[ Diabetes Type 2 ]

Glycemic control and complications in patients with type 1 diabetes – a registry-based longitudinal study of adolescents


Little is known about the effectiveness of a patient registry, an attribute within the patient-centered medical home (PCMH) model, as it relates to diabetes health outcomes. At a panel discussion entitled “Innovations in Population Health Management,” industry leaders will ponder a variety of issues around the connections between population health management strategies and innovations and the leveraging of healthcare IT. This article discusses seven problems with current research and outlines a solution in which innovative IT can be harnessed to overcome each problem, resulting in better research outcomes. The researchers looked at more than 12,000 diabetes patients in 50 medical practices. Infrastructural support is provided by TPMG. Helmsley Charitable Trust, and T1D Exchange have announced a collaborative health policy initiative to address these challenges and help ensure access to innovative T1D therapies and technologies to improve outcomes. In one study we foundthat more than 16% of insulin-using patients had hidden theirdiabetes at their workplace becauseof fear of negative consequences,especially fear of discrimination,despite the potential that theymight need help owing to hypogly-cemia.

The prevalence of diabetic nephropathy is underestimated as a result of a shortage of screening programs. The audit aims to open for data submissions on 28th June 2016. Our results demonstrate that treatment of adolescents and young adults with type 1 diabetes in Norway is not optimal, especially for patients in their late teens. Critics say the initiative is being plagued by the same sort of megaproject mania that seems to have undermined all manner of Canadian e-health initiatives, in which a fondness for massive, eye-catching health information systems becomes all-consuming (www.cmaj.ca/lookup/doi/10.1503/cmaj.109-4004).

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