A Swedish study has shown that teaching type 2 diabetes patients about their disease results in greater decreases in the hemoglobin A1c test than many drugs. The abstract, Improvements in HBA1C remain after 5 years: a follow up of an educational intervention focusing on patients' personal understandings of type 2 diabetes, is online, but the full study results, to be published in Diabetes Research and Clinical Practice, is not yet available. At the beginning of the study, the control group and the treatment group both had A1c's of around 5.7 (5.78 in the controls and 5.71 in the intervention group. After 5 years, the control group's A1c increased to 7.08, above the recommended level even for the superconservative American Diabetes Association (ADA). In the intervention group, the A1c remained at 5.71, a difference of 1.37. The average diabetes drug reduces the A1c by about 1 point, so simply letting the patients become informed about...
Last month, the American Pain Society added to its recommendations to health care providers regarding the diagnosis and treatment of low back pain .
In addition, the Society decided to discuss openly procedures that could be risky to sufferers of low back pain, including recommendations on surgery and other invasive therapies.
Unfortunately, there is not a significant body of good evidence to justify unquestioningly embracing these new recommendations. It is difficult to find well-done clinical studies which support the use of a number of the more invasive treatments used for chronic low back pain.
The initial set of guidelines for the management of chronic low back pain were published in "Annals of Internal Medicine" last October. However, these recommendations dealt more with the initial evaluation of a low back pain patient, and included thoughts on what type of x-rays to order in addition to more conservative treatments such as massage/manipulation and exerci...
Anxiety disorders are treatable, yet only one-third of those diagnosed receive treatment. Often the costs of therapy or prescription drugs deter people from getting the help they need. Read on to find out about getting assistance to pay for treatment.
Cognitive-behavioral therapy , or CBT, is effective, but it may be expensive. Some therapists or clinics charge on a sliding scale based on income. Ask about a sliding scale or other payment options when you call or visit for a consultation. To find a therapist near you, search by zip code with ADAA Find a Therapist .
Federally funded health centers can also be a good resource for those without health insurance or with a limited budget. You pay what you can afford, based on your income. Many of these centers include mental health services. Find a federally funded health center near you.
Some colleges and universities offer low-cost therapy for anxiety disorders and other mental health problems. Call the psychol...
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