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This week there was some really interesting information about patients, hospitals, rewards, and penalties.

Propublica Communications, a non-government watchdog of financial healthcare issues, reported that increasingly non-profit hospitals were suing low-income patients for not paying their medical bills. These non-profit facilities receive generous tax breaks in exchange for taking care of the patients at no or reduced charge. One non-profit hospital in the St. Louis area which reported $7 million in profits (not a misprint) is so aggressive that they go after patients who are barely above the poverty line. In some cases, the hospital was able to garnish up to 25% of patients' post-tax pay and charge up to 9% interest on the whole bill. These practices are occurring in many hospitals and now the IRS is starting to look into the issue, potentially revoking their non-profit status....… Read More

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Eli Lilly has announced they are partnering with Adocia in a worldwide licensing collaboration focused on developing an ultra-rapid insulin, known as BioChaperone Lispro, which is currently in Phase Ib studies. 

Tool for your Practice

googleimageShow your patients how to use this clever new tool from Google. It's as simple as entering the word "compare" in a Google search box and then searching for two types of food. Adding either "vs." or "with" between the two foods also seems to work for some comparisons but not every single one. So, for example, say you want to compare the calories, sugar content, carbs and nutrients of mashed potatoes with sweet potatoes? Just type in "compare mashed potatoes with sweet potatoes" and the search results will produce a chart at the top revealing that sweet potatoes have 4.2 grams of sugar per 100 grams, compared with 0.5 grams in mashed potatoes. Scroll down and you'll see that sweet potatoes kill mashed potatoes in vitamin A, potassium and calcium content. As you contrast ingredients, perhaps out of sheer curiosity, perhaps to design a meal plan, the search tools at the top include a "recipe" option) your patients will learn a lot by playing around with the preparation and cooking method of the food. Tweak the mashed potatoes to "potato, mashed, with milk and butter," and unsurprisingly, the fat content jumps up. You can even compare apples and oranges (apples are slightly sweeter and have slightly more calories, in case you were wondering). Or analyze foods from totally different food groups — for instance, what do grapes and bacon have in common?

Product of the Week

Novo's Echo Pen

Insulin pens that remember the last dose come in handy during moments when patients can't remember how much insulin they've taken or how long ago their last dose was. Novo Nordisk's NovoPen Echo reusable insulin pen features half-unit dosing and a memory function that records the last insulin dose and how much time has passed since the last injection. It's now available in the U.S.



Mobile App of the Week


FitnessPalThe iPad version has a well-designed and pleasing interface. Food intake can be recorded manually or via barcode. Calories burned during exercise are integrated into the allowance for daily eating. The app tracks not only calorie intake, but also protein, carbohydrate, fat, and sugar intake. Just follow this link for more information and to download the app.






Test Your Knowledge Question #760

For patients who have metabolic syndrome, the ultimate goal for physical activity such as brisk walking is:

A. 60 minutes per day, five days per week.
B. 60 minutes per day, four times per week.
C. 10 minutes per day, seven days per week.

For the complete question and answer, just follow this link. 


Diabetes In Control Has Over 15500 Studies & Articles In Our Archives

Quote of the Week!

"Your present circumstances don't determine where you can go; they merely determine where you start."
                                                                                                                               ...Nido Qubein


Diabetes in Control gratefully acknowledges the assistance of the following  pharmacy doctoral candidates in the preparation of this week's newsletter: 

Jennifer Piggot, LECOM University


Cast Your Vote
For your prediabetes patients who can't lower their blood glucose with lifestyle changes, do you prescribe GLP-1s or SGLT-2s?
CME/CE of the Week
Jeffrey A. Niezgoda, MD

Category: Wound Care
Credits: .75


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