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Editor’s Note: LTC/AL Patients and the Challenge of Diabetes

May 17, 2011

While you are reading this, I am in Las Vegas for the American Society of Consultant Pharmacists meeting. These pharmacists work with clinicians and residents in LTC and AL facilities and are specialists in geriatric medicine: they have their work cut out for them when it comes to managing diabetes. According to the CDC Diabetes 2011 Info Sheet, each month 150,000 people turn 65 and 38,000 of those have diabetes; by 2020, 75 million Americans will be over 65 and 22 million will have diabetes. Seven percent of all seniors reside in LTC or AL facilities and that number is increasing. This week’s Clinical Case Study deals with some of the problems that can occur when our LTC patients are on insulin.

Dr. Aaron I. Vinik, MD, PhD, FCP, MACP, Eastern Virginia Medical School, Strelitz Diabetes Center, is back with some more of his slides on the Diagnosis and Management of Diabetic Neuropathies. These give even more information on the management of neuropathies and help us understand the science behind them.

This week’s Disaster Averted comes from Jessica Kerr, PharmD, CDE, and points to the problem of giving a patient so much written information that they do not read anything at all.