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Discovery Health report on CME Cardiometabolic Risk Factors: Hitting the goals. 
The doctors interviewed talked about case management strategy using web based surveys.

Over one-third of adults in the U.S. have two or more cardiometabolic risk factors, which are overweight, insulin resistance (diabetes), high blood pressure, and dyslipidemia (cholestorel-HDL/LDL). Millions of people with any combination of these factors are at risk for cardiovascular disease.

Doctors need to take the BMI and the waist circumference earlier and use diet and exercise more than they are doing and their patients will do much better in the long run.

Blood pressure targets should be less than 130/80, although 140/90 is acceptable in healthy, non-risk patients.
Blood sugar (fasting) < 100
Glycemic index < 7%

The National Cholesterol Education Program recommends:
LDL primary target < 100 mg/dL
Less risk patients may be < 130
HDL > 40 mg/dL (men)
HDL > 50 mg/dL (women)
Raising HDL is 3 times as powerful.
Triglycerides <= 150 mg/dL - hard to manage - not managed by statins - must add niacin or fibrate when really they should talk about lifestyle first.

Women & diabetes patients have higher risk with hypertriglyceridemia, and especially women with diabetes, are showing an increase in cardiovascular mortality.

In the Reach Registry, international population based registry of patients with cardiovascular disease, more than 67,000 enrolled, 55% of them have poorly treated hypertension, 5% had undiagnosed hypoglycemia. A significant majority that had significant risk factors were overweight or obese.

2004 study by Saudek and Colleagues (Johns Hopkins) - reaching blood pressure goals and A1C goals just over 35% and cholesterol goals of < 200 was less than 50%, and with all three goals - 7.3%. HDL is at 24 to 25% of where we want it to be.
“The first step in preventing or delaying the onset of complications associated with diabetes is recognizing the risk factors, including uncontrolled blood glucose,” added Saudek.  “Assessing glycemia in diabetes can be a challenge, but approaches are available that promote successful management of blood glucose and may lead to a significant reduction in incidence and in medical treatment of diabetes.”  One of these, of course, is web and/or IVR surveys.

Doctors in Louisa, VA, state that it's much easier to take a medication than it is to incorporate exercise and diet into the patients' lifestyles.  We know that the longer we allow CME to go untreated or partially treated, the more cardiovascular damage occurs.  There is only so much you can do - you can share information, tell them the consequences, but ultimately they have to make the decision to change their behaviors.

These doctors recommended a low fat diet with 1500 calories per day for women, 1800 for men and 150 minutes of exercise per week (minimum).  Start slow - use FIRM  (Few Changes Individualized Recommended to be Made). The patient must pick the changes or It's too overwhelming, so you set them up for success by picking modest goals they will certainly achieve and finally, you have to monitor those results.  If you're not tracking, you don't know what's going on.

The three doctors being interviewed all agreed that doctors are not trained in approaching patients about their lifestyles and those that learn on their own are not being successful in affecting lifestyle changes without referring to third party, non-physician support (ex: trainers) and/or using case management strategies including web surveys to give them feedback. They all agree that it's important to FOLLOW UP!!!! These changes need support over time to be accomplished.

The IPT solution provides an online approach for lifestlyle wellness solutions by facilitating doctor patient interaction / communication in managing routine diet and exercise regimens. In many cases, this negates the need to prescribe costly medications that are often associated with unpleasant side effects. With monitoring, better outcomes are proven and everyone is more satisfied - the patient with their care, the doctor with their results, the managing clinic or hospital system with their satisfaction factor and/or P4P analysis.

 

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