[nd.gov - The Official Portal for North Dakota State Government ]
[North Dakota: Legendary. Follow the trail of legends]
 

Dr. Eric Johnson Column

 

 

 Eric L. Johnson, M.D., is a member of the Dakota Diabetes Coalition. He serves as Assistant Medical Director at Altru Diabetes Center and is an Assistant Professor in the Department of Family and Community Medicine at the University of North Dakota School of Medicine and Health Sciences.

 

If you have comments or questions for Dr. Johnson to address in future columns, please contact Tera Miller at teramiller@nd.gov.
 

 

Diabetes Scatter Shots (#102 - 2/24/12)

Posted 2/27/12 (Mon)

 

Diabetes Scatter Shots
 
 
Hopefully, I am seeing some of you today at the Dakota Diabetes Coalition Summit in Mandan, ND, where there is a great lineup of diabetes speakers and topics, including my own presentation on Diabetes in Schools and Diabetes and Dental Issues.  This week, I’ll give you some links for those topics, as well as some other recent diabetes “headlines”.
 
·         The American Diabetes Association has great resources regarding Safe at School plans for children with either type 1 or type 2 diabetes at: http://www.diabetes.org/living-with-diabetes/parents-and-kids/diabetes-care-at-school/. I’ll talk about this in some detail today, as well as other school-aged children and adolescent diabetes issues.
·         Dental Disease has taken on an increased focus from the professional dental community as well as diabetes health care organizations.  Dental disease is known to be closely linked to cardiovascular disease, prediabetes, and type 2 diabetes.  My second presentation this afternoon will review these connections, and I’ll give an overview of diabetes and procedures.
Some resources can be found at: http://www.mayoclinic.com/health/diabetes/DA00013 or http://www.ada.org/2650.aspx?currentTab=2.
·         Cardiovascular disease, type 2 diabetes, and kidney disease are known to have common risk factors.  Recently, this study showed a single risk assessment tool for the development of these inter-related conditions: http://care.diabetesjournals.org/content/early/2012/02/10/dc11-1417.short?rss=1.
Age, BMI, waist circumference, antihypertensive treatment, smoking, family history of myocardial infarction or stroke, and family history of diabetes were significant predictors for development of the noted conditions.   Previous smoking, history of gestational diabetes, and use of lipid-lowering medication were not shown to be unified predictors for CVD, type 2 diabetes, and kidney disease.
·         Stress reduction is important for diabetes management.  A new study looked at a specific stress reduction strategy known as Mindfullness Training, which focuses on acceptance and to focus on the moment.  Patients with this training showed better depression scores and improved overall health status.  A further component studying albumin (protein) in the urine is to be published at a later date. (http://care.diabetesjournals.org/content/early/2012/02/10/dc11-1343.abstract)
·         More evidence of lifestyle coaching in diabetes comes from the Brigham and Women’s Hospital in Boston.  This large, long term study in a primary care setting showed much improved time to target A1C (1 month vs. 13 months).   Systematic, relevant lifestyle messaging is part of diabetes clinical encounters.  (http://care.diabetesjournals.org/content/35/2/334.abstract)
·         To close, good news in the diabetes world; amputation rates in diabetes have declined 8.6% annually in the U.S. since 1998.  Better diabetes care and awareness likely played a large role in this trend. (http://care.diabetesjournals.org/content/35/2/273.abstract)
 
 
Dr. Johnson’s 2012 Speaking Engagements:
·         Dakota Diabetes Coalition Summit, Mandan 2/24/12 
·         Altru Diabetes Conference Grand Forks 4/10/12
·         North Dakota Dietetics Association Fargo 4/24/12,
·         North Dakota Physician Assistant Meeting Fargo 5/3/12
·         American Diabetes Association Primary Care Meeting in Philadelphia 6/9/12. 
 
If you have questions, contact me for more information at: eric.l.johnson@med.und.edu.
***
Johnson E. L.  Dakota Diabetes Coalition http://www.diabetesnd.org/?id=72
Eric L. Johnson, M.D., is a member of the Dakota Diabetes Coalition. He serves as Assistant Medical Director at Altru Diabetes Center and is an Assistant Professor in the Department of Family and Community Medicine at the University of North Dakota School of Medicine and Health Sciences.

Diabetes Scatter Shots #102, Feb. 24, 2012

 
 
This site is TaoPowered™