Opinion Article

Trends in Diabetes Prevalence & Control

Trends in Diabetes Prevalence & Control | Opinion Article

Analyzing trends on the prevalence of diabetes, prediabetes, and glycemic control is important for healthcare policy and planning. In an effort to update current trends, Elizabeth Selvin, PhD, MPH, and colleagues published a study in Annals of Internal Medicine that analyzed data from more than 43,000 participants.…

Severe Chronic Bronchitis in Advanced Emphysema | Opinion Article

HIV Screening in the ED

HIV Screening in the ED | Opinion Article

The CDC and other agencies have emphasized that EDs should offer HIV screening because of their high patient volume and access to vulnerable populations, says Michael S. Lyons, MD, MPH. “The problem, however, is that EDs are already overburdened and many don’t have the dedicated resources they need to increase testing rates.” Efforts to increase ED HIV screening are growing, but controversy persists about who should be tested.…

Pediatric GERD Procedures

Pediatric GERD Procedures | Opinion Article

Clinicians often have difficulty diagnosing GERD and discriminating it from physiologic regurgitation, especially in the pediatric population. “Childhood GERD is diagnosed commonly by clinical evaluation and often without the use of objective measures,” explains Cabrini LaRiviere, MD, MPH. A GERD diagnosis may remain, especially in young infants, until symptoms wane as part of the natural history of regurgitation or until an objective test disproves the presence of the disease.…

Achieving Meaningful, Long-Term Weight Loss

Achieving Meaningful, Long-Term Weight Loss | Opinion Article

The Look AHEAD (Action for Health in Diabetes) study was an important analysis that assessed the long-term effects of an intensive lifestyle intervention (ILI) program designed to induce weight loss among 5,145 overweight volunteers with type 2 diabetes. Participants were randomly assigned to either the ILI program or usual care, referred to as diabetes support and education (DSE).…

The Diabetes–Cancer Link: Coming to a Consensus

The Diabetes–Cancer Link: Coming to a Consensus | Opinion Article

In 2009, allegations that insulin causes cancer grabbed headlines. Experts from the American Diabetes Association and American Cancer Society evaluated this relationship but could neither confirm nor deny it. “Many patients with diabetes stopped taking their medications because of these unfounded allegations,” says Yehuda Handelsman, MD, FACP, FACE, FNLA.…

Treating Anemia in Heart Disease Patients

Treating Anemia in Heart Disease Patients | Opinion Article

Studies indicate that anemia occurs in about one-third of patients with congestive heart failure and up to 20% of those with coronary heart disease (CHD). The condition has been linked to an increased risk for hospitalizations, decreases in exercise capacity, a poorer quality of life, and higher mortality.…

Progress Seen in Managing Blacks With HIV

Progress Seen in Managing Blacks With HIV | Opinion Article

Research has shown that the percentages of blacks who are linked to and retained in HIV care, taking antiretroviral therapy (ART), and achieving viral suppression are lower than those of other racial and ethnic groups. According to recent estimates, blacks account for 44% of the total number of people in the United States living with HIV but represent just 12% of the U.S.…

The Impact of Test Fee Knowledge

The Impact of Test Fee Knowledge | Opinion Article

Hospital patients and providers are often unaware of the fees that come with most medical services. “The healthcare system is oftentimes not transparent in actual costs for these services,” says Leonard S. Feldman, MD. Failure to have a sense of costs can increase waste in medicine by ordering expensive and often unnecessary tests and/or medications.…

The Costs of Chronic Illnesses: Treat or Eat?

The Costs of Chronic Illnesses: Treat or Eat? | Opinion Article

Studies have suggested that adults with chronic disease are often unable to meet medication and food needs. “Physicians sometimes recommend or prescribe medications to patients with chronic diseases without considering the costs of these therapies,” says Seth A. Berkowitz, MD. Few studies have explored the relationship between cost-related medication underuse and food insecurity.…

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