Get
Grounded
Let's
re-visit not reports of the latest and greatest tools and small
success stories but articles that focus on the bigger vision-technology
needs in diabetes, goals to aim for
.
"Diabetes
and Aging." In: National Diabetes Information Clearinghouse.
(2002). Diabetes Dateline, Spring: 9-10.
Half of
the 16 million Americans who living with diabetes are over age
60. This article points out the many ways in which diabetes
must be managed differently with age and complications in the
elderly avoided.
This article is available online at: http://diabetes.niddk.nih.gov/about/dateline/spri02/8.htm
"The
Last Word: A 'Touch' of Diabetes?," by Christopher Saudek,
MD, in FDA Consumer magazine (Jan.-Feb.2002).
This article is available online at: www.fda.gov/fdac/departs/2002/102_word.html
The author,
past president of the American Diabetes Association, notes the
need to take a less casual attitude to diabetes treatment and
voices a plea to look seriously at what's available for diabetics
today. He says: "Better drugs, better meters, insulin pens
and pumps translate into better self-care and fewer complications.
And 'too complicated' almost never applies: very little is too
complicated for the average patient, and they need all the help
they can get."
Kinsella,
A. (2000). Home Healthcare: Wired and Ready for Telemedicine,
The Second Generation. (Sunriver, OR, Information For Tomorrow).
New approaches
to treating diabetes in the community are discussed in detail.
These approaches include shopping tours and explanations by
diabetic educators in neighborhood supermarkets; and cooking
classes to teach diabetically correct foods, in this case, to
African American diabetic women in a Baptist church kitchen.
Kinsella,
A. (2003). Home Telehealthcare: Process, Policy, and Procedures.
(Kensington, MD: Information For Tomorrow).
Chapter
4 focuses on diabetes telecare and telecare planning, with less
focus on the tools (they're only glucose meters and telephones,
not replacements for nurses) and more on the providers' work
with the patients based on demonstrated and/or personal need
expressed by patients (appropriate times of day to contact patients
for productive televisits, preferable length of visits, amount
of information provided in one session, and so on).