ADA 2015

ADA 2015

New research was presented at ADA 2015, the annual scientific sessions of the American Diabetes Association, from June 5 to 9 in Boston. The features below highlight some of the studies that emerged from the conference. Telemonitoring for Metabolic & Cardiovascular Risk in Diabetics The Particulars: Telemedicine systems combine home monitoring with remote educational interventions and may be a desirable strategy for treating patients with diabetes. Little is known regarding the use of these systems in addressing metabolic control and overall cardiovascular risk in patients. Data Breakdown: Study investigators randomized patients with type 2 diabetes to usual care or a home telehealth system intervention that enabled patients to monitor body weight, blood glucose, and blood pressure. The telehealth system also offered remote educational support and feedback to the physician. Patients in the home telehealth group achieved statistically significant reductions in A1C levels at 12 months when compared with the usual care group. The home telehealth group also had better quality-of-life scores and reported few specialist visits. Take Home Pearl: When compared with usual care, use of a home telehealth system among patients with type 2 diabetes appears to improve metabolic control and quality of life and reduces resource utilization. Comparing Insulin Delivery Approaches The Particulars: Prior studies comparing continuous subcutaneous insulin infusion (CSII) with multiple daily injections (MDI) in patients with type 2 diabetes have provided inconclusive findings. Data Breakdown: Patients with poor glycemic control who were taking multiple doses of insulin were randomized to CSII or MDI for a study. Patients in the CSII group achieved significantly greater reductions in A1C when compared with those in the MDI...

What’s the Point of Medical Licensing?

A surgeon emailed me the following:. OK, I know this is radical but consider my argument… Medical licensing protects no one and costs physicians hundreds to thousands of dollars each year. If a physician is negligent, can the injured party sue the state that licensed him? I’m guessing not. When I moved to my current location, I had to send lots of documentation to the state medical board so they could verify that I was a true and competent surgeon. I provided my employer with the same info so they could also verify my credentials. Now my employer can and will get sued if I commit a negligent act and absolutely should verify my credentials prior to handing me a scalpel. But the state? Its license is useless. Most people choose a surgeon based on recommendations and word-of-mouth reputation, and these are by far better indicators of quality than any credentialing board. Nobody asks to see my license, and, even if they did, it would not protect them any more than their trust in the health system in which I work. If I was in private practice and had my license displayed on my wall, it may give some reassurance to my patients, but it does not say anything about the quality of my work. Most doctors who really screw up due to negligence are licensed by the state. I contend again, that word of mouth and reputation are the best indicators of a surgeon’s ability, anything beyond that is useless. Caveat emptor, “let the buyer beware” remains the mantra of the informed consumer. Thanks for letting me vent....