Diabetes Treatments

he incidence of type 2 diabetes is on the. rise, which experts largely attribute to the ing type 2 diabetes have a family history, as well …

Exercise and Type 2 Diabetes

T

he incidence of type 2 diabetes is on the rise, which experts largely attribute to the rise in obesity According to the American Diabetes Association, the number of Americans with diabetes is expected to increase to more than 30 million by 2030 Type 2 diabetes, responsible for more than 90 percent of diabetes cases, is more common in adults, although an increase in childhood obesity may be the reason more young children are being diagnosed with the disease The good news is that simple lifestyle changes can prevent and, in some cases, reverse the course of this disease

Here are some ideas to help make exercise enjoyable:
Emphasize variety For example, a 30-minute cardio workout can be shared among the elliptical, recumbent bike and walking track Set goals that are fun to achieve, whether its logging 10,000 steps on a pedometer, walking or jogging a 5K, or beating a friend in a game of tennis Reward yourself for a hard effort, a job well done or a goal met Going to a movie, visiting the spa, buying a new book, or simply relaxing are just a few ideas Build an exercise network Exercise is more fun when done with someone else and support from an
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and economic burden of diabetes, and improve the diabetes mellitus could potentially overwhelm existing health care systems. …

Midcourse Review

Diabetes
Co-Lead Agencies:
CentersforDiseaseControlandPrevention NationalInstitutesofHealth

5

Contents
Goal 53 Introduction 53 ModificationstoObjectivesandSubobjectives 54 ProgressTowardHealthyPeople2010Targets 54 ProgressTowardEliminationofHealthDisparities 55 OpportunitiesandChallenges 56 EmergingIssues 57 ProgressQuotientChart 59 DisparitiesTable 511 ObjectivesandSubobjectives 513 References
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The prevalence of diabetes has grown at double enrollees with diabetes were also Recent studies have demonstrated a strong link between diabetes …

I S S U E P A P E R

k aios e ri s s i o n c mm
medicaid
and the

on

uninsured

October 2007

An Overview of Medicaid Enrollees with Diabetes in 2003
Mindy Cohen The Urban Institute

Executive Summary
Diabetes was the 6th leading cause of death in the US in 2004 and is among the top 10 most expensive medical conditions in the country The prevalence of diabetes has grown at double digit rates over the last 40 years and in some parts of the country is now considered an epidemic1 Although more than one in seven diabetics in America rely on the Medicaid program for their health coverage, little is known about who they are or what the program spends on their behalf This brief provides a first look at this issue using diagnoses codes reported by the states to the federal government through the Medicaid Statistical Information System MSIS It highlights spending and enrollment patterns of the nearly 2 million Medicaid enrollees with diabetes in 2003 using administrative data from the MSIS for Federal Fiscal Year 2003 Key Findings: Roughly 19 million Medicaid enrollees had diagnosed diabetes in FY 2003, about 6 of the Medicaid population The majority of these enrollees were elderly or
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This booklet explains Medicare coverage of diabetes. supplies and services in the services for people who are at risk for diabetes. Medicare Part D …

This booklet explains Medicare coverage of diabetes. supplies and services in the services for people who are at risk for diabetes. Medicare Part D …

CENTERS FOR MEDICARE MEDICAID SERVICES

Medicare Coverage of Diabetes Supplies Services

This is the official government booklet with important information about the following:
Whats covered Whats not covered Helpful tips to keep you healthy Where to get more information

Introduction

This booklet explains Medicare coverage of diabetes supplies and services in the Original Medicare Plan and with Medicare prescription drug coverage Part D If you have other insurance that supplements the Original Medicare Plan [like a Medigap Medicare Supplement Insurance policy], it may pay some of the costs for the services described in this booklet Contact your plans benefits administrator for more information If you are in a Medicare Advantage Plan like an HMO or PPO or other Medicare health plan, your plan must give you at least the same coverage as the Original Medicare Plan, but it may have different rules Your costs, rights, protections, and choices for where you get your care might be different if you are in one of these plans You might also get extra benefits Read your plan materials, or call your benefits administrator, for more information about your benefits

This booklet explains
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Diabetes insipidus is. caused by a lack of, or nonresponse to, In central diabetes insipidus, the antidi- uretic hormone vasopressin is either …

Diabetes insipidus is. caused by a lack of, or nonresponse to, In central diabetes insipidus, the antidi- uretic hormone vasopressin is either …

Patient Information Publications
Clinical Center National Institutes of Health

Diabetes Insipidus
This information will give you and your family basic facts about diabetes insipidus The glossary at the end defines certain terms used throughout If you have questions about the diagno sis and treatment of this disorder, feel free to talk with your physician and nurse They will be glad to help you of vasopressin causes less water to be reabsorbed and more urine to be formed When vasopressin is present at normal levels, more water is reabsorbed and less urine is formed You should not confuse diabetes insipidus with the metabolic disease, diabetes mellitus Diabetes mellitus is a different disease caused by a lack of, or an impaired response to, the hormone insulin This hormone is made by the pancreas and helps in carbohydrate metabolism Without insulin, a person cannot make use of the carbohydrates he or she takes in, such as sugar The hormone insulin affects sugar so that it can enter the bodys cells and be used for energy When insulin is insufficient or not present, an abnormally high amount of sugar will be in the blood and urine The chart at the end of this booklet explains in
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with diabetes, you should have a from diabetes can damage the small blood vessels in the adults, but people with diabetes tend to get cataracts at a …

with diabetes, you should have a from diabetes can damage the small blood vessels in the adults, but people with diabetes tend to get cataracts at a …

PROTECTING
YOUR VISION

TEST YOUR EYE-Q
about Diabetic Eye Disease

VISIONCARE

1

People with diabetes are more likely to develop certain eye diseases than people without diabetes There are always early warning signs and symptoms for diabetic eye diseases If you have diabetes, you should have an annual comprehensive dilated eye exam The risk of serious loss of vision can be reduced with early detection and treatment Cataracts and glaucoma are common among people with diabetes If you have good control over your diabetes, you are no longer at risk for diabetic eye disease Diabetic retinopathy is caused by blood vessels in the retina swelling and leaking fluid

2 3 4 5

If you have been diagnosed
with diabetes, you should have a comprehensive dilated eye exam at least once a year, and more often if you have been diagnosed with some form of diabetic eye disease Remember, early detection and treatment of diabetic eye disease will dramatically reduce your chances of sustaining permanent vision loss

6 7

Eyes Diabetes
Your

Answers: 1 T 2 F 3T 4 T 5 T 6 F 7 T

DIABETES

In the United States, diabetes is the leading cause of blindness in people under the age of 65

VISION
irreversible
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Diabetes and Acute Metabolic Emergencies
by Michael B Pebworth, BA, LP

Introduction Diabetes mellitus DM is a metabolic disorder in which there is insufficient insulin production, or the body is unable to utilize the insulin which is being produced In the United States there are 208 million children and adults with diabetes mellitus, another 54 million people suffer from a condition known as pre-diabetes, and 135,000 pregnant women every year develop gestational diabetes1,2 The diabetic emergency call is already commonplace within the EMS system, and prehospital personnel diagnose and treat diabetic emergencies on a regular basis With 650,000 new cases of diabetes being diagnosed in the US each year, the potential patient pool is constantly on the rise3 History The term diabetes was first coined by the Greeks when Arateus described it as the melting down of flesh and limbs into urine4, 5 It was depicted as weight loss which occurred in young, lean people and was accompanied by an increase in thirst, hunger and urination polydipsia, polyphagia, and polyuria respectively5 The term mellitus is a Latin word for honey and
34 Texas EMS Magazine November/December 2007

stems from the
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Diabetes mellitus (DM) is a. metabolic disorder in which there is and adults with diabetes mellitus, another 54 million people suffer from a …

Diabetes mellitus (DM) is a. metabolic disorder in which there is and adults with diabetes mellitus, another 54 million people suffer from a …

DIABETES SCREENING GUIDELINES
Washington State Clinical Laboratory Advisory Council to the Washington State Department of Health Originally published: March 1999 Revised: October 2000/May 2003/May 2007

FOR EDUCATIONAL PURPOSES ONLY The individual clinician is in the best position to determine which tests are most appropriate for a particular patient

GENERAL POPULATION
Who should be screened? 1 General screening is recommended at 3 year intervals only for those patient populations known to be at high risk High risk includes one or more of the following: 45 years of age, has a sibling or parent with diabetes; overweight BMI 25 kg/m2; are members of a high-risk ethnic population; have delivered a baby weighing 9 lbs or previously diagnosed with GDM,; are hypertensive 140/90 mm Hg in adults; have an HDL cholesterol level 35 mg/dL and/or a triglyceride level 250 mg/dL; polycystic ovary disease; history of vascular disease; habitual physical inactivity 2 Patient screening is recommended yearly for previous impaired glucose tolerance IGT; previous impaired fasting glucose IFG; overweight people with one or more other risk factors Screening Procedure Capillary vs Venous Blood:
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2. American Diabetes Association Professional Practice and Executive Committees: Diabetes Care, Volume 21, Supplement 2, B161-7, 1998. …

2. American Diabetes Association Professional Practice and Executive Committees: Diabetes Care, Volume 21, Supplement 2, B161-7, 1998. …

Childhood Diabetes Database Procedure Manual

Written by:

Nina Fekaris, RN, BSN, MS Beaverton School District, Health Services Oregon School Nurses Association

May, 2007

Childhood Diabetes Database Procedure Manual Acknowledgements
This procedure manual has been produced to orient school nurses to the system developed to collect and report required information regarding students with diabetes This information has been reviewed by the Oregon Department of Education, Office of Student Learning and Partnership, School Health Services, and reviewed and approved by the Oregon Department of Human Services, Public Health Division The Oregon School Nurses Association grants permission for photocopying information contained within this manual and for reproduction of all forms contained within Special thanks and appreciation to the following individuals who provided input and review: Richard Leman, MD Medical Epidemiologist Health Promotion and Chronic Disease Prevention Oregon Department of Human Services, Public Health Division Kathryn M Delaney Oregon Diabetes Program Oregon Department of Human Services, Public Health Division Leslie Currin, RN School Health Services Specialist Office
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for data about the prevalence and incidence of diabetes occurring in the pediatric. population, to support diabetes research, and for assistance in making decisions …

Preventing Type 2 Diabetes and Its Complications
What is Diabetes? Diabetes is a chronic medical condition resulting in high blood sugar glucose levels in the blood High blood sugar over years may cause damage to nearly every organ in the body Blood sugar is controlled by insulin, a hormone produced by the pancreas Insulin allows cells to absorb the sugar from your blood Diabetes is not contagious, but it does run in families Different types of diabetes exist The most common type of diabetes is called Type 2 diabetes Type 2 diabetes begins when the body is unable to react appropriately to insulin Type 1 diabetes occurs when the pancreas stops producing enough insulin and usually begins in childhood Diabetes can also occur during pregnancy and is called gestational diabetes Although this is temporary, mothers who have gestational diabetes are more likely to develop Type 2 diabetes later in life Who gets Type 2 Diabetes? Type 2 diabetes is very common It can occur at any age but most often affects people over age 40 Type 2 diabetes is occurring more frequently in the United States than in the past, especially among adolescents and children While anyone can develop diabetes, certain
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