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Mobile Application Shown To Enhance Diabetes Care

It seems intuitive (at least to Medgadgeteers) that mobile technology can be used to improve health outcomes, but we still need studies to actually put data behind this idea.  A recent study of the DiabetesManager mobile health platform from WellDoc is a step in this direction. We last reported about WellDoc’s mobile diabetes application in 2010, and since that time it has been tested in a clinical trial and was shown to reduce HgbA1c by 1.9%.

The DiabetesManager is a behavioral coaching and clinical decision support system.  Patients enter details about blood glucose values, medications, and behaviors via mobile phone, and health care providers receive quarterly summaries based on this information. Read more »

*This blog post was originally published at Medgadget*

Just A Woman With Diabetes Who Had A Baby

When Jeff Hitchcock approached me last year and asked if I would feel comfortable leading the Pregnancy and Diabetes session at Friends for Life, I was honored.  But also a little confused.  What on earth was I going to tell the session attendees?  I couldn’t spout off medical information.  I am not a licensed medical professional.

“I’m just a person with diabetes who had a baby.  And my pregnancy was a bit of a tangled one, too!”  I remember emailing to Jeff, wondering if they’d be better off with a doctor at the helm of that discussion.

He replied within minutes, telling me that was exactly why they wanted me to lead the session.  And I grinned, but felt nervous.

Before the little bird joined our family, I did a lot of research about pregnancy with diabetes.  Hard facts, statistics, and professional recommendations were available by the fistful.  The problem was finding anecdotal information about managing pregnancy and diabetes at the same time.  Before Chris and I left for Spain that year, knowing we were ready to try for a baby, I felt prepared.  But when we came home and found out I was pregnant, I wanted nothing more than to find a room full of other pregnant women who had diabetes, so I could immerse myself in their support and say, “I have NO CLUE what I’m doing!! HELP!!” Read more »

*This blog post was originally published at Six Until Me.*

Tired Of Needles? Measure Your Glucose Levels With An iPhone

skin_tattoo[1]Researchers at Northeastern University are using nanosensors implanted into the skin — similar to a tattoo — and a modified iPhone to measure sodium and glucose levels in patients. The implications for this could be tremendous, but first, here’s how it works:

“The team begins by injecting a solution containing carefully chosen nanoparticles into the skin. This leaves no visible mark, but the nanoparticles will fluoresce when exposed to a target molecule, such as sodium or glucose. A modified iPhone then tracks changes in the level of fluorescence, which indicates the amount of sodium or glucose present.”

For patients who are diabetics, Read more »

*This blog post was originally published at iMedicalApps*

What Is The Most Costly Healthcare Expenditure?

The National Institute for Healthcare Management Foundation is a nonprofit, nonpartisan organization focused on healthcare. The foundation just published an excellent report on the distribution of  healthcare costs in the population.

The results indicate that reducing healthcare cost is all about reducing and managing chronic diseases.

U.S. healthcare spending has sharply increased between 2005 and 2009 by 23 percent from $2 trillion to $2.5 trillion per year.

This is a result of a combination of factors. Chief among them is the increasing incidence of obesity.

Who spends the money? Read more »

*This blog post was originally published at Repairing the Healthcare System*

Institute Of Medicine Suggests 8 New Preventive Services To Improve Women’s Health

Eight preventive health services for women should be added to the services that health plans will cover at no cost to patients under the Patient Protection and Affordable Care Act of 2010, according to a report by the Institute of Medicine.

The recommendations encompass diseases and conditions that are more common or more serious in women than in men. They are based on existing guidelines and an assessment of the evidence on the effectiveness of different preventive services. They include:

1) screening for gestational diabetes in pregnant women between 24 and 28 weeks and at the first prenatal visit for women at high risk for diabetes,
2) adding high-risk human papillomavirus DNA testing in addition to conventional cytology testing in women with normal cytology results starting at age 30, and no more frequently than every 3 years,
3) offering annual counseling on sexually transmitted infections for all sexually active women,
4) Read more »

*This blog post was originally published at ACP Internist*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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