Episode 56: Type 2 Diabetes - how sweet it isn’t - Part II

Submitted by admin on Wed, 2009-06-24 20:00

Episode 56 continues from where we left off last time with type 2 diabetes. In this podcast, we bring out the numbers and put the risks of diabetes into context by discussing the absolute cardiovascular risks associated with different levels of HbA1c. In addition, we talk about other things to look at in the evaluation of type 2 diabetes and Jillian Popel again joins us for the ride.

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Comments

In the USA Pay for

Submitted by rocky3200 (not verified) on Sat, 2009-08-08 18:55.

In the USA Pay for Performance is becoming more and more prevalent for diabetics. So you get a bonus payment for diabetics if yearly they get: a foot exam, eye exam, microablumin assessment, smoking advice/cessation, and an A1c (usually less than 9). While some of these are reasonable, I don't understand why we need to spend so much time arranging our new 45 year old diabetics to get over to the podiatrist. Literally, we've made whole systems to make sure people get to a podiatrist and a ophthalmologist every year. It seems like a lot of it is a big waste of time. Have you found any evidence that yearly foot exams save lives? or Feet?

Thanks James, We use a

Submitted by rocky3200 (not verified) on Fri, 2009-09-11 22:45.

Thanks James,
We use a monofilament too... that's another requirement. But we also have to send them to the opthomologist and the podiatrist.
See this timely article for more on all this foot testing: http://www.aafp.org/afp/20090901/editorials.html

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