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Feasibility of the Diabetes Self-Management Coaching Program for Individuals with Type 2 Diabetes in Primary Care. [Diabetes and endocrine disease]

Annals of Family Medicine

Context: The rampant rise in the prevalence of diabetes presents a public health burden and a challenge to the primary care setting. Diabetes Self-management Coaching is an emergent, client-centered, solution-focused approach to enhancing self-efficacy and self-care behavior.

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Postural Sway Velocity Effective for Assessing Diabetic Peripheral Neuropathy

Physician's Weekly

Postural sway velocity as a screening tool in diabetic peripheral neuropathy represents a potential early marker of balance impairment and fall risk. Several sessions included presentations on diabetic peripheral neuropathy (DPN), such as the Peter J. Dyck Lecture on mechanisms of diabetic neuropathic pain.

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Why Younger Adults Shouldn’t Skip Cholesterol Screenings

Imperial Center Family Medicine

But skipping cholesterol screenings in your 20s and 30s could eventually put you at risk for serious health problems. Here’s why younger adults should prioritize cholesterol screenings. Know Your Baseline Your first cholesterol screening in your 20s or 30s provides a baseline for future test results.

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Revisiting the Advantages of aSOAP Notes: The Best of the Paper Chart and Old School Photography

A Country Doctor Writes

If a patient only has one medical problem and never had any surgeries, why would any reader of their medical record prefer to view one or more full screens or pages of what has NOT happened to this patient, at least not as of some date in the past when that was nailed down as the patient’s medical profile. In-house HbA1c is 9.

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“The physician–patient encounter is health care’s choke point” -NEJM

A Country Doctor Writes

I thought of it the other day when I put together a presentation about Galileo’s way of interacting with patients. We are being crushed by mandated screenings for everything from obesity to domestic abuse ( see my post “ Brief is Good ”). We meet people where they are and in many different ways.

Patients 130
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Barriers to and Facilitators of Participant Engagement in a Multi-level Intervention for Type 2 Diabetes and Food Insecurity [Clinical trial]

Annals of Family Medicine

Context: Type 2 Diabetes (T2D) impacts 35 million Americans. Population Studied: Adults (≥18 years) who receive care at an affiliated clinic, screen positive for food insecurity, have a T2D diagnosis, and an A1c level > 7.5%. Setting: Ambulatory clinics (e.g., Transportation and scheduling challenges also hindered engagement.

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Drinking the Disease: Arsenic Exposure in Well Water from the Perspective of Patients and Providers [Social determinants and vulnerable populations]

Annals of Family Medicine

Despite recommendations for routine screening, this is rarely done. Chronic exposure has been associated with diabetes mellitus, hypertension, skin cancer, renal, bladder and lung cancers, polyneuropathy, and QT prolongation. Arsenic cannot be seen, tasted, or smelled.

Patients 130