Monday Memo  

Weekly update from...
Athena Forum logo

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]

  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]

  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]


Tom RasmussenTom Rasmussen
Athena Forum


NEW courses in Development

» Improving Outcomes in Abuse Mgmt
» Breast Cancer Care
» Improving Outcomes in ESRD



Cathy WrightCathy Wright, BSN, RN
Clinical Editor
Athena Forum




Online CE for RN, CCM & LSW
4,000 pages of clinical excellence.

Clinical Care Series®
» Asthma
» Colorectal Cancer
» CV Risk: Stroke & MI
» Diabetes Mellitus
» EOL & Palliative Care
» GI Disorders
» Heart Failure
» Multiple Sclerosis
» Obesity Management
» Pain Management
» Rheumatoid Arthritis
» Sepsis Care
» Women's Health
» Wound Care & Payments

Care Management Series®

» CM Express®
» Discharge Planning
» Ethics in CM
» Hospital Revenue Cycle
» Patient Advocacy
» Population Health
» Principles of Hospital CM
» Professional Identity
» Utilization Management

Behavioral Health Series®

» Behavioral Health
» Depression 2.0



Athena Forum Help Desk
Mon-Fri 9am-5pm ET

Recommend to a friend
Tom Rasmussen, Publisher

Enrollment & passwords
Janice Graham, Registrar

  Monday Memo Archives
Did you miss an issue? Need to look up a reference in a past Monday Memo? All past issues are archived for your use. Click here.

Athena Forum, LLC awards CE for ANCC - NASW - CCMC

Athena Forum is a world wide service mark in nursing education
by the U.S. Office of Trademarks and Patents.

Copyright 2012 All rights reserved | Headquarters in Boca Raton, FL | 800-583-2506 | www.athenaforum.com