Control, complications, confidence: the Regenstrief conference on the risks and benefits of intensive management in NIDDM

Article Abstract:

Evidence of the value of tightly controlling blood sugar in people with insulin-dependent diabetes mellitus (IDDM) may also help shape the future management of patients with non-insulin dependent mellitus (NIDDM). A recent study on IDDM found that tight blood glucose control had beneficial effects for patients with nervous system and small vessel complications. There was no evidence, however, of beneficial effects on large vessel complications. Other research is currently underway that would support tightly controlling blood sugar. It is uncertain, however, whether it is appropriate for doctors treating patients with NIDDM to generalize the findings of this study to their patients' treatment plans since these two conditions differ in significant ways. Doctors who consider a change in the management approach of NIDDM should also consider the implications of this change within the current health care system.

Care and treatment, Physiological aspects, Type 2 diabetes, Blood sugar, Blood glucose

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Reframing gun violence

Article Abstract:

Physicians need to start counseling patients on gun violence just as they counseled patients on the importance of using seat belts. Many physicians may have avoided discussions about gun ownership because they perceived it to be a social problem. Alcoholism was once considered a social problem, but it is now seen as a treatable disease. A 1998 survey of physicians found that many believed gun violence to be a major public health issue. Unfortunately, few of them actually counseled patients. Many medical schools do not train students in these issues, but this may be changing.

Prevention, Physicians, Medical professions, Surveys, Firearms, Beliefs, opinions and attitudes, Violence

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The heartbreak of drug pricing

Article Abstract:

The pharmaceutical industry could probably absorb any loss of revenue from lower drug prices and might even make more money because more people would be able to afford the drugs. Voluntary price reductions could improve the industry's public image and also eliminate the possibility of government regulation.

Drugs, Pharmaceutical industry, Prices and rates

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