348-OR: Impact of Endocrinology ECHO on Utilization in Medicaid Patients with Complex Diabetes

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 348-OR
Author(s):  
SAUL BLECKER ◽  
EMILY LEMIEUX ◽  
MAGGIE PAUL ◽  
CAROLYN BERRY ◽  
MATTHEW F. BOUCHONVILLE ◽  
...  
Keyword(s):  
Complex Diabetes

scholarly journals Cognitive Impairment in People with Diabetes-Related Foot Ulceration

2021 ◽  
Vol 10 (13) ◽  
pp. 2808
Author(s):  
Ranita Siru ◽  
Melanie S. Burkhardt ◽  
Wendy A. Davis ◽  
Jonathan Hiew ◽  
Laurens Manning ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Cognitive Impairment ◽  
Sex Education ◽  
Foot Ulcer ◽  
Screening Tests ◽  
Community Settings ◽  
Foot Ulceration ◽  
Complex Diabetes ◽  
State Examination

Aims: To determine whether there is an excess of cognitive impairment in patients with type 2 diabetes and foot ulceration. Methods: 55 patients with type 2 diabetes and foot ulcers attending Multidisciplinary Diabetes Foot Ulcer clinics (MDFU cohort) were compared with 56 patients with type 2 diabetes attending Complex Diabetes clinics (CDC cohort) using commonly used screening tests for cognitive impairment (Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MOCA)), as well as foot self-care, mood and health literacy. MMSE was also compared between the MDFU cohort and a historical community-based cohort of patients with type 2 diabetes (FDS2 cohort). Results: Median MMSE scores were the same in all three groups (28/30). Median MOCA scores did not differ between the MDFU and CDC cohorts (25/30). There were no significant differences in the percentages of patients with MMSE ≤ 24 or MOCA ≤ 25 between MDFU and CDC cohorts (3.6% versus 10.7%, p = 0.27 and 56.4% versus 51.8%, p = 0.71, respectively), findings that did not change after adjustment for age, sex, education, diabetes duration, and random blood glucose. Conclusions: Using conventionally applied instruments, patients with type 2 diabetes and foot ulceration have similar cognition compared with patients without, from either hospital-based clinic or community settings.

Quality of Life in Adolescents With Type 1 Diabetes Who Participate in Diabetes Camp

2006 ◽  
Vol 22 (1) ◽  
pp. 53-58 ◽  
Author(s):  
Ruth Cheung ◽  
Virginia Young Cureton ◽  
Daryl L. Canham
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Type 1 Diabetes ◽  
Well Being ◽  
Area Of Interest ◽  
Related Quality ◽  
Complex Diabetes ◽  
Diabetes Camp

Quality of life in adolescents with Type 1 diabetes is a growing area of interest in pediatric research. The complex diabetes regimen imposes challenges for an adolescent. Adolescents diagnosed with diabetes are a group that appears to be at risk for having a poor health-related quality of life. Although research supports the positive relationship of social support and well-being in adolescents, there are few studies discussing quality of life in adolescents that are based on the factor of social support. This study compared the quality of life in adolescents with Type 1 diabetes who have attended at least one diabetes camp to the quality of life of those who have never attended diabetes camp. Results provided evidence of the value of social support.

scholarly journals Type 2 Diabetes Mellitus Intersects With Pancreatic Cancer Diagnosis and Development

2021 ◽  
Vol 11 ◽  
Author(s):  
Xiaoye Duan ◽  
Weihao Wang ◽  
Qi Pan ◽  
Lixin Guo
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Pancreatic Cancer ◽  
Type 2 Diabetes Mellitus ◽  
Cancer Diagnosis ◽  
Complex Diabetes ◽  
The Relationship ◽  
Early Manifestation ◽  
New Onset

The relationship between type 2 diabetes mellitus (T2DM) and pancreatic cancer (PC) is complex. Diabetes is a known risk factor for PC, and new-onset diabetes (NOD) could be an early manifestation of PC that may be facilitate the early diagnosis of PC. Metformin offers a clear benefit of inhibiting PC, whereas insulin therapy may increase the risk of PC development. No evidence has shown that novel hypoglycemic drugs help or prevent PC. In this review, the effects of T2DM on PC development are summarized, and novel strategies for the prevention and treatment of T2DM and PC are discussed.

1241-P: Understanding Patients through Their Own Lens: The Lives of Individuals with Complex Diabetes as Revealed through Photo-Elicitation Interviews

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 1241-P
Author(s):  
MARGARET M. PAUL ◽  
ANDREA DAVILA SAAD ◽  
M. BARBARA TAGLIAFERRO ◽  
JOHN BILLINGS ◽  
SAUL BLECKER ◽  
...  
Keyword(s):  
Photo Elicitation ◽  
Complex Diabetes

Exploring Complex Diabetes Patient Illness Experience Using a Health Capabilities Approach

2016 ◽  
Vol 40 (5) ◽  
pp. S73-S74
Author(s):  
Elisabeth Ramdawar ◽  
Robert Weaver ◽  
Christina Vaillancourt ◽  
Hilde Zitzelsberger
Keyword(s):  
Diabetes Patient ◽  
Capabilities Approach ◽  
Illness Experience ◽  
Complex Diabetes

Developing a Center for Complex Diabetes Care

2012 ◽  
Vol 36 (5) ◽  
pp. S31
Author(s):  
Tanya S. Levin ◽  
Anne M. Guilar ◽  
David Kaplan ◽  
Rose Dumsha ◽  
Lydia Leckman
Keyword(s):  
Diabetes Care ◽  
Complex Diabetes

Complex diabetes screening guidelines for high-risk adolescent Aboriginal Australians: a barrier to implementation in primary health care

2019 ◽  
Vol 25 (5) ◽  
pp. 501
Author(s):  
Andreana Manifold ◽  
David Atkinson ◽  
Julia V. Marley ◽  
Lydia Scott ◽  
Gavin Cleland ◽  
...  
Keyword(s):  
Point Of Care ◽  
Glycated Haemoglobin ◽  
Aboriginal Australians ◽  
Aboriginal Community ◽  
Screening Guidelines ◽  
Retrospective Audit ◽  
Screening Algorithm ◽  
Targeted Screening ◽  
Complex Diabetes

The aim of this study is to ascertain whether a simplified screening algorithm incorporating glycated haemoglobin (HbA1c) tests increases type 2 diabetes (T2D) screening in 10- to 14-year-old Aboriginal Australians presenting to primary healthcare (PHC) services. The study involved a 6-month pilot of a locally developed evidence-based screening algorithm in a remote Western Australian Kimberley town. A retrospective audit of electronic health records for the pilot period (27 June–26 December 2016) and a 6-month period before the screening algorithm was introduced (1 October 2015–31 March 2016) was conducted. Interviews were held with 30 PHC staff at participating PHC services, an Aboriginal Community Controlled Health Service (ACCHS) and a hospital-based general practice service. During the pilot, significantly more patients received an initial T2D screening test at the ACCHS (28/130 (22%) v. 50/139 (36%), P = 0.011), but there was no change at the hospital (0.02% v. 0.02%, P = 0.615). Staff feedback suggested measures to improve screening; these include simple guidelines, targeted screening, patient and staff education, point-of-care HbA1c tests and a whole-of-clinic approach to implementation. Implementing a screening algorithm for young-onset diabetes in Aboriginal Australians is challenging, but practical measures can be taken to improve screening.

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