Children with diabetes are the victims of nurse shortages. This was reported last year by Diabetes UK and I wanted to revisit it because of the increased risk on the diabetic kids when it comes to hypoglycemic events and long term complications like kidney failure, amputation and blindness because of the shortage in PDSNs (pediatric diabetes specialist nurses).
After doing an extensive research on this issue, I found that the nurse shortage is still real. Special mention however, must be made on a study that concluded the PDSN has an important role in educating the children with diabetes as well as their parents and others who take care of them.
This key role is not substantiated by the overloaded assignments of the nurses. In England, they look after more than 150 children. This is double than the number of the recommended 70 in order to be able to do a good job. The large number of caseload these nurses have to do will not allow enough time to do everything that has to be done.
Just gathering the data alone on where each kid is at, takes time. Then putting all the data together to arrive at the necessary steps to improve the condition takes time too. Then they have to teach these kids, their parents and those who care for them how to manage the diabetes in a most effective manner.
Each child is different and has therefore his own needs. These individual needs have to be addressed and should be given attention as to the individualized support and advice needed for optimum benefit. It is clear that getting such a huge caseload will not meet the needs of the children with diabetes.
The report shows that the caseload of the PDSN has risen since 2007. In fact, less than 7% of PCTs have improved the caseload. This is not right when one considers that over 80% of children with diabetes have not been able to achieve the blood glucose level that is recommended.
This fact should be considered as a priority. These specialist nurses play a key role in the management and care and without them, these children are going to suffer. Let us therefore hear the cry of those who need this badly so we can help our future generation among these children with diabetes.
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Wednesday, October 27, 2010
Tuesday, October 19, 2010
Exercise May Be Best for Diabetes Prevention
Exercise, experts say, may be the best option to prevent diabetes. They say that an intense workout for a few minutes may do it. Edinburgh’s Heriot-Watt University did a study on this and found that sedentary cases who exercise hard for just 7.5 minutes a week improved their health significantly.
The researchers asked the men to ride a stationary bike for 15 minutes on a two-week period. They found that these men improved the way they metabolize glucose. As a result, they lowered their blood glucose levels. That is why the researchers recommend that people try to do four to six 30-second sessions of intense workout two times a week to obtain the blood glucose benefit.
The question is how does exercise prevent diabetes? Researchers from Yale found that intense workout is more effective than the one done leisurely in controlling and preventing diabetes. They had three groups of healthy but sedentary 72 year old women who were not obese to do some amount of exercise.
They asked one group to do hard training of 80% of aerobics, the second group to do moderate (60%) exercise and the third group to do easy (50%) exercise. They all did the same amount of work and burned 300 calories per bout. The group that did the intense type of workout showed a great improvement to metabolize sugar and curtailed the formation of fat.
Needless to say, but I am going to say it anyway, is that the ones who did the low intensity exercise did not benefit as much as the intense group did. This could only mean that intense workout can aid in helping in not only preventing diabetes but also in treating it. There are some data on diabetes and exercise here.
Here’s how the researchers explained it. As soon as the meal is over is the time when the most tissue damage happens. In other words, this is the time when the blood sugar rises to the highest level. You see, right after we eat, the glucose goes from the intestine into the blood stream. Now we know that the only storage areas for the glucose is the liver and the muscles.
So when the muscles are not exercised, they are full of sugar so the extra glucose after eating has nowhere else to go after it gets into the bloodstream. Now when the muscles are exercised, the stored sugar is emptied out, leaving room for the new glucose.
So after eating, the glucose that goes to the intestines and the blood stream can go to the muscles right away. This therefore prevents the rise in the blood glucose level. This makes sense, doesn’t it? This is indeed an exciting news because it holds some kind of promise that there can be help indeed in making the blood sugar behave better.
The important part of this study is that the more intense the exercise is, the greater the benefit is by way preventing the development of diabetes. And if the diabetes is already present, the greater is the ability to control or manage it. Cautionary measure though should be taken. Intense exercise could be bad for someone with certain kind of conditions so consult with the doctor before embarking on a regimen of intense exercise.
The researchers asked the men to ride a stationary bike for 15 minutes on a two-week period. They found that these men improved the way they metabolize glucose. As a result, they lowered their blood glucose levels. That is why the researchers recommend that people try to do four to six 30-second sessions of intense workout two times a week to obtain the blood glucose benefit.
The question is how does exercise prevent diabetes? Researchers from Yale found that intense workout is more effective than the one done leisurely in controlling and preventing diabetes. They had three groups of healthy but sedentary 72 year old women who were not obese to do some amount of exercise.
They asked one group to do hard training of 80% of aerobics, the second group to do moderate (60%) exercise and the third group to do easy (50%) exercise. They all did the same amount of work and burned 300 calories per bout. The group that did the intense type of workout showed a great improvement to metabolize sugar and curtailed the formation of fat.
Needless to say, but I am going to say it anyway, is that the ones who did the low intensity exercise did not benefit as much as the intense group did. This could only mean that intense workout can aid in helping in not only preventing diabetes but also in treating it. There are some data on diabetes and exercise here.
Here’s how the researchers explained it. As soon as the meal is over is the time when the most tissue damage happens. In other words, this is the time when the blood sugar rises to the highest level. You see, right after we eat, the glucose goes from the intestine into the blood stream. Now we know that the only storage areas for the glucose is the liver and the muscles.
So when the muscles are not exercised, they are full of sugar so the extra glucose after eating has nowhere else to go after it gets into the bloodstream. Now when the muscles are exercised, the stored sugar is emptied out, leaving room for the new glucose.
So after eating, the glucose that goes to the intestines and the blood stream can go to the muscles right away. This therefore prevents the rise in the blood glucose level. This makes sense, doesn’t it? This is indeed an exciting news because it holds some kind of promise that there can be help indeed in making the blood sugar behave better.
The important part of this study is that the more intense the exercise is, the greater the benefit is by way preventing the development of diabetes. And if the diabetes is already present, the greater is the ability to control or manage it. Cautionary measure though should be taken. Intense exercise could be bad for someone with certain kind of conditions so consult with the doctor before embarking on a regimen of intense exercise.
Monday, October 11, 2010
Diabetes Drugs, What’s in the Pipeline
Diabetes drugs have for their goal to get the blood glucose levels of patients under control. There is one that does this with a side effect of weight loss. These drugs are called GLP1 agonists. Mind you, just because they say this, it does not mean that we will take their words as gospel truth. We still have to monitor our body's reaction to this drug.
That said, with approximately 90% of those with type 2 diabetes being obese or overweight, then this side effect could be a blessing as long as we keep our wit about us so that this does not turn out to be more than a blessing in disguise. We have to be careful when it comes to how is diabetes treated.
Are there fewer injections now and more sales of drugs? That's what we hear and that's what studies are telling us. Byetta, for example, just made $679 million in sales one year when it has been in the market since 2005. They say that the main cause for this poor performance (although it is not so in my book) is because it has to be injected two times a day.
I can understand why the twice a day injection will turn people off especially when there are oral drugs that work well at keeping the blood glucose levels within the target range. More especially now with the drug that promises weight loss on top of the blood glucose control.
There are other drugs as well and I am not 100% sure at what stage they are in when it comes to the Food and Drug Administration’s say-so. They have become more cautious and rightly so in the wake of the fiasco involving GlaxoSmithKline's Avandia and the potential heart problems they may cause.
The last time I looked, a number has been trying to develop a once a week version. This should not pose a major challenge except that with the development of any drugs, anything goes or nothing is certain. There are quite a few in the pipeline at different stages of clinical trials but as to which one will ultimately get the FDA nod, I will not hazard a guess.
The article I read has a list of diabetes treatment that I like because it will give us an option as to the form of treatment we need. It could be oral or to be injected and even with the last one, there is a choice as to the number of injections one can tolerate.
Actually those developing a drug that will be injected are taking a chance for people usually do not like sticking a needle in various parts of their body. So those whose researches are underway can still fall flat on their faces. The thing is diabetes is here to stay for awhile so these pharmaceutical companies will keep developing diabetes drugs.
That said, with approximately 90% of those with type 2 diabetes being obese or overweight, then this side effect could be a blessing as long as we keep our wit about us so that this does not turn out to be more than a blessing in disguise. We have to be careful when it comes to how is diabetes treated.
Are there fewer injections now and more sales of drugs? That's what we hear and that's what studies are telling us. Byetta, for example, just made $679 million in sales one year when it has been in the market since 2005. They say that the main cause for this poor performance (although it is not so in my book) is because it has to be injected two times a day.
I can understand why the twice a day injection will turn people off especially when there are oral drugs that work well at keeping the blood glucose levels within the target range. More especially now with the drug that promises weight loss on top of the blood glucose control.
There are other drugs as well and I am not 100% sure at what stage they are in when it comes to the Food and Drug Administration’s say-so. They have become more cautious and rightly so in the wake of the fiasco involving GlaxoSmithKline's Avandia and the potential heart problems they may cause.
The last time I looked, a number has been trying to develop a once a week version. This should not pose a major challenge except that with the development of any drugs, anything goes or nothing is certain. There are quite a few in the pipeline at different stages of clinical trials but as to which one will ultimately get the FDA nod, I will not hazard a guess.
The article I read has a list of diabetes treatment that I like because it will give us an option as to the form of treatment we need. It could be oral or to be injected and even with the last one, there is a choice as to the number of injections one can tolerate.
Actually those developing a drug that will be injected are taking a chance for people usually do not like sticking a needle in various parts of their body. So those whose researches are underway can still fall flat on their faces. The thing is diabetes is here to stay for awhile so these pharmaceutical companies will keep developing diabetes drugs.
Monday, October 4, 2010
Diabetes Rising Among Children
Type 1 diabetes can double in twenty years. It looks like it is rising at 3% each year. The question is why. This brings me to the book I want to share with you. This book tries hard to demystify this mysterious rise by investigating the scientific hypotheses. Interested? I thought you would.
Let us get to the statistical background first. Type 1 diabetes is now double the figure we had in the 1980s. Compared to 100 years ago, it is ten to twenty times more common. It is widely known and accepted that type 2 diabetes is on the increase as well but the increase in type 1 has not been given much attention.
Enter Dan Hurley who is an award-winning reporter who put together proof from studies that have been published and came out with DIABETES RISING: How A Rare Disease Became A Modern Pandemic, And What To Do About It. He mentioned the studies that documented the rise of type 1 diabetes
While researching for his book, he was shocked to find out that type 1 is rising as quickly as type 2. He thinks that this has not been given much media attention because it does not match the idea that it is a super-disease that is not common and is due to a genetic predisposition.
Genes of course has not changed so it must be something to do with the change in lifestyle or the environment. He sought the explanation with this and so the book looks at some scientific hypotheses that could shed the light on the mysterious increase. Here are the five leading ones:
1. The hypothesis on the cow’s milk exposure in the infant milk formula during the first six months of the baby’s life can inflict harm to the immune system.
2. The accelerator hypothesis claims that the fast increase in children’s height and weight has put the cells that produce insulin under stress and so has increased the propensity to develop type 1.
3. The hypothesis on hygiene claims that the lack of exposure to agents that cause disease that once were common leads autoimmune hypersensitivity which results in the damage to the beta cells that produce insulin.
4. The sunshine hypothesis as the name indicates claims that more time now spent indoors has reduced sunlight exposure and vitamin D is which is now linked to increased risk for type 1 diabetes.
5. The hypothesis on exposure persistent organic pollutants or POP increases the risk not only for type 2 diabetes but for type 1 as well.
There you have the five hypotheses. I have not made up my mind which of those can graduate into becoming theories. What do you think? One thing I am sure though. We have to increase our awareness to this and continue to work on getting them eliminated so that we can stop the rising statistics on type 1 diabetes.
Let us get to the statistical background first. Type 1 diabetes is now double the figure we had in the 1980s. Compared to 100 years ago, it is ten to twenty times more common. It is widely known and accepted that type 2 diabetes is on the increase as well but the increase in type 1 has not been given much attention.
Enter Dan Hurley who is an award-winning reporter who put together proof from studies that have been published and came out with DIABETES RISING: How A Rare Disease Became A Modern Pandemic, And What To Do About It. He mentioned the studies that documented the rise of type 1 diabetes
While researching for his book, he was shocked to find out that type 1 is rising as quickly as type 2. He thinks that this has not been given much media attention because it does not match the idea that it is a super-disease that is not common and is due to a genetic predisposition.
Genes of course has not changed so it must be something to do with the change in lifestyle or the environment. He sought the explanation with this and so the book looks at some scientific hypotheses that could shed the light on the mysterious increase. Here are the five leading ones:
1. The hypothesis on the cow’s milk exposure in the infant milk formula during the first six months of the baby’s life can inflict harm to the immune system.
2. The accelerator hypothesis claims that the fast increase in children’s height and weight has put the cells that produce insulin under stress and so has increased the propensity to develop type 1.
3. The hypothesis on hygiene claims that the lack of exposure to agents that cause disease that once were common leads autoimmune hypersensitivity which results in the damage to the beta cells that produce insulin.
4. The sunshine hypothesis as the name indicates claims that more time now spent indoors has reduced sunlight exposure and vitamin D is which is now linked to increased risk for type 1 diabetes.
5. The hypothesis on exposure persistent organic pollutants or POP increases the risk not only for type 2 diabetes but for type 1 as well.
There you have the five hypotheses. I have not made up my mind which of those can graduate into becoming theories. What do you think? One thing I am sure though. We have to increase our awareness to this and continue to work on getting them eliminated so that we can stop the rising statistics on type 1 diabetes.
Monday, September 27, 2010
Blood Pressure When Lowered Decreased Risk for Kidney Disease
Blood pressure, lowering it that is, was raised in the recent research that the type 2 diabetics should be considered to have antihypertensive treatment. Why? Because they found out that of the 11,140 diabetic patients in their study, the risk for kidney disease was reduced by 21%. The risk was also decreased among those who did not have high blood pressure.
There is also news that lowering the blood pressure provided some help to type 2 diabetes patients. For these patients, lowering the blood pressure with perindopril-indapamide lowered the risk for kidney disease as well. This is how they found this out.
The guidelines suggest that the type 2 diabetics should have systolic pressure under 130 according to Rhonda M. Cooper-DeHoff, who also has PharmD and is associate professor of medicine and pharmacy at Gainesville's University of Florida.
She conducted a study on this very issue and found out that those whose systolic pressures were moderately controlled did just as well as those whose blood pressure was under tight control. Systolic pressure of course is the upper of the two numbers that represents the maximum pressure applied when the heart contracts.
The researchers studied the possible benefits of getting the blood pressure below the present recommendations for the diabetics which is 130 mm Hg/80 mm Hg as well as for nephropathy which is 125 mm Hg/75 mm Hg. The examiners followed these people up for the mean figure of 4.3 years.
Here's another side of this story. The guidelines suggest that the type 2 diabetics should have systolic pressure under 130 according to Rhonda M. Cooper-DeHoff, who also has PharmD and is associate professor of medicine and pharmacy at Gainesville's University of Florida.
She conducted a study on this very issue and found out that those whose systolic pressures were moderately controlled did just as well as those whose blood pressure was under tight control. Systolic pressure of course is the upper of the two numbers that represents the maximum pressure applied when the heart contracts. You will get more information on hypertension right here.
The number of participants included 11,140 diabetics who also were in the ADVANCE study. The patients were randomly assigned to take a placebo or a combination of perindopril-indapamide. The researchers found out that those patients who were assigned to the blood pressure-lowering drugs decreased their risk for kidney disease by 21%
Those who did not have high blood pressure at the start also reduced their risk for kidney disease when they were given blood pressure-lowering drugs. This finding showed the need for patients to receive antihypertensive treatment even if they had normal blood pressure.
There is also news that lowering the blood pressure provided some help to type 2 diabetes patients. For these patients, lowering the blood pressure with perindopril-indapamide lowered the risk for kidney disease as well. This is how they found this out.
The guidelines suggest that the type 2 diabetics should have systolic pressure under 130 according to Rhonda M. Cooper-DeHoff, who also has PharmD and is associate professor of medicine and pharmacy at Gainesville's University of Florida.
She conducted a study on this very issue and found out that those whose systolic pressures were moderately controlled did just as well as those whose blood pressure was under tight control. Systolic pressure of course is the upper of the two numbers that represents the maximum pressure applied when the heart contracts.
The researchers studied the possible benefits of getting the blood pressure below the present recommendations for the diabetics which is 130 mm Hg/80 mm Hg as well as for nephropathy which is 125 mm Hg/75 mm Hg. The examiners followed these people up for the mean figure of 4.3 years.
Here's another side of this story. The guidelines suggest that the type 2 diabetics should have systolic pressure under 130 according to Rhonda M. Cooper-DeHoff, who also has PharmD and is associate professor of medicine and pharmacy at Gainesville's University of Florida.
She conducted a study on this very issue and found out that those whose systolic pressures were moderately controlled did just as well as those whose blood pressure was under tight control. Systolic pressure of course is the upper of the two numbers that represents the maximum pressure applied when the heart contracts. You will get more information on hypertension right here.
The number of participants included 11,140 diabetics who also were in the ADVANCE study. The patients were randomly assigned to take a placebo or a combination of perindopril-indapamide. The researchers found out that those patients who were assigned to the blood pressure-lowering drugs decreased their risk for kidney disease by 21%
Those who did not have high blood pressure at the start also reduced their risk for kidney disease when they were given blood pressure-lowering drugs. This finding showed the need for patients to receive antihypertensive treatment even if they had normal blood pressure.
Monday, September 20, 2010
Diabetes and Eating, What Can I Eat?
Diabetes and eating are linked so you can take care of yourself by knowing how much, when and what to eat. A wise choice of food will make you feel good, lower the risk for heart and other problems and lose weight. It will also help keep the blood glucose level within the target range. You will also find some information at Diet for Diabetes.
Find out from your doctor what's your target level and how often you should check your sugar level. You can keep the blood glucose target by eating right, moving more and taking medicine if needed. It is also best to follow a regular schedule for meals and exercise. When and what to eat affect how the medicine you take works.
A small woman who exercises or a small or medium woman who wants to lose weight and a medium-sized woman who does enough exercise may eat 1,200 to 1,600 calories a day. That means 6 starches, 2 fruits, 3 vegetables, 4 to 6 ounces of meat, 2 milk, and up to 3 fats.
A large woman who wants to lose weight, a small man with healthy weight, a medium-sized man or large man who wants to lose weight and a medium-sized man who does enough exercise may eat 1,600 to 2,000 calories a day. That means 8 starches, 3 fruits, 4 vegetables, 4 to 6 ounces of meat, 2 milk, and up to 4 fats.
A large or medium-sized woman who does a lot of exercise with a physically active job, a medium-sized man or large man who exercises a lot and with a physically active job, and a large man with a healthy weight may eat 2,000 to 2,400 calories a day. That means 10 starches, 4 fruits, 4 vegetables, 5 to 7 ounces of meat, 2 milk, and up to 5 fats.
Starches supply fiber, minerals and vitamins and carbohydrates. But eat the healthier ones like whole grains and fat-free variety. Some examples are pasta, bread , potatoes, corn, pretzels, beans, cereal, crackers, rice, tortillas, lentils, yams. Eat something belonging to this groups at each meal.
Vegetables should be a part of every meal as they provide fiber, minerals and vitamins. Examples are broccoli, lettuce, peppers, carrots, spinach, vegetable juice, cabbage, green beans, celery, and tomatoes. For optimum benefit eat them raw or steamed using water or low-fat or fat-free salad dressing.
Fruits also supply us with fiber, minerals and vitamins. Examples are dried fruit, apples, grapefruit, strawberries, oranges, watermelon and so on. Buy the smaller pieces and eat them raw or cooked without adding sugar. Eat more fruits than drinking juice as they have more fiber. The dessert with fruits should be reserved for special events.
Milk supplies us with minerals, vitamins, carbohydrate, calcium and protein but drink the fat-free or low-fat kind. Eat only a limited amount of sweets and fats; they are not as nutritious as the other groups. Fats contain a lot of calories so reducing your fat-intake could lead to weight loss.
The group of meat and meat substitutes includes eggs, cheese, tofu, fish, poultry. You should eat a small amount of this group each day. But eat them the healthy way with the meats trimmed with just a little bit of fat left. Poultry should be eaten without the skin and cook by grilling, broiling, roasting and some other healthy ways.
Due diligence was employed in the writing of this to include the most current information but sometimes new data come along so make sure you get the latest information by getting in touch with FDA. I hope this covers the link between diabetes and eating.
Find out from your doctor what's your target level and how often you should check your sugar level. You can keep the blood glucose target by eating right, moving more and taking medicine if needed. It is also best to follow a regular schedule for meals and exercise. When and what to eat affect how the medicine you take works.
A small woman who exercises or a small or medium woman who wants to lose weight and a medium-sized woman who does enough exercise may eat 1,200 to 1,600 calories a day. That means 6 starches, 2 fruits, 3 vegetables, 4 to 6 ounces of meat, 2 milk, and up to 3 fats.
A large woman who wants to lose weight, a small man with healthy weight, a medium-sized man or large man who wants to lose weight and a medium-sized man who does enough exercise may eat 1,600 to 2,000 calories a day. That means 8 starches, 3 fruits, 4 vegetables, 4 to 6 ounces of meat, 2 milk, and up to 4 fats.
A large or medium-sized woman who does a lot of exercise with a physically active job, a medium-sized man or large man who exercises a lot and with a physically active job, and a large man with a healthy weight may eat 2,000 to 2,400 calories a day. That means 10 starches, 4 fruits, 4 vegetables, 5 to 7 ounces of meat, 2 milk, and up to 5 fats.
Starches supply fiber, minerals and vitamins and carbohydrates. But eat the healthier ones like whole grains and fat-free variety. Some examples are pasta, bread , potatoes, corn, pretzels, beans, cereal, crackers, rice, tortillas, lentils, yams. Eat something belonging to this groups at each meal.
Vegetables should be a part of every meal as they provide fiber, minerals and vitamins. Examples are broccoli, lettuce, peppers, carrots, spinach, vegetable juice, cabbage, green beans, celery, and tomatoes. For optimum benefit eat them raw or steamed using water or low-fat or fat-free salad dressing.
Fruits also supply us with fiber, minerals and vitamins. Examples are dried fruit, apples, grapefruit, strawberries, oranges, watermelon and so on. Buy the smaller pieces and eat them raw or cooked without adding sugar. Eat more fruits than drinking juice as they have more fiber. The dessert with fruits should be reserved for special events.
Milk supplies us with minerals, vitamins, carbohydrate, calcium and protein but drink the fat-free or low-fat kind. Eat only a limited amount of sweets and fats; they are not as nutritious as the other groups. Fats contain a lot of calories so reducing your fat-intake could lead to weight loss.
The group of meat and meat substitutes includes eggs, cheese, tofu, fish, poultry. You should eat a small amount of this group each day. But eat them the healthy way with the meats trimmed with just a little bit of fat left. Poultry should be eaten without the skin and cook by grilling, broiling, roasting and some other healthy ways.
Due diligence was employed in the writing of this to include the most current information but sometimes new data come along so make sure you get the latest information by getting in touch with FDA. I hope this covers the link between diabetes and eating.
Monday, September 13, 2010
Diabetes Complications Can Be Prevented by Educating Patient
Diabetes complications are what we need to avoid especially approximately one out of eight people in South Carolina, for instance, has diabetes so they are advised to get educated on how to look after their condition in order to avoid complications. There is evidence that complications have been avoided by getting to know what to do and applying this knowledge.
Education is the basis for diabetes care in clinical practice and research. That is why we have the National Diabetes Education Program (NDEP) which helps spread the word that diabetes is not only common and costly but also that it is serious and controllable. Type 2 diabetes is even preventable.
Here are some of the programs that NDEP has for us. There is the Four Steps to Control Your Diabetes. For Life. The four steps aid in making people understand diabetes to the point they learn to monitor and manage their diabetes that enable them to stay healthy.
Then there is the program called Small Steps. Big Rewards. Your GAME PLAN to Prevent Type 2 Diabetes: Information for Patients . This programs comes in three booklets that help people evaluate their risk for developing diabetes. This program also helps to implement a program that will delay or prevent the coming of diabetes. It has a calorie and fat counter and an activity tracker.
Guiding Principles for Diabetes Care is another NDEP program that is focused on diabetes care. It helps the professionals in health care to determine who have pre-diabetes and who are yet undiagnosed. Its mission is to prevent the long term diabetescomplications.
I did this program called Small Steps. Big Rewards. Your GAME PLAN to Prevent Type 2 Diabetes Health Care Provider Toolkit in the beginning of this blogspot and it really helped because there are strategies there that give recommendations with the steps to follow in order to delay or prevent the coming of diabetes.
Working Together to Manage Diabetes: A Guide for Pharmacists, Podiatrists, Optometrists, and Dental Professionals, 2007 is an NDEP program that I have not looked at yet but I aim to so I can report on it. Besides, it is not really for diabetics so I can take my time to access it. But I think it is still important to go over it so we can understand our health care team better in their desire prevent diabetes complications.
Education is the basis for diabetes care in clinical practice and research. That is why we have the National Diabetes Education Program (NDEP) which helps spread the word that diabetes is not only common and costly but also that it is serious and controllable. Type 2 diabetes is even preventable.
Here are some of the programs that NDEP has for us. There is the Four Steps to Control Your Diabetes. For Life. The four steps aid in making people understand diabetes to the point they learn to monitor and manage their diabetes that enable them to stay healthy.
Then there is the program called Small Steps. Big Rewards. Your GAME PLAN to Prevent Type 2 Diabetes: Information for Patients . This programs comes in three booklets that help people evaluate their risk for developing diabetes. This program also helps to implement a program that will delay or prevent the coming of diabetes. It has a calorie and fat counter and an activity tracker.
Guiding Principles for Diabetes Care is another NDEP program that is focused on diabetes care. It helps the professionals in health care to determine who have pre-diabetes and who are yet undiagnosed. Its mission is to prevent the long term diabetescomplications.
I did this program called Small Steps. Big Rewards. Your GAME PLAN to Prevent Type 2 Diabetes Health Care Provider Toolkit in the beginning of this blogspot and it really helped because there are strategies there that give recommendations with the steps to follow in order to delay or prevent the coming of diabetes.
Working Together to Manage Diabetes: A Guide for Pharmacists, Podiatrists, Optometrists, and Dental Professionals, 2007 is an NDEP program that I have not looked at yet but I aim to so I can report on it. Besides, it is not really for diabetics so I can take my time to access it. But I think it is still important to go over it so we can understand our health care team better in their desire prevent diabetes complications.
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