Patient-Centered Diabetes Care 2015

The American Journal of Managed Care hosted its 3rd annual Patient-Centered Diabetes Care Meeting on April 16-17, 2015, in Boston, Massachusetts. The event offered unique perspectives from today's leading health experts on emerging topics in diabetes care including essential clinical, behavioral, and technological innovations with a focus on what brings value to patients with diabetes.
Robert A. Gabbay, MD, PhD, FACP, chief medical officer at Joslin Diabetes Center, moderates a discussion on the role of combination therapy in several ways, including early aggressive therapy with combination treatment and the combination of taking 2 medications in 1 tablet to encourage adherence with increased convenience and reduced copays. He is joined by S. Sethu K. Reddy, MD, MBA, FRCPC, FACP, MACE; Ravi Retnakaran, MD, MSc, FRCPC; Alexander Turchin, MD, MS; and Helen Feit, MD.
Dennis P. Scanlon, PhD, faculty member and health services researcher at Penn State University, associate editor of The American Journal of Managed Care, moderates a discussion regarding the idea of value as it pertains to the emerging treatments and approaches for diabetes care. He is joined by panelists David Brumley, MD, MBA; Edmund J. Pezalla, MD, MPH; and Michael S. Sherman, MD, MBA, MS.
Om P. Ganda, MD, director, Lipid Clinic, Joslin Diabetes Center, discusses cholesterol and lipidemia as high risk factors for cardiovascular disease (CVD), where diabetes itself is a risk factor for CVD. Dr Ganda refutes the misconception that exposure to cholesterol complications begins for adults 40 years old or over; these complications, he points out, can begin at a very early age depending upon the individual. Individuals can face CVD in their early 20's and 30's due to the cumulative burden of cholesterol.
Howard Wolpert, MD, senior physician in adult diabetes at Joslin Diabetes Center, director of Joslin Institute for Technology Translation, and associate professor at Harvard Medical School, recognizes 3 issues with current care delivery models that with modification, can change diabetes care in this emerging digital health era. These factors, he pointed out, include: a serious lack of diabetes specialists, an unsuccessful acute-based therapeutic model that concentrates on prescriptive dose adjustment, and an unrealistic care delivery model of patient scheduled office visits. Dr Wolpert believes that care models currently in place are not effectively promoting patient engagement, self-care and self-management skills. Further, they do not adequately satisfying the needs of a patient with a chronic disease like diabetes who may require 24/7 support.
Dennis P. Scanlon, PhD, faculty member and health services researcher at Penn State University, and associate editor of The American Journal of Managed Care, leads a discussion on diabetes and patient care management that is concentrated on patient behavior, patient motivation, and ultimately, patient adherence. He is joined by Paul Ciechanowski, MD, MPH; Todd Prewitt, MD, FAAFP; Trishan Panch, MD, MPH; and Ronal Tamler, MD, PhD, MBA, CDE.
Osama Hamdy, MD, PhD, FACE, leads a discussion on how clinicians and diabetes educators can integrate clinical practices and multi-disciplinary approaches in managing patient lifestyles, and are more effective when covered by insurance. He is joined by Andrew S. Pumerantz, DO, FACP; Melinda Maryniuk, MEd, RD, CDE; Albert Tzeel, MD, MHSA, FACPE; and Edward Phillips, MD.
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