Improving Hypertension _ Diabetes Control and Prevention
An e-NEWSLETTER from Quality Insights                                                                                   October 27, 2017

In This Issue

Your Health catchGreat news! The television series that informed millions of American viewers about diabetes and prediabetes earlier this year is back for a second season. Building on the success of Season 1, the second season features 26 new videos that explore relevant diabetes-related issues. Some of the topics discussed include reversing prediabetes, how to avoid diabetes complications, and even what to make for healthy, family-friendly dinners.
More than 100 million Americans have diabetes (30+ million) or prediabetes (84+ million). And 9 out of 10 people with prediabetes don't know they have it. "Your Health with Joan Lunden and CDC" is designed to reach this massive audience with proven strategies for preventing or delaying type 2 diabetes and helpful resources for living well with diabetes.
" Your Health " is airing on CBS-owned TV networks and select CW networks and is also available on the Health Media Network in physicians' offices and in airports nationwide. To watch the entire collection of videos anytime, visit the " Your Health " website . There you'll also find a wealth of additional diabetes-related resources and information.
physician discusses how patients with diabetes can safely use fasting to lose weight     

physicianIn Part 4 of an exclusive interview, Dr. Osama Hamdy talks with Diabetes in Control Publisher Steve Freed during the AACE 2017 convention in Austin, Texas about the concept of people with diabetes using fasting to lose weight without reducing calorie intake. Dr. Hamdy offers advice on how this can be done safely.

patient story reveals that Teaching Children to Manage Diabetes Has Its Limits   

young girl patientThe Diabetes in Control website features a Disasters Adverted page that shares stories submitted by its readers and medical editors from direct experience in the field with diabetes-related obstacles and situations. 

The Teaching Children to Manage Diabetes Has Its Limits story talks about a patient who was diagnosed with type 1 diabetes at five years of age. Her mother had type 1 diabetes since childhood, so the patient had learned a lot about living with type 1 diabetes since a young child. Because of that, both parents trusted her to manage her diabetes with the help of her pediatrician.

At 13 years of age, the patient developed pneumonia and, due to her illness, failed to regularly check her glucose level. She soon wound up in the hospital due to Diabetic ketoacidosis (DKA) with a glucose of 936.

The lessons to be learned from this story are:
  • Although it's important to teach parents and children who have type 1 diabetes about their diabetes, children still need adult intervention. As the patient says, teaching independence is good, but not too much.
  • Discuss, teach, and practice transition care at different ages and stages.
  • As part of diabetes education, always teach sick day management.
  • For people who have type 1 diabetes, always recommend insulin and CGM.

millionBlood pressure goals are set by a combination of factors including scientific evidence, clinical judgment, and patient tolerance. For most people, the goal is <140 and <90; however some individuals may be better served by other blood pressure goals.

Lifestyle modifications should be initiated in all patients with hypertension and patients should be assessed for target organ damage and existing cardiovascular disease. Self-monitoring is encouraged for most patients throughout their care and requesting and reviewing readings from home and community settings can help in achieving and maintaining good control. For patients with hypertension and co-existing medical conditions, specific medications should be considered.

Download this clinical treatment protocol so that your practice can modify it to meet your needs.

video icon videoThe   How to Monitor Your Blood Pressure at Home video from the American Heart Association explains the proper way to monitor blood pressure at home. It shows the step-by-step process and includes important tips on what someone should and should not do to ensure an accurate home reading.

Share this video with all patients in your practice diagnosed with hypertension or consider running the video while patients wait in the exam room for the provider.
learn about provider Options for Using CEHRT for program year 2017 and 2018  

learnAre you wondering what options are available to providers for using 2014 Edition CEHRT, a combination of 2014 and 2015 Edition CEHRT, or 2015 Edition CEHRT, in relation to their ability to attest to Modified Stage 2 or Stage 3 of Meaningful Use in 2017 and 2018? Check out the diagram below to find out.

CEHRT options
contact information

For more details about the Improving Hypertension and Diabetes Care & Prevention project, please contact Rhonda Dodson.
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Funding provided by the Pennsylvania Department of Health through the State Public Health Actions to Prevent and Control 
Diabetes,  Heart Disease, Obesity and Associated Risk Factors and Promote School Health federal grant from the Centers for 
Disease Control  and Prevention. Publication number: PADOH-HD-102717