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Why should you come to BRONSON PHARMACY & DIABETES CARE CENTER?
Service * Integrity * Quality
Diabetes Mellitus is a major concern for the UnitedStates' health care system. Of the 16 million Americans afflicted, as many as 5.4 million cases are
undiagnosed. Approximately 800,000 new diagnoses of diabetes are made each year. The death rate due to diabetes has increased by 30% since 1980 and the life expectancy for a patient
with diabetes is 10-15 years less than the general population. Approximately 4% of pregnancies are complicated by diabetes, resulting in increased rates of cesarean delivery and fetal morbidity and mortality.
Diabetes is prevalent in many ethnic groups throughout the United States. Diabetes occurs in 7.8% of whites over 20 years of age. African and Mexican Americans are 1.7 and 1.9 times more likely than whites respectively to have the
disease. Hispanic Americans are twice as likely, and Native Americans are 2.8 times as likely as whites to be diagnosed with diabetes. Diabetes affects males and females equally. The incidence of the disease increases greatly with age.
Approximately 8% of people over the age of 20 have diabetes versus 18% of those aged 65 and older. Diabetes costs the nation about $100 billion annually. Less than half of that total is spent on direct
medical costs. The remainder represents indirect costs of the disease such as lost wages and loss of productivity in the workplace.
Current American Diabetes Association (ADA) criteria for the Diagnosis of diabetes mellitus are presented in Table 1.
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Table 1. Criteria for Diagnosis of Diabetes |
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Casual plasma
glucose (PG) with
symptoms |
Fasting Plasma glucose
(FPG) |
75-g
Oral glucose tolerance test
(OGTT) |
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Normal |
N/A |
<
110 mg/dl |
<
140 mg/dl |
Diabetes*
*Abnormal value must
be confirmed on a different day |
>=
200 mg/dl |
>= 126 mg/dl |
>=
200 mg/dl |
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Impaired Glucose
Tolerance |
N/A |
>=
110 mg/dl,
< 126
mg/dl |
>=
140 mg/dl,
< 200
mg/dl |
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The American Diabetes
Association recommends screening programs to enhance public
awareness and identify individualsat highrisk. Here are
some Guidelines for screening, for printable copy of the
ADA public screening tool and scoring sheet
click
here.
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Community Screening for Diabetes Mellitus |
The goal of community screening is to
identify individuals at a high risk for having undiagnosed
diabetes and to enhance public awareness of the seriousness of
diabetes and its complications. Screening Highlights are
listed below.
- Screening programs should identify risk factors through verbal questioning or written questionaire.
- Family history of diabetes
- Obesity
- Sedentary lifestyle
- Diseases such as hypertension hyperlipidemia
- Glucose ,onitoring testing should be performed only if(a) clinical supervision is present and (b) patients are at high risk for diabetes as determined by identification of risk factors.
Testing should NOT be performed on minors without consent, persons diagnosed with diabetes, or pregnant women.
- Patients with abnormal blood glucose screening values or at high risk should be referred to a physician for evaluation:
- Fasting* plasma glucose >= 126 mg/dl (preferred)
- Fasting* whole blood glucose >= 110mg/dl
- Random whole blood glucose >= 140mg/dl
* Fasting is defined as no food or drink other than water for 8 hours.
- Adults over 45 years old should be tested at least every three years. High risk candidates (defined below) should be tested regularly regardless of their age.
- More than 20% over ideal body weight
- Parent or sibling with diabetes
- African-Ameriacan, American-Indian, Hispanic-American, or Pacific-Islander-American
- Giving birth to baby weighing more than 9 pounds or having diabetes during pregnancy
- Blood pressure > 140/90
- Excess LDL, HDL < 35 mg/dl or triglycerides > 250 mg/dl.
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The Diabetes Self-Management Program at Bronson Pharmacy and Diabetes Care Center |
At Bronson, we offer a comprehensive program of prevention and education on self-management to help people with diabetes and their families understand and manage the
disease. This program is taught in group or on individual basis. The individual educational program includes an initial visit of 1 hour followed by two 1/2 hour sessions.
Topics include:
- Diabetes medication
counseling
- Diabetes Nutrition
meal-planning
healthy eating thru
Carb counting and exchange lists
- Self-monitoring of
blood glucose training
- various blood
glucose monitors teaching
- using diabetes
management software for monitoring blood glucose
levels
- Insulin injection
training and monitoring
- adjusting insulin
doses through standard metheds or pattern control
- Assisting in
selecting OTC medications
- Physical activity
- Long-term management
of diabetes symptons and complications
At Bronson, we specialize in helping you help yourself to better
manage your diabetes and improve quality of life.
For additional information or to schedule an appointment call (517) 369-1433
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