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Dear Student Doctors,

NOVEMBER 2012 IS:

Diabetes

American Diabetes Month

Diabetes Quick Facts

  • Over 25 million Americans have diabetes, and another 80 million have are at risk of developing diabetes
  • Diabetes is the leading cause of kidney failure and blindness in the US
  • 2/3 of people with diabetes die from heart attack or stroke
  • Projections suggest that by 2050, as many as 1 in 3 Americans may have diabetes

Diabetes at Promise Clinic

Based on our recent demographic survey, roughly 1 in 5 patients seen at Promise Clinic has diabetes, our second most common diagnosis only to hypertension. While diabetes management can be difficult, it is vital in preventing the potentially severe neuropathy, nephropathy, retinopathy, and cardiomyopathy that may complicate the disease.

Evidence-based diabetes care

  • Screening: All adults with sustained blood pressure of 135/80 or greater and/or hyperlipidemia or obesity should have a baseline test of blood sugar to screen for diabetes
  • Management: All diabetic patients should receive an HbA1c every 3 months.
  • Patients using insulin should self-monitor blood glucose at least three times daily. Self-monitoring of blood glucose may also be useful in guiding management for diabetic patients receiving non-insulin medical therapies
  • All patients with diabetes should receive annual lipid profile
  • All patients with diabetes should be recommended an annual flu vaccine, and should be recommended pneumococcal vaccine starting at age 50
  • All patients with diabetes should be referred for annual dilated eye exam from ophthalmologist
  • Special attention should be paid to hypertension, dyslipidemia, and smoking cessation in all patients with diabetes
  • Diet, exercise, and weight loss may all have significant effects on preventing/delaying diabetes complications