There have been considerable improvements in therapeutics for chronic diseases. Burwell today announced nearly $212 million in grant awards to all 50 states and the District of Columbia to support programs aimed at preventing chronic diseases such as heart disease, stroke and diabetes. Diabetes provides a pertinent case of chronic disease management with a particular focus on patient self-management. Until the last 50 years, illness—often combined with poverty—was a greater shortener of lives. The Program has published innovative research on topics ranging from the link between high numbers of neighborhood fast food restaurants and obesity to the high rates of asthma in neighborhoods adjacent to major highways. People with diabetes either don’t make enough insulin (type 1 diabetes — previously known as juvenile diabetes) or can’t use insulin properly (type 2 diabetes). Many chronic diseases, like cardiovascular diseases and type 2 diabetes, could be prevented by healthy lifestyle choices, and others illnesses, like multiple sclerosis or dementia, can be managed to help patients feel their best and remain active for longer.
Of the Canadians diagnosed with diabetes, 90-95% of them will have type 2 diabetes. For video tutorial on common questions in using CDEMS, please visit the CDEMS Channel. All associations, except for social support, were disease transcending. The responsibility for dosing my insulin rests on me, because it must. These results are a first step in supporting clinicians and researchers to identify subpopulations of chronic disease patients less likely to be engaged in self-management. Increased scientific efforts are needed to explain the greater part of the factors that contribute to the complex nature of patient activation for self-management.