Hi-R-Ed Online

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Diabetes Management Goals

Diabetes goals: (from the American Diabetes Association)

In range blood sugars (70-180) 70%

HBA1C below 7-7.5%

Blood pressure below 120/80

**Achieving glycemic goals reduces long-term cardiovascular disease and diabetes-related complications.

A prospective UK database study found that intensive glycemic control (to achieve glycated hemoglobin [A1C] goals <7%) significantly decreased rates of microvascular and neuropathic complications in patients with Type 2 Diabetes.7,8

16% reduction in cardiovascular disease events (combined fatal or nonfatal myocardial infarction and sudden death)

13% reduction in myocardial infarction after 10 years of follow-up

27% reduction in all-cause mortality after 10 years of follow-up.(2)

Data from the National Health and Nutrition Examination Survey found that only 30% to 50% of US patients with diabetes met the individualized targets for glycemic control, blood pressure, and/or lipid control.(3)

There are several severe complications from poorly managed diabetes as seen on this slide.

-More than 60% of patients with type 2 diabetes die from cardiovascular disease.

-Increased risk of Heart Failure

-Increased risk of blindness-diabetes is the number one cause of blindness in industrialized nations

-Diabetes is the leading cause of amputation in industrialized nations

-One of the most commonly reported complications of diabetes is sexual dysfunction, Erectile dysfunction in men and loss of interest and vaginal dryness in women

-Under treatment of diabetes increases risk of Diabetes Keto Acidosis, a potentially deadly complication caused by insufficient insulin production in the body.(4)

Dangers of Poorly Managed Diabetes

Cardiovascular disease

Heart Failure

Blindness

Kidney failure

Amputation

Sexual dysfunction

DKA

Elevated risk of all cause mortality

Why is My Patient Not Meeting Goals?

One major factor in diabetes management that prevents people with diabetes from reaching their clinical goals is unseen, and cannot be quantified on any blood work, meter, or device. However, it can be screened for and mediated with minimal cost for patients with diabetes.

That major factor is “Stress”.

Stress:

Unseen

Does not show up on labs

There is no meter to measure it

However:

There are screening tools

It can be mediated at low cost