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[IP] 2 abstracts

Diabetes Educ 2000 May-Jun;26(3):460-7  <A HREF="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Link&db=PubMed&dbFrom=PubMed&from_uid=11151293">Related Articles, </A><A HREF="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11151293&dopt=Books">Books</A>     

How diabetes specialists treat their own diabetes: findings from a study of 
the AADE and ADA membership.

Graff MR, Rubin RR, Walker EA

Professional Education Department, MiniMed Inc, 12744 San Fernando Road, 
Sylmar, CA 91342, USA. email @ redacted

[Medline record in process]

PURPOSE: The purpose of this study was to determine how diabetes specialists, 
who themselves have diabetes, manage their own care. METHODS: An independent 
research organization faxed anonymous, 1-page surveys to all professional 
members of the American Association of Diabetes Educators (AADE) and the 
American Diabetes Association (ADA) who had valid fax numbers. Only those 
individuals with diabetes were asked to fill out and return the survey. 
RESULTS: Of the 12,525 surveys that were distributed, 802 (6.4%) were 
returned. The prevalence of type 1 diabetes in this sample was estimated to 
be 13 times higher than in the general US population, whereas the prevalence 
of type 2 diabetes was 42% to 54% lower. Of the respondents with type 1 
diabetes, most (96%) practiced intensive treatment regimens, and more than 
half used an insulin infusion pump. CONCLUSIONS: Diabetes specialists treat 
their own diabetes according to current standards of medical care, with 
insulin pumps being the preferred method of insulin therapy for type 1 
diabetes in this sample. Knowing that experts almost universally practice 
intensive treatment regimens may be a powerful motivator for patients and 
sends a strong message to primary care providers and payers regarding the 
need for treating diabetes according to current standards of care.

PMID: 11151293, UI: 21025762    

: Diabetes Educ 2000 May-Jun;26(3):392-4, 396, 400-2 passim <A HREF="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Link&db=PubMed&dbFrom=PubMed&from_uid=11151288">Related Articles, 
</A><A HREF="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11151288&dopt=Books">Books</A>   

All our patients need to know about intensified diabetes management they 
learned in fourth grade.

Rizor HM, Richards S

Rocky Mountain Diabetes and Osteoporosis Center, Idaho Falls, Idaho, USA. 
email @ redacted

[Medline record in process]

It may be feasible for some patients using simplified meal-planning 
approaches and short-acting insulin regimens to use an insulin pump instead 
of 2 daily injections of 70/30 insulin. Although this approach may not be 
possible for everyone, the methods discussed in this article open the door 
for some individuals whose main stumbling blocks are calculating insulin 
dosing and grams of CHO. In our practice, we have seen repeatedly that 
simplified approaches for counting CHO intake and calculating insulin dose 
can work successfully even with intensive insulin management. It is our 
challenge as diabetes health professionals to continually search for creative 
ways to help our patients simplify their daily diabetes management tasks. In 
many cases, the patient is more likely to commit to healthful changes when 
the meal plan is simpler and more visual. It is not possible, however, to 
make patients proficient in CHO counting and insulin dosing in one visit. 
Referral to a registered dietitian who specializes in diabetes allows a 
tailored plan to be developed with each individual based on health 
parameters, treatment goals, lifestyle, and cognitive skills.

PMID: 11151288, UI: 21025757    
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