Tag: blood pressure

Study shows citywide policy may help stroke patients recover

City Policy May Help Stroke Victims RecoverA citywide policy enacted in 2011 — involving Chicago ambulance crews taking suspected stroke patients directly to accredited hospitals with accredited stroke centers — was associated with increased usage of a therapy that can reverse the effects of a stroke if received in time, according to a study published in the journal JAMA Neurology on Monday.

Before the change, rates of stroke patients getting what’s known as intravenous tPa was 3.8 percent of all patients. After, it improved to 10.1 percent.

Intravenous tissue plasminogen activator (tPa) is used to restore blood flow through blocked arteries that occurs when someone has an acute ischemic stroke. But it needs to be administered within 4.5 hours of the time a stroke happens in order to be effective.

The study, led by Dr. Shyam Prabhakaran at Northwestern University, is the best indication yet that the creation of an established stroke system in Chicago has had a positive effect on stroke patients.

Full story of policy to help stroke victims at Chicago Sun-Times

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New Statistics Shed Light on ‘Worrisome’ Diabetes Epidemic

injections [616]The prevalence of diabetes among US adults grew by 45% over the past 20 years, with the greatest increase seen among seniors aged 65 and over, according to a new study based on surveillance data from the US Centers for Disease Control and Prevention (CDC).

Obesity explained most of the increase in the prevalence of diabetes in younger adults but only part of the increase in older adults.

“We provide…solid evidence that there is a severe epidemic of diabetes, by using National Health and Nutrition Examination Survey [NHANES] data…[the] only US national representative survey data capable of calculating total diabetes, including self-reported diagnosed [diabetes as well as] undiagnosed diabetes [that was] defined by 2 common diagnostic tests: fasting plasma glucose and HbA1c,” Yiling J Cheng, MD, from the CDC, in Atlanta, Georgia, told Medscape Medical News.

Finding this increase in diabetes was not especially surprising, Dr. Cheng said, but “the magnitude of the increase [was] significant and worrisome.”

Full story of diabetes epidemic at Medscape Today

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Diabetes Control Has Gotten Much Better

Diabetes Control Has Gotten BetterMore than ever, Americans with diabetes are meeting three goals vital for control of their disease, a new study finds. And that could lower their risk for diabetes-related complications such as heart disease, stroke, kidney disease, blindness and amputations.

According to the study results, the number of Americans with diabetes who now meet or exceed goals for the three "ABCs" ― which stand for A1C,blood pressure and cholesterol ―  increased from about 2 percent in 1988 to nearly 19 percent in 2010. A1C is a measure of blood glucose, or sugar, over two to three months.

Experts recommend that people with diabetes aim for an A1C of less than 7 percent; a blood pressure reading under 130/80 mmHg; and an LDL cholesterol reading of less than 100 mg/dL. (LDL is considered the "bad" cholesterol.)

Researchers from the National Institutes of Health and the Centers for Disease Control and Prevention analyzed data gathered by the National Health and Nutrition Examination Surveys from 1988 to 1994 and from 1999 to 2010. NHANES is a federal program of studies that regularly assesses the health and nutritional status of Americans.

Full story of the diabetes progress at Live Science

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