US endocrinology最新文献_第2页

Cost Comparison of Flash Continuous Glucose Monitoring with Self-monitoring of Blood Glucose in Adults with Type 1 or Type 2 Diabetes Using Intensive Insulin—From a US Private Payer Perspective 1型或2型糖尿病患者使用强化胰岛素的快速连续血糖监测与自我血糖监测的成本比较——来自美国私人支付者的观点

US endocrinology Pub Date : 2020-01-01 DOI: 10.17925/use.2020.16.1.24

Lizheng Shi, R. Hellmund

{"title":"Cost Comparison of Flash Continuous Glucose Monitoring with Self-monitoring of Blood Glucose in Adults with Type 1 or Type 2 Diabetes Using Intensive Insulin—From a US Private Payer Perspective","authors":"Lizheng Shi, R. Hellmund","doi":"10.17925/use.2020.16.1.24","DOIUrl":"https://doi.org/10.17925/use.2020.16.1.24","url":null,"abstract":"Objective: Estimate the costs associated with a flash continuous glucose monitoring system as a replacement for self-monitoring of blood glucose (SMBG) for people using intensive insulin to manage diabetes, from a US private payer perspective. Methods: The base case used SMBG at 8 tests/day, the mid-point of the range recommended by the American Diabetes Association for intensive insulin users. Scenario analyses used SMBG at 3, 6 and 10 tests/day. Estimated costs of glucose monitoring and severe hypoglycemic events were assessed. Results: For the base case, the annual cost of SMBG was $4,380 for a patient with type 1 diabetes mellitus (T1DM) compared with $1,712 for flash monitoring, a reduction of $2,667 (61%). The cost of flash monitoring was also lower than SMBG at 6 and 10 tests/day. With SMBG at 3 tests/day the cost was comparable. Similar results were obtained for patients with T2DM using intensive insulin. The annual cost of severe hypoglycemia was approximately 50% less for flash monitoring than for SMBG for both patients with T1DM and those with T2DM. Conclusions: For US private payers, the flash monitoring system provides cost savings compared with SMBG for people with diabetes using intensive insulin. Cost savings with flash glucose monitoring may be realized through a reduction in severe hypoglycemia. Further study of budget impact is needed to include changes in behavior leading to improved adherence.","PeriodicalId":23490,"journal":{"name":"US endocrinology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67604143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Clinical Evidence and Proposed Mechanisms for Cardiovascular and Kidney Benefits from Glucagon-like Peptide-1 Receptor Agonists 胰高血糖素样肽-1受体激动剂对心血管和肾脏有益的临床证据和拟议机制

US endocrinology Pub Date : 2020-01-01 DOI: 10.17925/USE.2020.16.2.80

E. Cox, R. Alicic, Joshua J. Neumiller, K. Tuttle, Spokane Wa Usa Services, Wa Usa Seattle

引用次数: 3

Genital Tuberculosis and its Impact on Male and Female Infertility 生殖器结核及其对男性和女性不育的影响

US endocrinology Pub Date : 2020-01-01 DOI: 10.17925/USE.2020.16.2.97

S. Malik, Southend Fertility, Vasant Vihar New Delhi India Ivf

引用次数: 5

Dietary Practices During Common Religious Fasts in People with Type 2 Diabetes Mellitus Among Different Religions in North India—A Questionnaire-based Study 印度北部不同宗教的2型糖尿病患者在普通宗教斋戒期间的饮食习惯——一项基于问卷的研究

US endocrinology Pub Date : 2020-01-01 DOI: 10.17925/use.2020.16.1.36

L. Gupta, Bhavneet Arora, D. Khandelwal, P. Lal, S. Kalra, S. Bhattacharya, D. Dutta, S. Chittawar, Ankit Paliwal

引用次数: 1

Controversies and Pitfalls in the Diagnosis of Extrapulmonary Tuberculosis with a Focus on Genital Tuberculosis 肺外结核诊断的争议与误区(以生殖器结核为重点)

US endocrinology Pub Date : 2020-01-01 DOI: 10.17925/USE.2020.16.2.109

Nalini Mahajan, Mother

{"title":"Controversies and Pitfalls in the Diagnosis of Extrapulmonary Tuberculosis with a Focus on Genital Tuberculosis","authors":"Nalini Mahajan, Mother","doi":"10.17925/USE.2020.16.2.109","DOIUrl":"https://doi.org/10.17925/USE.2020.16.2.109","url":null,"abstract":"Extrapulmonary tuberculosis (EPTB) is a complex disease; diagnosis is often difficult due to the paucibacillary status and the invasive procedures required to obtain an adequate sample. Culture testing remains the gold standard for diagnosis, but low bacterial count in EPTB may lead to a negative culture; therefore, a combination of tests is often required for confirmation of diagnosis. Microbiological tests are combined with clinical signs and symptoms, in addition to imaging techniques to improve diagnostic accuracy. Molecular tests have improved time-to-detection for disease and drug sensitivity testing; however, they cannot replace culture testing at present. Though specificity of molecular testing is high, sensitivity varies in samples from different sites, being low for TB meningitis. For genital TB, a combination of tests must be used for timely diagnosis, as disease progression leads to irreversible damage of the reproductive organs. Newer techniques, like whole genome sequencing and next-generation sequencing, are being introduced to improve diagnosis and detect drug resistance. Currently, no single diagnostic test can be considered a ‘point of care’ test. Early and accurate diagnosis is urgently needed to prevent the associated morbidity and mortality.","PeriodicalId":23490,"journal":{"name":"US endocrinology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67603769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Simultaneous Onset of Autoimmune Hyperthyroidism and Rheumatic Fever in an Adolescent Female—Case Report 自身免疫性甲状腺功能亢进和风湿热同时发病的一名青少年女性病例报告

US endocrinology Pub Date : 2020-01-01 DOI: 10.17925/USE.2020.16.2.125

Divya Vundamati, S. Tsai

引用次数: 1

Is the Ketogenic Diet an Effective and Safe Approach to Type 2 Diabetes Management and Weight Loss? 生酮饮食是2型糖尿病管理和减肥的有效和安全的方法吗?

US endocrinology Pub Date : 2020-01-01 DOI: 10.17925/use.2020.16.1.15

D. Dutta, Soumitra Ghosh, S. Kalra, I. Maisnam, Meha Sharma

引用次数: 0

Acromegaly Due to McCune–Albright Syndrome mcune - albright综合征所致肢端肥大症

US endocrinology Pub Date : 2020-01-01 DOI: 10.17925/use.2020.16.1.47

Martin J. Rutkowski, D. Southwell, T. Cardinal, L. Blevins