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Global Trend in Diabetes Could Exact Catastrophic Toll on Emerging Global Healthcare Systems
Date:11/2/2011

e at the University of Texas Southwestern Medical Center in Dallas; the editor of The Journal of Diabetes and its Complications; and Director of the University Diabetes Treatment Center and the Diabetes Clinic at Parkland Health and Hospital Systems
  • Steven Edelman, M.D., professor of medicine in the Division of Endocrinology, Diabetes & Metabolism at the University of California at San Diego (UCSD) and the Veterans Affairs (VA) Healthcare System of San Diego and the director of the Diabetes Care Clinic, VA Medical Center; and founder of Taking Control of Your Diabetes.

  • These influential leaders in diabetes take on the current issues impacting diabetes care and the tens of millions of people living with the disease.  A number of remarkable challenges to conventional wisdom rose to the surface during the series of interviews; challenges that have the potential to give rise to spirited debate among those organizations and individuals crafting policies and programs around diabetes care.

    A Broken System

    Drs. Fonseca and Edelman both challenged the current clinical care model, acknowledging that the system of one doctor and one patient and the traditional office visit paradigm is simply not viable.  Both physicians instead advocate for an integrated system that includes a primary care manager supported by a range of specialists, and that enables use and reimbursement of emerging technologies to better address patient needs.

    "There are not enough doctors going into primary care because of the challenges within the system and the fact that reimbursement is not as good, at least within the fee-for-service model, as doing procedures," said Dr. Fonseca.  "Well, for a condition like diabetes, we don't want procedures.  We want to prevent procedures."

    Dr. Fonseca cites the use of telemedicine as an example of a new approach to care that must be accepted and acknowledged by insurers as a
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    SOURCE Medco Health Solutions, Inc.
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