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Posts Tagged ‘ diabetes ’

Diabetes and Other Screenings

April 20, 2015

The best primary care-based research comes out of Europe, where countries have medical research budgets that actually fund primary care research. The U.S. has no equivalent funder. Therefore, American family physicians must often look overseas for answers to their daily clinical questions. Does screening for diabetes make any difference? A recent study...
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Screening for Diabetes is Essentially Worthless

November 29, 2012

A major study was just published in Lancet that addressed the issue of whether or not diabetes screening in primary care improves major health outcomes. This was a 10-year randomized controlled trial!! In other words, this study is the granddaddy of them all in terms of the rigor of its methods....
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More GIMeC Ignorance on the Cost-Effectiveness of Preventing Diabetes

September 30, 2012

The GIMeC (Government Industrial Medical Coalition) ignorance fairy has been busy lately, flying around waving her crooked wand at the unsuspecting public. The claim this time is that efforts to prevent diabetes save money. Two articles making this claim were published at nearly the same time. The first was an article...
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Why Are There More Diabetics Now? – The Definition Changed

February 26, 2012

Most chronic diseases don’t have an easily definable beginning point. Children’s personalities vary widely from quiet and focused to rambunctious and distractible. At what point do we say they have ADHD? There is an association between higher blood pressures and higher stroke and heart attack rates across a wide spectrum of...
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How Long Should We Expect to Live if A Lot of Us are Overweight?

September 11, 2011

All of us want to live long healthy lives, but what if the lives aren’t really healthy? A study in the Journal of Gerontology concluded that our increasing national life expectancy – which is still low compared to the rest of the developed world – has not increased lately. More disturbing...
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More Insurance Company Ignorance

July 9, 2011

I received one of those politely worded letters from a major insurance company recently informing me of how it thought I was doing caring for one of my patients. It includes warm language such as “We value our relationship with you,” though their medical director who signed this letter has never...
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The Limited Potential of Personalized Medicine

March 20, 2011

Have a simple blood test so your healthcare can be personalized. Sounds great, doesn’t it? This is the hope of the supporters of genomics, the emerging science analyzing the DNA structure of humans. Over 80 mutations have been discovered that are associated with obesity and diabetes. Each mutation accounts for no more...
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