Sunday, January 25, 2015

ADA Issues New Standards of Medical Care for Diabetes

The American Diabetes Association has released its Standards of Medical Care in Diabetes - 2015. These standards are reviewed and updated each year to give providers the latest guidance for diagnosing and treating both type 1 and type 2 diabetes.

Cardiovascular Disease and Risk Management
The 2015 Standards include the following revisions to cardiovascular disease and risk management goals:
  • Individuals with diabetes should be treated to a diastolic blood pressure (DBP) <90 mmHg. 
  • Lower diastolic targets, such as <80 mmHg, may be appropriate for certain individuals, such as younger patients, if they can be achieved without undue treatment burden.
  • People with diabetes and hypertension should be treated to a systolic blood pressure (SBP) goal of <140 mmHg.
  • Lower systolic targets, such as < 130 mmHg, may be appropriate for certain individuals, such as younger patients, if they can be achieved without undue treatment burden. 
These revisions are in alignment with a recent publication by the Eight Joint National Committee that recommended, for individuals over 18 years of age with diabetes, a DBP threshold of <90 mmHg and SBP <140 mmHg.

Recommendations for statin treatment were also revised after consideration of 2013 American College of Cardiology/American Heart Association guidelines on the treatment of blood cholesterol. Treatment initiation (and initial statin dose) is now driven primarily by risk status rather than LDL cholesterol level. The recommendations for statin treatment in people with diabetes can be found below:


Thursday, January 22, 2015

Drink Different: Feasible Strategies to Reduce Obesity

Each day, Americans make choices about what they will eat and drink. Often, these are unhealthy ones, contributing to a national obesity rate of more than 33 percent. Lowering this rate is key to controlling rising health-care costs and improving quality of life. While many factors contribute to obesity, sugary drinks are among the greatest drivers. The Milken Institute has conducted the first-ever analysis of the effect lowering consumption of such drinks would have on public health and finances  and discovered that even a modest reduction would have a major health impact and generate solid economic dividends.
In 2030, if Americans consume on average three fewer 12-ounce sugar-sweetened drinks per month, compared to continuing on the current trend, the number of obese Americans would be reduced by 2.6 million. Reaching this goal would produce an overall savings of more than $25 billion for the U.S health-care system.

Wednesday, January 21, 2015

Greeley bans e-cigarettes in public places

The Greeley City Council added e-cigarette vaporizing to that city's smoke-free law. Greeley’s no longer allows use of electronic smoking devices in places that have been smoke-free under the voter approved law. Greeley becomes the seventh Colorado community to add vaporization to its smoke-free law.

Electronic smoking devices remain unregulated, are not approved quit smoking products, have no requirement for ingredient disclosure. Tests of various devices have turned up the presence of toxic chemicals in the aerosol.

A 2011 study found heart attack admissions in Greeley dropped 27% during the 2 1⁄2 years following the smoke-free law passage in 2003.



Tuesday, January 20, 2015

Review, Update, and Strengthen Your Local Wellness Policy

This spring the Colorado Department of Education Office of School Nutrition and the Colorado Education Initiative will offer four regional training sessions aimed at increasing school districts’ ability to update local wellness policy to address best practices in school health and determine strategies to assess and implement policy. Participants will learn:

o The importance of local wellness policies

o Federal and state legislation related to school health, social/emotional wellness and competitive foods

o How district policy works

o How to analyze local wellness policy language and identify needed updates

o How to engage partners

o Implementation strategies to include Healthier US School Challenge, Smarter Lunchrooms and Smart Snacks in School

Training locations include La Junta (3/10), Fort Morgan (3/24), Denver (4/23) and Montrose (4/29). Please register for the training at: https://cde.cnpus.com/codoe/Splash.aspx. For more information about the trainings and how to register, please visit http://www.cde.state.co.us/nutrition/nutritngrant. Contact Amanda Mercer at 303-866-6659 or by emailmercer_a@cde.state.co.us if you have any questions or concerns.

Colorado Governor’s Council for Active and Healthy Lifestyles announces new awards

The Governor’s Council for Active and Healthy Lifestyles will partner with Health Links Colorado and the Colorado Education Initiative on two new awards in 2015: The Governor’s Award for School Health and Wellness and the Governor’s Award for Worksite Wellness.

Founded in 1975, the bipartisan Council is made up of governor-appointed members and numerous affiliated volunteers, who promote active and healthy lifestyles statewide. The Council is dedicated to making Colorado the healthiest state in the nation.

The Governor’s Award for Worksite Wellness will be presented at the Colorado
Culture of Health Conference April 9. The Governor’s Award for School Health and Wellness will be presented at The Colorado Education Initiative’s 7th Annual Summit April 24.
Private, public, nonprofit and government employers interested in becoming a Certified Healthy Business can complete an application at Health Links Colorado (www.healthlinkscolorado.org). Applications received by March 2, 2015 will be considered for the 2015 Governor's Award for Worksite Wellness.

Colorado schools can learn more about the Healthy Schools Champions Recognition Program at The Colorado Education Initiative (www.coloradoedinitiative.org or http://www.healthyschoolchampions.org).



Friday, January 16, 2015

Preventing Falls in Older Adults

"Preventing Falls" was created by New York State Older Adult Fall Prevention Program. This video highlights their implementation of proven programs that save money and keep older adults safe, secure, and independent, by educating physicians to assess fall risk in older patients and refer them to proven programs to help them reduce their risk. Today 170+ physicians across 17 practices within New York's United Health Services assess older adult patients for fall risk using the STEADI toolkit and refer them to proven community programs, such as Tai Chi: Moving for Better Balance and Stepping On, to help them reduce their risk of falling and to lead a longer, healthier life.

More information on the STEADI toolkit is available on the Clinical Integration webpage or contact Sallie Thoreson for more information on evidence-based classes.


Thursday, January 15, 2015

State health department recruiting review committee members for tobacco and chronic disease

CCPD Review Committee

The Cancer, Cardiovascular Disease and Pulmonary Disease Grant Program, on behalf of the Colorado Board of Health, is currently seeking applications from a CANCER DISEASE PROFESSIONAL to serve on the statutorily-mandated grant program CCPD Review Committee.

The CCPD Review Committee is a 16-member advisory board that to oversees program strategies, reviews grant applications and makes funding recommendations to the Colorado Board of Health for a competitive grants program to prevent and reduce cancer, cardiovascular disease and chronic pulmonary disease prevention, early detection and treatment in Colorado.

Apply by Feb. 27 to the CCPD Review Committee.

Tobacco Review Committee

The Tobacco Education, Prevention and Cessation Grant Program, on behalf of the Colorado Board of Health, is currently seeking applicants for a vacant position on the legislatively-mandated grant program Tobacco Review Committee for a REPRESENTATIVE OF A STATEWIDE ASSOCIATION REPRESENTING PHYSICIANS.

The Tobacco Review Committee is a 16-member advisory committee that ensures that tobacco grant program priorities are established consistent with the Colorado Tobacco Prevention and Control Strategic Plan, oversees program strategies and activities, and ensures program grants are in compliance with legislatively mandated requirements.

Apply by Feb. 27 to the Tobacco Review Committee.