Since 2011, the United Hospital Fund—with a three-year, $2.8 million grant from the Bristol-Myers Squibb Foundation—has been developing a model community partnership program in Washington Heights to help seniors manage their diabetes and reduce diabetes-related hospital use. Board certification is an official recognition given to doctors who have met specific requirements set by national medical specialty boards in the United States. Add your own statement here. A board-certified doctor is more likely than a non-board-certified doctor to have the most current skills and knowledge about how to treat your medical condition. Medical malpractice is issued when negligence by a doctor causes injury to a patient. Siegal’s experience matches your preferences. Board certification indicates that a doctor is highly qualified in the medical field in which he or she practices.
3Board Certifications Board certification indicates that a doctor is highly qualified in the medical field in which they practice. Miller has authored numerous articles for the Journal of Geriatric Physical Therapy, GeriNotes and The Quarterly Report Newsletters. This is consistent with research that showed a gender difference in susceptibility to diabetic nephropathy, with women more resistant than men to the development and progression of diabetic kidney disease . The three types of malpractice are: a settlement, an arbitration award, or a judgment. If my doctor has malpractice history, does that mean he or she is a poor-quality doctor?If your doctor has a malpractice claim, evaluate the information and determine if the action could potentially impact the quality of care you receive. Claim settlements and arbitration awards may occur for a variety of reasons, which should not necessarily reflect negatively on the doctor’s professional competence or conduct. You may want to use this information to start a discussion with the doctor about his or her history and specific ability to provide healthcare for you.
They may lack the typical symptoms of hyperglycemia such as polyuria, polydipsia, and polyphagia . Healthgrades collects malpractice information from California, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Maryland, Massachusetts, Nevada, New Jersey, New York, North Carolina, Oregon, Tennessee, Texas, Vermont, Virginia, and West Virginia. Sanctions may be imposed by a state medical board, professional medical licensing organization, or the U.S. Sometimes multiple states report the same claim. If a provider practices in a state where data is unavailable, please reach out to your local state legislature to help make this data publicly available. Some sanctions are not related to medical care, and involve a doctor’s finances or administrative activities. Post a response on your personalized profile.Compare Dr.
Department of Health and Human Services. It has been reported that individuals with diabetes are at increased risk of various infection conditions [29–31] and infection-related hospitalization . KEY RESULTS: Adults with diabetes, compared to those without, had increased prevalence and increased incidence of geriatric conditions across the age spectrum (p <0.01 for each age group from 51-54 years old to 75-79 years old). Before you make any choices about changing your doctor, we recommend that you evaluate the doctor’s sanction information and determine how severe or relevant you think the sanction cause and action were. In addition, older adults with cognitive problems may not recognize initial warning signs of hypoglycemia, like sweating and shakiness. In a systematic review by Falagas et al. There is no evidence that using medications to achieve tight glycemic control in older adults with type 2 DM is beneficial.
Gender-based differences in response to infection have also been reported in other studies, which reported that women have higher levels of plasma immunoglobulin (Ig) and are more resistant to exogenous antigens . In addition, estrogens are generally immune enhancing, whereas androgens exert suppressive effects on both humoral and cellular immune responses . has required fruit juice to treat hypoglycemia. Because there is a range of treatment options and individuals have different goals and preferences regarding their own care, physicians should discuss with patients the risks and benefits of various treatment options and invite patients into the decision-making process, Pogach says. The range of patient signs and symptoms can vary from classic to atypical in elderly patients . In the elderly population with diabetes, autonomic neuropathy can reduce sensitivity and alter distensibility of the urinary bladder, leading to recurrent urinary tract infections or asymptomatic bacteriuria [30, 39]. Moreover, glycosuria enhances bacterial growth and impairs phagocytosis, which probably has a role in the increased incidence of urinary tract infections in diabetic patients, especially in the elderly.
Vaginitis and renal microangiopathy, which occur more frequently in the elderly, may also be associated with urinary tract infections . Diabetic ketoacidosis is a major, life-threatening hyperglycemic emergency . Although the ratio of men to women afflicted with diabetes is roughly equal, women may be more likely than men to develop diabetic ketoacidosis . Barski et al.  suggested that women with poorly controlled type 2 diabetes mellitus who receive oral hypoglycemic therapy require particular attention, as they are at high risk for metabolic decompensation and development of diabetic ketoacidosis. However, in that study hospitalized men and women with diabetic ketoacidosis were statistically similar for rates of in-hospital mortality and complications . This study provides new data regarding reasons for hospitalization among elderly patients with diabetes.
However, the results of the study should be generalized with caution in other geographic areas and hospitals. The study is retrospective and was performed at a single center, which led to unavoidable selection bias. Another limitation is that we did not conduct a subgroup analysis of those patients who were admitted more than once, because most of these patients were readmitted for the same reason.