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'Diabetes PHD' Launched Today as New Online Health Risk Tool

Half of diabetes cases appear in seniors, late bloomers over 55

May 31, 2005 – Senior citizens and late Baby Boomers - the most likely to develop diabetes – can not find a new interactive tool online that makes it easier for people with diabetes -- and anyone at risk for developing diabetes, heart disease, or stroke -- to better manage their health, according to the American Diabetes Association, sponsor of the new free Diabetes PHD (Personal Health Decisions). The ADA says it is the most accurate health risk profiling program ever developed.

Statistics on Diabetes for Seniors, Baby Boomers
Click Here

 

Medicare & Diabetes

 

Beginning January 1, 2005, Medicare covers the following diabetes-related services:

• “Welcome to Medicare” Physical

For new beneficiaries enrolling after January 1, 2005, Medicare will cover a one-time thorough review of your health, education and counseling about the preventive services you need, such as certain screenings and shots, and referrals for other care if you need it.

You must have the exam within the first six months that you have Medicare Part B.

• Diabetes Screening (Fasting Plasma Glucose Test)

Medicare will cover tests to check for diabetes. These tests are available to individuals with any of the following risk factors: high blood pressure, increased cholesterol, obesity, or a history of abnormally high blood glucose (sugar) levels. In addition, these tests are available for those individuals who have at least two of the following risk factors: overweight, family history of diabetes (parents, brothers, sisters), a history of gestational diabetes (diabetes during pregnancy), delivery of a baby weighing more than 9 pounds, and age of 65 or older.

Based on the results of these tests, you may be eligible for 1 or 2 diabetes screenings every year. Talk to your doctor for additional information.

 

The tool is available through the Association's Web site at http://www.diabetes.org/diabetesphd.

Diabetes PHD enables users to enter personal health parameters such as age, sex, height, weight, health history, and medications; in return, users receive an extremely accurate health risk profile. Most important, the risk profile provides an accurate picture of how the individual can change their risk by changing modifiable health parameters such as weight, blood pressure, or cholesterol.

The tool can be used to help both patients and health professionals make informed choices about how best to reduce a patient's risk for diabetes and/or its complications.

The risk of diabetes increases with age and approximately half of all diabetes cases occur in people older than 55 years of age. Estimates are that 18.3% (8.6 million) of the United States population age 60 and older have diabetes.

"This unique and extremely powerful tool can be used by patients to determine how they can reduce their risk of serious complications by achieving their goals of therapy," said Catherine J. Tibbetts, RN, MPH, CDE, President, Health Care & Education, American Diabetes Association. "The rationale is that, after patients see what the future likely holds for them, they can use the tool to learn what steps they can take to live healthier, longer lives."

Clinicians can also leverage the tool to better understand which potential treatments offer the most benefit. Most patients with chronic illnesses have several different metabolic problems at the same time, and each problem can require a variety of different treatment strategies. Diabetes PHD will be extremely useful in helping prioritize the optimal selection and sequencing of these treatments.

Diabetes PHD allows users to create an individual profile containing a detailed range of basic health-related information. After the personal health record is created, the user submits the data to be run by Diabetes PHD. The program then processes each individual's information to provide a highly accurate and detailed risk profile. During the computation time, which averages 5-6 minutes, users are offered the option of staying online to receive their results -- during which time they are offered tips and information about diabetes and healthy living -- or they can choose to receive an e-mail notification when their results are ready.

But the Diabetes PHD experience does not end there. After receiving the targeted risk profile, the user can then modify various health variables such as weight, blood pressure, and lipid levels to see the effect that these changes have on their long term risk for diabetes and its complications.

The software underpinning for Diabetes PHD is Archimedes, which was developed by Kaiser Permanente with support from a grant to the American Diabetes Association from Bristol-Myers Squibb Co. Archimedes is an extremely comprehensive model that simulates the biological processes underlying the development of diabetes. Archimedes takes into account virtually every variable that comes into play in a person's health, from smoking to weight to blood pressure to medications, and it takes into account the inter- relationship of each of those variables (e.g., losing weight reduces the risk of heart attack directly and it also tends to lower blood pressure, which reduces the risk for other health factors such as kidney disease and stroke). No other simulation model is as comprehensive, nor has any other model used in medicine been validated as extensively as Archimedes.

The grid distributing platform underlying Diabetes PHD has been licensed from United Devices. The user interface has been developed by IMC2.

"Caring for patients with a chronic disease is very complex, and the human mind is usually unable to sort out and interpret all the existing medical information as it may apply to a specific patient," said David Eddy, MD, PhD, the co-inventor of Archimedes. "Archimedes integrates most, if not all, known factors relevant to clinicians in their decision-making and, thus, can address practical issues with a great deal of confidence," added Dr. Eddy.

More than 18 million Americans have diabetes, a disease characterized by high blood glucose levels that result from defects in the body's ability to produce and/or use insulin. Diabetes can lead to severely debilitating or fatal complications, such as heart disease, blindness, kidney disease, and amputations. It is the fifth leading cause of death by disease in the U.S.

Diabetes PHD is made possible by the Association's "Doing Better: Tools for Diabetes Care" initiative, which is funded by unrestricted educational grants from AstraZeneca LP, Lifescan, Inc., Novo Nordisk, Inc., and sanofi- aventis. The goal of the Doing Better Program is to provide clinicians and patients with tested, practical and inexpensive ways to improve diabetes self- management and medical care, and thereby reduce the burden of this serious disease. Diabetes PHD is one of the several tools the Association will be providing under the Doing Better Program.

The American Diabetes Association is the nation's premier voluntary health organization supporting diabetes research, information and advocacy. The Association's mission is to prevent and cure diabetes and to improve the lives of all people affected by diabetes. Founded in 1940, the Association provides services to hundreds of communities across the country. For more information, readers can call the American Diabetes Association at 1-800-DIABETES (1-800-342-2383) or visit http://www.diabetes.org/. Information from both these sources is available in English and Spanish.

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