As we learn more about the pathophysiology of diabetes mellitus, we find that there is more yet to be discovered. Diabetes mellitus is a syndrome with disordered metabolism and inappropriate hyperglycemia due to either a deficiency of insulin secretion or to a combination of insulin resistance and inadequate insulin secretion to compensate. Type 1 diabetes is due to pancreatic islet B cell destruction predominantly by an autoimmune process, and these persons are prone to ketoacidosis. While type 2 diabetes is the more prevalent form and results from insulin resistance with a defect in compensatory insulin secretion. Diabetes can lead to serious complications, resulting in multiple diseases or disorders that affect multiple systems that may result in premature death.
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Nutrition is an important part of managing diabetes. Making good food choices can be challenging – even for people without diabetes! However, if you have diabetes, you need to have a greater awareness about what you eat, how much you eat, and when you eat.
Foods containing carbohydrates have the greatest impact on blood glucose levels. Does this mean you should avoid “carbs” altogether? Not at all! Carbohydrates are an important part of your diet. They provide energy and essential nutrients. However, to keep blood glucose from getting too high or too low, it is important to eat approximately the same amount of carbohydrates at the same time each day.
Foods that have significant levels of carbohydrates include:
. Diabetes affects men and women fairly equally, 11.8% to 10.8% respectively. All races are affected, with non-Hispanic blacks having the highest prevalence at 12.6%, closely followed by Hispanics at 11.8%.
There are many complications with diabetes including heart disease, stroke, high blood pressure, blindness, kidney disease, and neuropathy (nervous system disease). Did you know that diabetes is the leading cause of new cases of blindness and kidney disease in adults? People with diabetes have two to four times the risk for heart disease or stroke as an adult without diabetes.
The financial toll of diabetes is just as shocking.
After adjusting for population, age and gender differences, average medical expenditures among people with diagnosed diabetes were 2.3 times higher than what expenditures would be in the absence of diabetes.
A survey of long-term care workers found that those who believe they can protect the health of those around them by getting vaccinated are more likely to get the flu shot than those who don't share that belief. Read the story
Can taking a memory test actually age a person? Through a series of four experiments, researchers have found that merely thinking about taking a memory test can make some older adults feel older than they did before the memory test was suggested. Read the story
The bottom-line message would be to try and be cautious and mindful of stereotypes and how we talk about the performance of older adults - Igor Grossmann, assistant professor of psychology at the University of Waterloo in Canada, not involved in the research
A new study has found that strong relationships between hospitals and skilled nursing facilities -- particularly when they are part of the same organization -- can lead to lower readmissions rates. Read the story
The Elder Justice Act is designed to provide federal resources to prevent, detect, treat, understand, intervene in and, where appropriate, prosecute elder abuse, neglect and exploitation. The Elder Justice Act is a comprehensive elder abuse prevention law which was enacted as part of the Patient Protection and Affordable Care Act on March 23, 2010. Before The Elder Justice Act was enacted, federal funding for programs and justice regulations was not available. Now, education, awareness programs, training and other services are available to millions of seniors across the U.S.
Elder abuse refers to the actions or lack of actions that harm an older adult or place them at risk of harm or within harm’s way. The harm may be physical, mental, emotional and/or financial. True prevalence is unknown primarily due to lack of consensus regarding definition. Clinicians caring for older adults are integral and crucial to the prevention, intervention and treatment of elder abuse.
Hospital and nursing center inspections and re-certifications, slowed by the government shutdown, are now back in full swing, as some officials struggle to confront the backlog. Read the story
The administration has revealed that 476,000 applications have been filed through the new online health insurance marketplaces, but enrollment figures have not been divulged yet.
Of the 476,000 applications that have been started, just over half have been from the 36 states where the federal government is taking the lead in running the markets. The rest of the applications have come from the 14 states running their own markets, along with Washington, D.C.
A program designed to improve the healthcare delivery system for those eligible for both Medicare and Medicaid is facing criticism again, as it still faces implementation hurdles two years after its inception. Read the story
Ever wonder what Kindred is doing to take a lead in confronting issues that affect hospitals all over the country, such as alarm fatigue, which happens when too many beeps and buzzes become like background noise to caregivers? The Hospital Division’s Respiratory Care Council is addressing this healthcare challenge as well as others like it. Meeting every other month, the Council’s 21 members – representing each of the regions in which Kindred delivers care, as well as the Support Center in Louisville – strive to identify and share best practices and standardize systems and procedures across the division. They are also working with colleagues from Kindred’s other divisions to achieve enterprise-wide standardization when appropriate.
October 20-26 is Infection Prevention Week. The goal of the event is to raise awareness of the role infection prevention plays to improve patient safety. Kindred's Hospital Division has numerous Infection Prevention Initiatives in place to prevent the spread of infection and protect the health of patients.
The best way to prevent the spread of germs is for healthcare workers to wash their hands frequently, to properly disinfect hospital surfaces and to take other precautions, such as wearing gowns and gloves when working with people infected with resistant bacteria. Patients, family members and visitors also play a role in infection prevention and can help by properly washing their hands and wearing protective coverings as needed.
Amid reduced reimbursement and other reductions in funding, hospitals are trimming jobs and a reliable employment source, often described as "recession-proof," has taken on a new and less dependable identity. Read the story
There's been lots of talk about the glitches that have plagued the roll-out of Obamacare, but some experts explain that with large-scale software projects, these kinds of issues can be the norm, not the exception. Read the story
The inherent nature of software is that it demands perfection. Computers do exactly what they're told to do. Even small errors can be disastrous. For example, one of the first American space probes to Venus was lost in part because of a single missing hyphen character in a program.
Many senior services agencies, such as those that provide transportation for seniors to and from doctor appointments, rely on a boost provided by federal funding in the fall. Without it, some might've had to reduce services. Read the story
First of all, during the 2013 Case Management Week it is time to express our collective thanks to all our Kindred case managers and show appreciation for their daily dedication, persistence, advocacy and hard work in the care of our complex patients. The empathy that is shown every single day to our patients and families makes a tremendous difference in their lives as they go through their difficult hospital experiences. This week of heightened public awareness also gives us (as case managers) a chance to boost knowledge and share the value of a case manager’s role.
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