The National Diabetes Education Program (NDEP) is a joint initiative sponsored by the National Institute of Diabetes and Digestive and Kidney Diseases of the National Institutes of Health and the Division of Diabetes Translation of the Centers for Disease Control and Prevention. national economic burden of pre-diabetes and diabetes reached $218 billion in 2007. Since diabetes management relies heavily on ambulatory care, hospitalizations with uncontrolled diabetes largely reflect the quality of the primary health care provided outside the hospital setting. A geographically diverse population of young people (N = 376) with Type 1 diabetes and their parents included participants in the Juvenile Diabetes Research Foundation continuous glucose monitoring study and patients from the Joslin Diabetes Center. The ensuing discussions and controversies did not really address the major problem: all of the providers provided less-than-optimal care, and although there are many reasons for this, perhaps the most important one is the fact that our current systems of diabetes care make outstanding management for all difficult, if not impossible. Coronary events and procedures (PHR = 1.85 and 1.68) and, to a lesser extent, cerebrovascular events and procedures (PHR = 1.55 and 1.33) were more common in VA hospitalizations where diabetes was listed as a comorbidity than in VA hospitalizations where diabetes was not listed. For example, a study from ten European countries reported an overall prevalence ratio of 1.6 of diabetes among men with lower secondary education compared to men with tertiary education, among women, the ratio was 2.2.
Copyright © 2016 The Italian Society of Diabetology, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition, and the Department of Clinical Medicine and Surgery, Federico II University. Adherence to self-management is strongly and independently correlated with views of treatment burden. The healthcare system needs to be better suited to dealing with the increase in long-term Non Communicable Diseases – diseases which require prolonged treatment rather than acute episodes that require hospitalisation. income or savings, labour substitution or social networks [6, 11, 12].