Navigation Links
Diabetes Self-Care Improves Slowly, U.S. Report Finds
Date:4/25/2013

By Serena Gordon
HealthDay Reporter

WEDNESDAY, April 24 (HealthDay News) -- More Americans are meeting diabetes care goals, but nearly half still aren't achieving major targets for controlling blood sugar, blood pressure and cholesterol, government health officials say.

Just 14 percent of people with diabetes hit all the recommended health targets during the first decade of the 21st century, according to the new report from the U.S. Centers for Disease Control and Prevention and the U.S. National Institutes of Health.

Researchers found that between 1999 and 2010, the number of people with diabetes who achieved their blood sugar goals improved by about 8 percent. That same time period saw a nearly 12 percent improvement in the number of people meeting their blood pressure goals.

And 21 percent more people lowered their LDL cholesterol (the bad type) to less than 100 milligrams per deciliter during the study time period.

Tobacco use was one area where the numbers didn't move.

"The overarching theme is slow and steady improvement. Just a 1 percent improvement in hemoglobin A1C [a long-term measure of blood sugar levels] in 19 million people with diabetes is tremendous," said report author Dr. Mohammed Ali, an assistant professor of global health and epidemiology at the Rollins School of Public Health at Emory University and a consultant in the CDC's division of diabetes translation in Atlanta.

"There are still huge gaps," Ali said. "We have a good report card, but we have a long way to go in certain aspects, like blood pressure control and tobacco use. One in five people with diabetes still use some form of tobacco."

Almost 19 million U.S. adults have diabetes, according to background information in the study. "Probably 95 percent or higher have type 2 diabetes," said Ali. Type 2 diabetes is considered preventable. Untreated or poorly treated diabetes can lead to serious complications, including vision problems and kidney disease.

According to the report, the primary goals for diabetes care include:

  • Hemoglobin A1C of 7 percent or less
  • Blood pressure of less than 130/80 mm Hg
  • LDL cholesterol levels below 100 milligrams per deciliter
  • No tobacco use

The current report, published in the April 25 issue of the New England Journal of Medicine, includes data from more than 100,000 adults who reported a diabetes diagnosis by a health care professional. The data was from two nationally representative studies, but neither study broke its information down by diabetes type.

"We've always been so focused on [blood sugar], but the key for anybody with diabetes is comprehensive control of risk factors. So don't forget your blood pressure. Don't forget your cholesterol. Don't smoke. These are the things, along with [blood sugar], that are really going to improve your quality of life," said Ali.

Between 33 percent and 49 percent of people with diabetes were not meeting their targets for blood sugar, blood pressure and cholesterol control, the report found.

Dr. Graham McMahon, co-author of an accompanying journal editorial and a diabetes specialist at Brigham and Women's Hospital in Boston, finds the figures disappointing.

"I think these results show slower than anticipated progress in meeting diabetes goals," he said.

McMahon thinks changes are needed in the way diabetes is managed and reimbursed.

"Clinicians should be given credits for improvements toward a goal," he explained. "You want to have a combination of factors that acknowledge the difficulty and complexity of engaging patients in self-care."

The best way for diabetes care providers to promote patients' self-care is to partner with them, he said. This includes exploring and dismantling the obstacles the patient experiences, noted McMahon.

"Diabetes can be all-consuming for a patient. It changes the way you interact with family and friends, and in how you view yourself, whether you consider yourself well or not well," McMahon said. Type 2 diabetes "also affects feelings of self-worth and fault because the community often blames people for having this problem."

McMahon said he'd like to see care move toward a more patient-centered environment that can help patients identify helpful strategies for improving their health. This could be accomplished with health care teams -- including nurse educators, primary care doctors, endocrinologists, podiatrists, ophthalmologists and nutritionists -- that would address the whole patient, said McMahon.

More information

Learn more about preventing type 2 diabetes from the American Diabetes Association.

SOURCES: Mohammed Ali, M.B.Ch.B., assistant professor, global health and epidemiology, Rollins School of Public Health at Emory University, and consultant, division of diabetes translation, U.S. Centers for Disease Control and Prevention, Atlanta; Graham McMahon, M.D., M.M.Sc., associate professor, medicine, Harvard Medical School, and diabetes specialist, Brigham and Women's Hospital, Boston; April 25, 2013, New England Journal of Medicine


'/>"/>
Copyright©2012 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Lipitor Diabetes Lawsuit Filed by South Carolina Woman Who Developed Type 2 Diabetes Allegedly Due to Lipitor Use, Alonso Krangle Investigating
2. Pancreatic Cancer Correlation to Type 2 Diabetes Drugs Januvia and Byetta, New Studies Find Possible Connection
3. PreDiabetes Centers to Appear at Women’s Health Symposium in Houston
4. Muscular Development Magazine Suggests Creatine For Type 2 Diabetes Patients Lacking Muscle
5. Unusual suspect: Hopkins scientists find second fiddle proteins role in Type 2 diabetes
6. ACP unveils tools to improve care for patients with prediabetes, gout, obesity, and Alzheimers
7. Diabetes patients need to be consulted to improve treatment
8. Mercury Exposure Linked to Raised Diabetes Risk
9. Study Suggests Link Between Hormone Melatonin and Type 2 Diabetes
10. FDA Approves 1st in New Class of Type 2 Diabetes Drugs
11. Research suggests popular diabetes drugs can cause abnormal pancreatic growth in humans
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Diabetes Self-Care Improves Slowly, U.S. Report Finds
(Date:12/7/2016)... ... December 07, 2016 , ... ... Campaign Winner in the Folio: Marketing Awards competition. Live From won in the ... in pioneering, inventive, and ultimately successful projects undertaken by the media industry’s most ...
(Date:12/7/2016)... ... 2016 , ... "ProBrand Flip allows FCPX editors to create unique logo reveals ... of Pixel Film Studios. , ProBrand Flip includes 30 flip book reveal animations. Easily ... from a variety of flip book animations. In Addition, users can modify each preset ...
(Date:12/7/2016)... ... December 07, 2016 , ... Bioelectronic ... Plus for consumers and healthcare professionals to manage chronic and acute pain. ... treatment modalities available in a single device. The announcement is part of ...
(Date:12/7/2016)... ... 2016 , ... “The Road To Restoration”: an informative and enlightening book ... a week showing of hands. “The Road To Restoration” is the creation of published ... with the brass ring that you could reach out for, and grab, on the ...
(Date:12/7/2016)... ... December 07, 2016 , ... “Walking With God: Inspirational Lessons ... will inspire the reader to be aware of God's direction in their lives. “Walking ... Sanford Smith, retired teacher and active church leader. , Sanford says, “I ...
Breaking Medicine News(10 mins):
(Date:12/7/2016)... 7, 2016  Varian Medical Systems (NYSE: ... announced plans to separate its Imaging Components business.  The ... distribution to Varian stockholders of common stock in Varex ... hold the Imaging Components business.  As part of the ... the end of January 2017, Varian will receive an ...
(Date:12/7/2016)... 7, 2016  Organovo Holdings, Inc. (NASDAQ: ... focused on delivering scientific and medical breakthroughs using ... and Chief Executive Officer Keith Murphy ... December 14, 2016 at 1:00 p.m. Eastern Time ... yet familiar with the Company, an informational video ...
(Date:12/7/2016)... (NYSE: LCI ) today announced that the company will ... Conference on December 14, 2016 at 9:20 a.m. (ET) at the ... In addition, the company will host one-on-one meetings with ... Boston Healthcare Conference taking place on December 13, 2016 at the ... , , ...
Breaking Medicine Technology: