The Need For a Multi-Specialty Approach to Diabetes Care
Recent estimates project that as many as one in three American adults will have diabetes by 2050 unless additional steps are taken to prevent and treat the disease. Raising public awareness of the signs and symptoms of diabetes, as well as how to prevent it, is one of the most critical ways to have an impact on the disease. However, raising awareness among clinicians about the need for expanded interdisciplinary care in managing diabetes and related disorders is equally crucial.
When it comes to cardiovascular disease in particular, diabetes significantly increases the risk for heart attack, stroke, heart failure and cardiovascular death. Over the last several years the ACC has partnered on several efforts to raise awareness about the links between diabetes and heart disease, given the strong association between the two. At the crux of these efforts is the need to bring together health care providers from across the primary and specialty care continuum to reduce cardiometabolic risk factors through early assessment and targeted interventions.
In a recent interview with Cardiology Today, I noted that cardiovascular professionals can no longer leave diabetes management to primary care physicians and endocrinologists, but rather we need to take partial ownership and responsibility. Not only are we are often the first frontier when patients come in with cardiovascular issues, increasingly often we are the diagnosing clinician or, occasionally, even the sole provider of care. We need to be aware of whether our patients have prediabetes or diabetes so that we can help them with lifestyle modifications (an important part of diabetes prevention and treatment); in addition, presence of diabetes can significantly impact the management of patients’ cardiovascular issues. - Read More
Diabetes Education: Helping Our Patients Understand and Manage Their Condition
The global diabetes epidemic continues to grow at an alarming pace. According to the World Health Organization, roughly 347 million people worldwide have diabetes, with deaths from diabetes expected to increase by more than 50 percent in the next decade. In the U.S. alone, a recent study estimates nearly half of adults have diabetes or prediabetes.
Diabetes also comes at a high price. The total national cost of diagnosed diabetes in the U.S. is $245 billion and the average medical expenditure among people with diabetes is more than two times higher than those without the disease. Further, indirect costs amount to $69 billion (disability, work loss and premature mortality).
These numbers are alarming, but we can all play a role in the fight against diabetes. The first place to start is by educating our patients about diabetes and helping them better understand and manage their condition(s). As cardiovascular professionals, in particular, it is our job to ensure our patients understand that diabetes is a leading cause of premature illness and death, mainly through the increased risk of cardiovascular disease.
We cannot afford to sit on the sidelines and leave diabetes care up to others. In my role as CardioSmart Editor-in-Chief, I am focused on finding ways to make this as seamless as possible within regular patient interactions. For example, CardioSmart recently released a special infographic focused on type 2 diabetes – what it is, what are its symptoms and why it is dangerous (see below). Using visuals like this infographic to explain the symptoms and what body parts can be affected by diabetes, has proven to help patients better, and more quickly understand the implications of their condition. - Read More
U.S., Asian Registries Combine to Create First Global Diabetes Registry
The American College of Cardiology (ACC) is joining with the National Heart Centre Singapore (NHCS) to create a global diabetes registry that will support diabetes and cardiometabolic research and provide new opportunities to improve the quality of care provided to patients around the world.
Diabetes mellitus is a complex, chronic disease with increasing prevalence rates affecting 382 million people worldwide, a number that is expected to rise to 592 million by 2035. One in three Americans is expected to develop diabetes in their lifetime. More than 60 percent of the world’s diabetic population is located in Asia. The joint effort will bring the newly created NHCS Asian Diabetes Outcomes Registry, known as ADORE, into partnership with the Diabetes Collaborative Registry, expanding the ACC-led registry into 12 countries across Asia to create the first global, cross-specialty clinical diabetes registry.“This collaboration has the potential to generate unique, insightful, high-impact research that will likely affect the lives of millions of people,” said Mikhail N. Kosiborod, MD, FACC, cardiologist and professor of medicine at Saint Luke’s Mid America Heart Institute and steering committee chair of the Diabetes Collaborative Registry. “Expanding the Diabetes Collaborative Registry into Asia will also expand our ability to track and improve the quality of diabetes and cardiometabolic care for patients, spanning the spectrum of the disease process in primary and specialty care settings – and now also spanning the globe.” Read more!
Diabetes Awareness: Everyone Has a Role
When it comes to diabetes education and support everyone has a role! As November kicks off Diabetes Awareness Month, it’s a good time to be mindful of the ACC tools and resources available to help you, as clinicians do your part to prevent and treat this disease that affects more than 30 million children and adults in the U.S. alone. The Diabetes Collaborative Registry is one of the most exciting and ambitious new initiatives the College is involved in. In partnership with the Joslin Diabetes Center, American Diabetes Association, American Association of Clinical Endocrinologists and the American College of Physicians, our goal is to change the way diabetes is understood and treated. We feel strongly that by uniting primary care physicians, endocrinologists, cardiologists and other diabetes care providers we can make significant improvements in diabetes care and patient outcomes. Anyone can join the Diabetes Collaborative Registry for free. For practices already participating in the ACC’s PINNACLE Registry, the process is even easier and uses the same registry interface. Read More here.
Boehringer Ingelheim to sponsor American College of Cardiology-Led Diabetes Collaborative Registry
The American College of Cardiology has announced that Boehringer Ingelheim is the newest industry sponsor of The Diabetes Collaborative Registry, an interdisciplinary effort led by the College in partnership with the American Diabetes Association, the American College of Physicians, the American Association of Clinical Endocrinologists and the Joslin Diabetes Center. “Heart disease is the leading cause of death for people with diabetes,” said American College of Cardiology President Kim Allan Williams, M.D., FACC. “Their unique needs call for cross-specialty care that will be made possible through the Diabetes Collaborative Registry, and we thank Boehringer Ingelheim for joining the effort to support the continued, accelerated growth of this registry.”
The Critical Need for Collaboration to Stop Diabetes
Dr. Robert E. Ratner of the American Diabetes Association speaks to the need for collaboration. "November is American Diabetes Month – an opportunity to raise awareness of what has become a health epidemic of global proportions...And even though we know how to prevent a vast number of these cases, prevalence continues to grow and may well triple by 2050 if we fail to reverse current trends."
American College of Cardiology partners with American Diabetes Association, American College of Physicians, Joslin Diabetes Center to Launch Diabetes Collaborative Registry
"The Diabetes Collaborative Registry will allow for a longitudinal study of diabetes presentation, progression, management and outcomes, even as patients receive treatment from multidisciplinary care teams."
Making Partnerships Matter
Shalom Jacobovitz, the CEO of the American College of Cardiology, discusses the importance of partnerships at the College. "The College’s newest registry, the Diabetes Collaborative Registry, is taking our registry partnerships to an even higher level...This is truly a landmark endeavor, with the ultimate goal being to provide a unique, longitudinal view of the presentation, progression, management, and outcomes of patients with diabetes as they receive care and treatment."