"@chrissyfarr: Like @EricTopol points out [below], there’s no way to stop people from looking up their symptoms online. And while some get the wrong info, I’ve also heard stories of patients *correctly* assessing the problem.." https://t.co/eDKLG3JI0X interesting threads ↑ ↓
While we must denounce the "merchants of medical misinformation,"
I disagree w/ the paternalistic point to "discourage their patients from turning to the internet for answers." There's plenty of useful info, too.
op-ed by @haiderwarraich@nytopinion "https://t.co/hGjQ4JH63p
[Germany] Impact of diabetes type on treatment and outcome of patients with peripheral artery disease https://t.co/GYkRfVIyO1 fulltext "Our data source consisted of anonymized patient’s data from the largest health insurance in Germany..[of] Patients hospitalized betw 2009 & 2011
[Brazil] Self-monitoring blood glucose improves glycemic control [in the short-term up to one year] in type 2 diabetes without intensive [insulin] treatment: A systematic review and meta-analysis https://t.co/OPUr8O3yfM abstract
[US] ACC/AHA Versus ESC Guidelines for Diagnosis and Management of Peripheral Artery Disease: JACC Guideline Comparison https://t.co/ywUmdid2yI abstract central illustration https://t.co/ZtUm4EW5vj of similarities and differences
[US] Position Statement: DYSGLYCEMIA-BASED CHRONIC DISEASE:
AN AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS POSITION STATEMENT https://t.co/R4BPhqxigR "in the Diabetes Prevention Program..up to 10% of patients [with prediabetes] developed background retinopathy or neuropathy
“Currently, treatment of DBCD often begins at the time of a type 2 diabetes diagnosis,” says statement primary author Jeffrey I. Mechanick. “The clinical implications strongly suggest that initiation of therapy only at Stage 3 or Stage 4 is not an optimal care approach.”
"until 2002, type 2 diabetes was not considered a paediatric condition; today, there are an est 3600 children & young adults diagnosed w the condition each year in the USA. In the UK, nearly 7000 cases were reported in 2018.. Disturbingly, this trend is reflected internationally"
[Australia] People with diabetes foot complications do not recall their foot education: a cohort study https://t.co/UtmdNxwzeI fulltext “Thinking about your consultation & your foot health, what did the podiatrist tell you about diabetes and problems wi blood flow?” phone survey
ref26 [Netherlands] Skin Autofluorescence as a Measure of Advanced Glycation End Products Deposition Predicts 5-Year Amputation in Patients With Peripheral Artery Disease https://t.co/udzCzi6spr "in patients at lower Fontaine stage..SAF is the only marker that predicts amputation
Non-invasive measurement of skin autofluorescence with an AGE reader can be used in the general population to estimate the risk of #T2D, #cardiovascular disease and #mortality: study in the Lifelines cohort. @umcg@bhrw@researchumcg 🔓 https://t.co/4T0bQ2sH9y
@karinabronska@Monash_MIHCE Thanks. Re: the stats, we are informed by @djarmstrong: [worldwide] every 20 seconds someone [with diabetes] is amputated [2013] https://t.co/wfsSWZ35AI @IntDiabetesFed | 1 amputation every 20 minutes in South Pacific [updated @WHO Aug 2018] https://t.co/QBRS3QieBc #10000Toes
[Ghana] @patamot urges people who constantly experience numbness, chronic shooting or burning pains, and needle pain sensations to visit the hospital for proper diagnosis and avoid self-medication. Dr. Amoateng is Senior lecturer at the School of Pharmacy, @UnivofGhana
[US] Resurgence of Diabetes-Related Nontraumatic Lower Extremity Amputation in the Young and Middle-Aged Adult U.S. Population [link below] abstract > two-decade decline in lower extremity amputations, the U.S. may now be experiencing a reversal..partic in young and middle-aged
During the Iraq & Afghanistan wars, 1,500 US soldiers lost a limb in combat. In that same period, over 730,000 US residents lost limbs to amputations resulting from T2D. Sadly, this report shows a resurgence of Diabetes-Related Amputation. https://t.co/EIRfomxryO
potentially important thread https://t.co/NF1XQSCjnv re "observational..data from the US in @AnnalsofIM [Intermediate Diabetes Outcomes in Patients Managed by Physicians, Nurse Practitioners, or Physician Assistants: A Cohort Study https://t.co/oMvYm7c9uE] comparing outcomes
Interesting observational (not randomised) data from the US in @AnnalsofIM comparing some diabetes outcomes between primary care physicians, nurse specialist and physician assistant. No difference in HbA1c, BP and LDL reductions between groups #diabetes
https://t.co/V9V9fbEAQJ
another potentially important thread re efficacy of medication for type 2 diabetes claiming best time for treatment is before t2d onset at prediabetes stage using metformin, pioglitazone, GLP-1 receptor agonist & lifestyle therapy https://t.co/BynTIoE6y6
Of the 84 million Americans at-risk for #diabetes#T2D, 40% will progress over ~5 yrs. Results of this retrospective study supported triple drug for prevention w/ efficacy well beyond lifestyle. Very expensive & provocative.
https://t.co/j55BnQPqfK @TheLancetEndo
[UK] Amputation-free survival in 17,353 people at high risk for foot ulceration in diabetes: a national observational study https://t.co/t6hw39DnWO fulltext