Treating Diabetes – Make the Most of Your Healthcare Visit

You are the “owner” of your diabetes care team and in order to get the best possible care you need to be proactive. This includes planning ahead for your healthcare visit as you would any important “meeting”. Make a list of questions and be sure all of them are answered. Your visit will be much more productive if you anticipate the questions your provider will be asking, such as:
How often are you self-monitoring your blood glucoses and what are the results?
Are you have low blood glucoses and if so when, how often, and under what circumstance (skipping a meal, eating later than usual, eating less than usual, being more active than usual, or in the middle of the night)?
Do you need refills of your medications?
Do you need refills of your testing supplies or insulin needles or syringes?
Are you having any foot problems?
Have you seen any other providers (eye doctor, dentist, foot doctor, heart doctor) and if so have you had any lab/blood work done?
If you have had lab/blood work, do you have copies of the results?
Are you having other symptoms especially related to vision, feet, and heart disease?
Your provider will want to check your feet, so be prepared with easy to remove shoes and socks. A diabetes care checklist is a helpful tool to take to your diabetes healthcare visit to ensure you are having all the proper screenings and preventative care. Here is a list of other important things to take with you to your healthcare visit:
Your diabetic shoes and insoles to be checked for proper fit and wear.
All of your medications, including over-the-counter medications and herbal supplements.
Your glucose logbook and monitor.
If you check your blood pressure at home, take those readings with you, as well as your blood pressure monitor.
Here is a list of issues you may need to discuss with your provider at your health-care visit:
Medications to continue or stop taking during a sick day
Individual treatment goals
Need for diabetic shoes
Framingham Cardiac Risk Score
Cardiac artery calcium scoring
Insulin pump therapy
Influenza and pneumonia vaccines
Sleep apnea
Depression
Erectile dysfunction
Your fitness to begin an exercise program
Your need for a Glucagon prescription to combat hypoglycemia
The need for diabetes self-management training if never educated or a refresher course if you have already had formal education
You deserve great healthcare. Demand it and be proactive in the process by properly planning ahead for your healthcare visit.

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Possible Healthcare Reform Losers

With the D-day for healthcare reform fast approaching it would be interesting to find out which sectors of the healthcare system will come out as winners and which ones will come out as losers.Generic medication is expected to take a front sit with the healthcare reform and any pharmaceutical company heavily involved in promoting and marketing branded medication will see their market share eaten away as generic medicines will be more preferred. Generic drugs provide the same job as branded ones and they are cheaper, so it makes sense to go with them.Congress is very concerned about physician owned hospitals and medical establishments self referring patients to themselves. They strongly believe that this will be over utilized thereby affecting the quality of healthcare. With this in mind the reform intends to halt the formation of new physician owned hospitals and already existing ones will be prevented from expanding.Existing health plan providers will lose out as the new healthcare will introduce a public option. This will make competition intense, and once there is competition prices tend to go down. This will be good for the general population but not too good for present insurers as their market share will start to dwindle.The reimbursement to providers of medical equipment has already been cut, and with the health reform there will be further cuts. Manufacturers of these durable medical devices will also see a reduction in their income.Companies that offer certain types of radiological imaging will see less reimbursement for their services as they will be forced to accept lesser payment for certain types of imaging. Physician owned imaging companies will also take a hit to prevent physicians from sending unnecessary imaging requests to their companies to reap some benefit at the expense of the bill payer.Pharmaceutical companies that produce medication by recombinant DNA technology will also take a hit as congress is working with the food and drug administration to approve generic cheaper versions of these expensive medications.