You may know it as "managed care" -- but I call it mangled care.
My most recent mangled care horror story begins last month. I made the bad mistake of believing the propaganda that it was cheaper to get my two prescription pills filled by mail-order through a pharmacy benefits manager for three months at a time, rather than by stopping by... Read more
The journal Diabetes Care this month has a fascinating study about basal-bolus insulin therapy for T2DM, titled Adjust to Target in Type 2 Diabetes: Comparison of a simple algorithm with carbohydrate counting for adjustment of mealtime insulin glulisine. The authors compared two algorithms for adjusting mealtime rapid-acting (bolus) insulin and... Read more
Everyone involved in the management of people with diabetes would probably agree with the ADA's Position Statement that "Medical nutrition therapy (MNT) is important in preventing diabetes, managing existing diabetes, and preventing, or at least slowing, the rate of development of diabetes complications. It is, therefore, important at all levels... Read more
A checklist can help eliminate mistakes. Seems like common sense, and everyone's aware that airplane pilots have been using pre-flight checklists for years. In hindsight, it's amazing, but surgeons have not been using pre-op checklists routinely. But WHO (the World Health Organization) recently announced that using a checklist helps make surgery... Read more
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leg and foot pain when I lie down in the afternoon that is so bad I can't be still.
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