Tropical Medicine More action needed Overview Growing burden of chronic diseases

More information

Cardiovascular Risk in Diabetes

Cardiovascular Risk in Diabetes Cardiovascular Risk in Diabetes Lipids Hypercholesterolaemia is an important reversible risk factor for cardiovascular disease and should be tackled aggressively in all diabetic patients. In Type 1 patients,

More information

Trends in Prescribing of Drugs for Type 2 Diabetes in General Practice in England (Chart 1) Other intermediate and long-acting insulins

Trends in Prescribing of Drugs for Type 2 Diabetes in General Practice in England (Chart 1) Other intermediate and long-acting insulins Type 2 Diabetes Type 2 diabetes is the most common form of diabetes, accounting for 90 95% of cases. 1 Charts 1 and 2 reflect the effect of increasing prevalence on prescribing and costs of products used

More information

Medical Policy An independent licensee of the Blue Cross Blue Shield Association

Medical Policy An independent licensee of the Blue Cross Blue Shield Association Afrezza Page 1 of 6 Medical Policy An independent licensee of the Blue Cross Blue Shield Association Title: Afrezza (human insulin) Prime Therapeutics will review Prior Authorization requests Prior Authorization

More information

Preservation and Incorporation of Valuable Endoscopic Innovations (PIVI)

Preservation and Incorporation of Valuable Endoscopic Innovations (PIVI) Preservation and Incorporation of Valuable Endoscopic Innovations (PIVI) The American Society for Gastrointestinal Endoscopy PIVI on Endoscopic Bariatric Procedures (short form) Please see related White

More information

When and how to start insulin: strategies for success in type 2 diabetes

When and how to start insulin: strategies for success in type 2 diabetes 1 When and how to start insulin: strategies for success in type diabetes Treatment of type diabetes in 199: with each step treatment gets more complex Bruce H.R. Wolffenbuttel, MD PhD Professor of Endocrinology

More information

ADVANCE: a factorial randomised trial of blood pressure lowering and intensive glucose control in 11,140 patients with type 2 diabetes

ADVANCE: a factorial randomised trial of blood pressure lowering and intensive glucose control in 11,140 patients with type 2 diabetes ADVANCE: a factorial randomised trial of blood pressure lowering and intensive glucose control in 11,140 patients with type 2 diabetes Effects of a fixed combination of the ACE inhibitor, perindopril,

More information

8.301 Residential Treatment Services (RTS) Eating Disorders (Adult and Adolescent)

8.301 Residential Treatment Services (RTS) Eating Disorders (Adult and Adolescent) 8.30 RESIDENTIAL TREATMENT CENTER SERVICES 8.301 Residential Treatment Services (RTS) Eating Disorders (Adult and Adolescent) Description of Services: Residential Treatment Services are provided to individuals

More information

8.401 Eating Disorder Partial Hospitalization Program (Adult and Adolescent)

8.401 Eating Disorder Partial Hospitalization Program (Adult and Adolescent) 8.40 STRUCTURED DAY TREATMENT SERVICES 8.401 Eating Disorder Partial Hospitalization Program (Adult and Adolescent) Description of Services: Eating Disorder partial hospitalization is a nonresidential

More information

Add: 2 nd generation sulfonylurea or glinide or Add DPP-4 inhibitor Start or intensify insulin therapy if HbA1c goals not achieved with the above

Add: 2 nd generation sulfonylurea or glinide or Add DPP-4 inhibitor Start or intensify insulin therapy if HbA1c goals not achieved with the above Guidelines for Type Diabetes - Diagnosis Fasting Plasma Glucose (confirm results if borderline) HbAIC Normal FPG < 00 < 5.5 Impaired Fasting Glucose (IFG) 00 to < 5.7%-.5% Diabetes Mellitus (or random

More information

How To Treat Dyslipidemia

How To Treat Dyslipidemia An International Atherosclerosis Society Position Paper: Global Recommendations for the Management of Dyslipidemia Introduction Executive Summary The International Atherosclerosis Society (IAS) here updates

More information

INTERNET MARKETING FOR WEIGHT LOSS SURGERY

INTERNET MARKETING FOR WEIGHT LOSS SURGERY INTERNET MARKETING FOR WEIGHT LOSS SURGERY Hsin-Chih Kuo, I-Shou University, No. 8, Yida Rd., Yanchao Township, Kaohsiung County 824, Taiwan, R.O.C. 886-7-6151100 ext.7411 e-mail: simon@isu.edu.tw Chi-Hsing

More information

Diabetes in Primary Care course MCQ Answers 2016

Diabetes in Primary Care course MCQ Answers 2016 Diabetes in Primary Care course MCQ Answers 2016 Diagnosis of Diabetes HbA1C should not be used as a diagnostic tool in the following situations: (answer each TRUE or FALSE) 1. Gestational Diabetes TRUE

More information

**Medicare and Medicaid have other Billing Codes and different eligibility. Please contact our office for more information. Thank you!

**Medicare and Medicaid have other Billing Codes and different eligibility. Please contact our office for more information. Thank you! Checking Your Insurance Benefits IMPORTANT Please check your insurance coverage prior to any Nutrition or Diabetes Education appointment. You will be responsible for any services that are not covered.

More information

Alternative Benefit Plan (ABP) ABP Cost-Sharing & Comparison to Standard Medicaid Services

Alternative Benefit Plan (ABP) ABP Cost-Sharing & Comparison to Standard Medicaid Services Alternative Benefit Plan (ABP) ABP Cost-Sharing & Comparison to Standard Medicaid Services Most adults who qualify for the Medicaid category known as the Other Adult Group receive services under the New

More information

The Arguments: T2DM - tremendous economic burden globally Lifestyle / Pharm Rx:

The Arguments: T2DM - tremendous economic burden globally Lifestyle / Pharm Rx: James Cromie The Arguments: T2DM - tremendous economic burden globally Lifestyle / Pharm Rx: INEFFECTIVE and UNSUSTAINED Bariatric surgery is an Effective and Durable treatment option Well established

More information

Algorithms for Glycemic Management of Type 2 Diabetes

Algorithms for Glycemic Management of Type 2 Diabetes KENTUCKY DIABETES NETWORK, INC. Algorithms for Glycemic Management of Type 2 Diabetes The Diabetes Care Algorithms for Type 2 Diabetes included within this document are taken from the American Association

More information

Diabetes: When To Treat With Insulin and Treatment Goals

Diabetes: When To Treat With Insulin and Treatment Goals Diabetes: When To Treat With Insulin and Treatment Goals Lanita. S. White, Pharm.D. Director, UAMS 12 th Street Health and Wellness Center Assistant Professor of Pharmacy Practice, UAMS College of Pharmacy

More information

CT FEATURE. By Valerie Barnes, Vincent F. Carr, Kareem Karara, James C. Welch and Crosby Amoah

CT FEATURE. By Valerie Barnes, Vincent F. Carr, Kareem Karara, James C. Welch and Crosby Amoah Barnes:Layout 1 10/17/2013 10:24 AM Page 45 CT FEATURE By Valerie Barnes, Vincent F. Carr, Kareem Karara, James C. Welch and Crosby Amoah D iabetes is a national epidemic that has a profound impact on

More information

Polycystic Ovary Syndrome

Polycystic Ovary Syndrome Polycystic Ovary Syndrome Polycystic ovary syndrome (PCOS) is a disorder that affects as many as 5 10% of women. PCOS has three key features: 1) high levels of hormones called androgens; 2) irregular menstrual

More information

Weight-Loss Surgery. Regain your quality of life.

Weight-Loss Surgery. Regain your quality of life. Weight-Loss Surgery Regain your quality of life. If you are struggling with obesity consider weight-loss surgery at Aiken Regional. For the more than 10 million severely overweight people in the United

More information

2016 PQRS OPTIONS FOR INDIVIDUAL MEASURES: CLAIMS, REGISTRY

2016 PQRS OPTIONS FOR INDIVIDUAL MEASURES: CLAIMS, REGISTRY Measure #326 (NQF 1525): Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy National Quality Strategy Domain: Effective Clinical Care 2016 PQRS OPTIONS FOR INDIVIDUAL MEASURES: CLAIMS,

More information

People centred research for people centred health system: translating preventive evidence into practice

People centred research for people centred health system: translating preventive evidence into practice People centred research for people centred health system: translating preventive evidence into practice Mark Harris, UNSW Outline Using three examples from our own work: An approach to working with practitioners

More information

Overview. Provider Qualifications

Overview. Provider Qualifications Overview Diabetes self management training (DSMT) is a collaborative process through which patients with diabetes gain knowledge and skills needed to modify behavior and successfully manage the disease

More information

Safety and efficacy of bariatric surgery in obese patients with CKD: the London Renal Obesity Network (LonRON) experience

Safety and efficacy of bariatric surgery in obese patients with CKD: the London Renal Obesity Network (LonRON) experience Safety and efficacy of bariatric surgery in obese patients with CKD: the London Renal Obesity Network (LonRON) experience Helen L MacLaughlin, Iain C Macdougall, Ahmed Ahmed, Ameet G Patel, Avril Chang,

More information

DIABETES MELLITUS TYPE 2 PROTOCOL CELLO

DIABETES MELLITUS TYPE 2 PROTOCOL CELLO DIABETES MELLITUS TYPE 2 PROTOCOL CELLO Leiden November 2010 Mw. M. van Mierlo, practice nurse Mw. C. Gieskes, diabetes nurse 1 Contents Introduction 1. Way of working at CELLO for patients with Diabetes

More information

Medicare s Preventive Care Services. Manage Your Chronic Kidney Disease (CKD stages 3-4) with Diet

Medicare s Preventive Care Services. Manage Your Chronic Kidney Disease (CKD stages 3-4) with Diet s Preventive Care Services Manage Your Chronic Kidney Disease (CKD stages 3-4) with Diet What do the kidneys do? Your kidneys have important jobs to do in your body. Two of the kidneys most important jobs

More information

Contractor Information. LCD Information. Local Coverage Determination (LCD): HbA1c (L32939) Contract Number 11202

Contractor Information. LCD Information. Local Coverage Determination (LCD): HbA1c (L32939) Contract Number 11202 Local Coverage Determination (LCD): HbA1c (L32939) Contractor Information Contractor Name Palmetto GBA opens in new window Contract Number 11202 Contract Type MAC - Part B LCD Information Document Information

More information

Diabetic Nephropathy

Diabetic Nephropathy Diabetic Nephropathy Kidney disease is common in people affected by diabetes mellitus Definition Urinary albumin excretion of more than 300mg in a 24 hour collection or macroalbuminuria Abnormal renal

More information

Rx Updates New Guidelines, New Medications What You Need to Know

Rx Updates New Guidelines, New Medications What You Need to Know Rx Updates New Guidelines, New Medications What You Need to Know Maria Pruchnicki, PharmD, BCPS, BCACP, CLS Associate Professor of Clinical Pharmacy OSU College of Pharmacy Background scope and impact

More information

4. Does your PCT provide structured education programmes for people with type 2 diabetes?

4. Does your PCT provide structured education programmes for people with type 2 diabetes? PCT Prescribing Report Drugs used in Type 2 Diabetes Discussion Points 1. Does your PCT have a strategy for prevention of type 2 diabetes? Does your PCT provide the sort of intensive multifactorial lifestyle

More information

Healthy Living with Diabetes. Diabetes Disease Management Program

Healthy Living with Diabetes. Diabetes Disease Management Program Healthy Living with Diabetes Diabetes Disease Management Program Healthy Living With Diabetes Diabetes Disease Management Program Background According to recent reports the incidence of diabetes (type

More information

Harmony Clinical Trial Medical Media Factsheet

Harmony Clinical Trial Medical Media Factsheet Overview Harmony is the global Phase III clinical trial program for Tanzeum (albiglutide), a product developed by GSK for the treatment of type 2 diabetes. The comprehensive program comprised eight individual

More information

PLAN DESIGN AND BENEFITS PROVIDED BY AETNA HEALTH INC

PLAN DESIGN AND BENEFITS PROVIDED BY AETNA HEALTH INC PLAN FEATURES Deductible (per calendar year) $0 Deductible Unless otherwise indicated, the Deductible must be met prior to benefits being payable. Deductible is NOT applicable to Hearing Aid Reimbursement,

More information

2013 ACO Quality Measures

2013 ACO Quality Measures ACO 1-7 Patient Satisfaction Survey Consumer Assessment of HealthCare Providers Survey (CAHPS) 1. Getting Timely Care, Appointments, Information 2. How well Your Providers Communicate 3. Patient Rating

More information

CARE COORDINATION IN PATIENTS WITH TYPE 2 DIABETES

CARE COORDINATION IN PATIENTS WITH TYPE 2 DIABETES CARE COORDINATION IN PATIENTS WITH TYPE 2 DIABETES An Overview for Healthcare Providers INTRODUCTION As you may know, patient-centered care and care coordination of patients with complex conditions have

More information

Diabetes Care 27:1535 1540, 2004. complications. Therefore, the level of cumulative

Diabetes Care 27:1535 1540, 2004. complications. Therefore, the level of cumulative Clinical Care/Education/Nutrition O R I G I N A L A R T I C L E The Burden of Treatment Failure in Type 2 Diabetes JONATHAN B. BROWN, PHD, MPP 1 GREGORY A. NICHOLS, PHD 1 ANDREW PERRY, MA HONS, MSC 2 OBJECTIVE

More information

Management of Diabetes in the Elderly. Sylvia Shamanna Internal Medicine (R1)

Management of Diabetes in the Elderly. Sylvia Shamanna Internal Medicine (R1) Management of Diabetes in the Elderly Sylvia Shamanna Internal Medicine (R1) Case 74 year old female with frontal temporal lobe dementia admitted for prolonged delirium and frequent falls (usually in the

More information

Hypertension Guideline V4

Hypertension Guideline V4 Hypertension Guideline V4 Approved 24/06/2008 Version VERSION 4 FINAL Date of First Issue 26/02/08 Review Date 01/03/2010 Date of Issue 24/06/2008 EQIA Yes / No 24/06/2008 Author / Contact Dr Leslie Cruickshank

More information

Vascular Risk Reduction: Addressing Vascular Risk

Vascular Risk Reduction: Addressing Vascular Risk Vascular Risk Reduction: Addressing Vascular Risk Vascular Risk Reduction (VRR) Welcome! Presentation & Activities Focus: Managing known risk factors for vascular disease. Engage, collaborate and have

More information

UCSF Kidney Transplant Symposium 2012

UCSF Kidney Transplant Symposium 2012 UCSF Kidney Transplant Symposium 2012 Nutrition Fitness in Kidney Transplant Mary Ellen DiPaola, RD, CDE UCSF Outpatient Dietitian Goal of Nutrition Fitness for Transplant Nutritional guidance of pre-

More information

abcdefghijklmnopqrstu

abcdefghijklmnopqrstu The Quality Unit Planning and Quality Division E: sara.davies@scotland.gsi.gov.uk Heather.knox@nhs.net T: 0131-244 2287 abcdefghijklmnopqrstu NHSScotland Board Chief Executives NHSScotland Board Medical

More information