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Monday, January 5, 2015
  Clinical Accuracy Spoken Here  

Diabetes Mellitus: Prevalence

The increasing prevalence of DM in the United States and other developed countries during the last 30 years is often described as an epidemic. Estimates of DM in the United States, based on 2010 data, indicate that:

  • An estimated 25.8 million people - 8.3% of the population - have DM
  • Of this group, 18.8 million are diagnosed and 7.0 million are undiagnosed
  • Rates of DM increase with age: among adults age 65 and older, 26.9% have DM 1
The prevalence of DM differs by region of the country, with the highest rates occurring in Midwestern and southern states.

[Reference: DM, Module A, Pathophysiology]
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  Excellence in Case Mgmt  

Diabetes Mellitus: Tune In
To Patient Coping

DM is largely a self-managed disease. The patient living with DM is asked to make significant lifestyle adjustments, including:

  • Following a medication regimen
  • Self-monitoring blood glucose (SMBG)
  • Following a meal plan
  • Increasing physical activity
  • Paying attention to skin, foot and dental care
  • Managing diabetes carefully during illness
Add together the medical care needs, daily self-management tasks, and other health issues, and it is not difficult to understand why coping with the disease can seem overwhelming to many patients.

[Reference: DM, Module E, CM Role]
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  Improving Patient Care...  

Diabetes Mellitus: Be Alert for DKA

Persons with DM sometimes develop acute, severe hyperglycemia, with very high glucose levels. This is most often precipitated by an infection.

Very high glucose levels (>250 mg/dL) can lead to diabetic ketoacidosis (DKA), a sometimes life-threatening condition.

Although severe hyperglycemia is a medical emergency and its assessment is not part of the initial comprehensive evaluation of persons with DM in the outpatient setting, CMs should be knowledgeable about the acute complications of DM.

[Reference: DM, Module B, Diagnosis and Assessment]
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