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Editor’s Note, DCMS #223

Jan 12, 2015

I was at a recent CE program about healthcare costs and when it came to diabetes the speaker stated that it cost U.S. employers over 100 billion dollars a year and at least 20% of that amount was spent on non-medical costs with a lot going to lost productivity. We always assume that means people missing work because their illness increases their absenteeism. However, the speaker started talking about "presenteeism" which caught many of us by surprise. He explained this referred to when a person shows up for work and feels too bad to do a good job so productivity is still lost. He also mention that medications can often affect patients’ performance as much as their disease state. This is especially true of insulin secretagogues, and this week’s Disaster Averted gives you an idea of what your patients can go through when medications cause problems.

Ranolazine is a medication used for the heart but when you have diabetes it has an added benefit as seen in this week’s Homerun Slides, and treating gestational diabetes is the focus of this week’s Clinical Text.

Our publisher, Steve Freed, recently had the opportunity to interview Dr. Tim Garvey, Chair of the Department of Nutrition Sciences and Director of the Diabetes Research Center at the University of Alabama at Birmingham. They talked about some of the newest weight loss products, how to best use them, and potential changes in obesity medicine.