Category: Living Well Written by Cathy Nedd
AARP Michigan State Director Jacqueline Morrison made this statement today on the substitute for House Bill 4174, the Medicaid expansion legislation:
“We very much appreciate the significant progress that has been made on the Medicaid expansion bill. After an initial review, AARP supports the legislation in concept. We will watch closely as the bill moves through the process and look forward to working with the Legislature to ensure that 470,000 Michiganians without health insurance get the quality coverage they need.
Last Updated on Monday, 10 June 2013 18:22
Category: Living Well Written by National Kidney Foundation
The National Kidney Foundation of Michigan (NKFM) is recognizing National Men’s Health Week from June 10-June 16, and Men’s Health Month this June, by educating men about preventing and controlling diabetes, which is the leading cause of kidney failure.
Approximately 13 million men have diabetes in the United States, which is 11.8 percent of all men ages 20 and older. Men with diabetes and their families can face devastating complications from unmanaged diabetes, especially since people with diabetes are at a high risk for heart attack and stroke. In addition to causing kidney failure, diabetes can also lead to blindness, loss of a toe or foot, and erectile dysfunction. Although diabetes is a serious, life-long condition, there is good news. Taking care of your diabetes and your health can help you avoid long-term health problems and enjoy a long and healthy life.
Men with diabetes can reduce their chances of having life-threatening complications by managing their A1C, Blood Pressure, and Cholesterol (ABCs of diabetes).
• “A” is for the A1C test. The A1C test shows you what your blood glucose has been over the last three months. The A1C goal for many people is below 7. High blood glucose levels can harm your heart and blood vessels, kidneys, feet, and eyes.
• “B” for blood pressure. The goal for most people is 130/80. High blood pressure makes your heart work too hard. It can cause heart attack, stroke, and kidney disease.
• “C” is for Cholesterol. Bad cholesterol (LDL) builds up and clogs your arteries. The LDL goal for most people with diabetes is below 100. Good cholesterol (HDL) helps remove cholesterol from your blood vessels. The HDL goal for most people is above 40.
For those with diabetes and those at risk for diabetes alike, it’s also important to maintain a normal weight and to exercise on a regular basis, and stop smoking.
It’s essential for men with diabetes to take action to reach their ABC targets in order to maintain their health. For more information, contact NKFM at www.nkfm.org or 800-482-1455.
For over a decade, the National Kidney Foundation of Michigan has been focused on reducing health disparities. The NKFM has received multi-year grants from the Centers for Disease Control and the HHS Office on Women’s Health to help tackle diabetes disparities. As part of these grants the NKFM will be highlighting the Controlling your Diabetes ABCs campaign. If you have diabetes, you are at high risk for kidney disease, heart attack, and stroke. But you can fight back. You can control the ABCs of diabetes and live a long and healthy life. Ask your healthcare provider what your A1C, Blood pressure, and Cholesterol numbers are and ask what they should be.
Last Updated on Monday, 10 June 2013 16:37
Category: Living Well Written by Michigan Chronicle Staff
ANN ARBOR—Using individual patient risk factors, including genetics, University of Michigan research provides new insights into the frequency of dental cleanings that benefit a patient to prevent gum disease that leads to tooth loss.
"Twice-yearly cleanings have been recommended for over 50 years without supporting evidence," said Dr. William Giannobile, the Najjar Endowed Professor of Dentistry and Biomedical Engineering. "Results showed that one yearly cleaning is likely to be enough for patients with no risk factors. Patients with one or more risk factors, which represent over half of the population, should visit at least twice a year and likely more in some cases."
In a new study published online in the Journal of Dental Research, Giannobile and colleagues explored the link between long-term tooth loss and frequency of preventive dental visits (teeth cleanings) in adult patients with and without three key risk factors for periodontal disease: smoking, diabetes and interleukin-1 genetic variations.
The researchers examined dental claims data from 5,117 adult patients who visited the dentist regularly for 16 straight years, had no history of periodontitis and consistently received one or two cleanings each year (each patient had insurance coverage for two cleanings annually).
They assessed individual patient risk factors (smoking, diabetes, genetics) to determine each patient's risk for progressive periodontitis, including testing DNA collected from participants for genetic variants that regulate a protein that when over expressed, can be associated with gum disease and the destruction of bone and soft tissue that support the teeth.
Giannobile and colleagues say that high-risk patients—having at least one of the three risk factors—receive significant benefit in preventing tooth loss from two dental cleanings per year. In high-risk patients with two or three risk factors, more than two cleanings per year may be needed to prevent tooth loss. In low-risk patients, those who had no risk factors, the second cleaning did not have significant value in reducing tooth loss beyond that achieved with one cleaning each year.
"The future of health care is personalized medicine," said Giannobile, who also chairs the U-M Department of Periodontics and Oral Medicine. "This study represents an important step toward making it a reality, and in a disease that is widespread, costly and preventable.
"Personalized medicine has great potential in health care to provide very specific patient treatment based not only on clinical symptoms, but also by including genetic risk factors to better identify the risk of disease."
Dr. Kenneth Kornman, chief executive officer of Interleukin Genetics, which developed the genetics test used in the study, said the approach identified by the U-M research has the potential to improve health care outcomes and delivery.
"We have long known that some individuals are at greater risk of periodontal disease, but tools haven't been available to adequately identify those at increased risk and prevent disease progression," he said.
Periodontitis is a bacterially induced chronic inflammatory disease that destroys bone and soft tissue that support the teeth. It is the most common chronic infection of the body and affects up to 47 percent of adults in the U.S., according to the Centers for Disease Control and Prevention. If left undiagnosed or inadequately treated, it often leads to tooth loss.
William Giannobile: http://www.dent.umich.edu/pom/faculty/links/wgbio
U-M School of Dentistry: http://www.dent.umich.edu
Last Updated on Thursday, 06 June 2013 14:48
Category: Living Well Written by Michigan Chronicle Staff
Dentists try to make up for Medicaid shortfalls, other holes
in oral health safety net during two-day charitable event
More than 300 Michigan Dental Association dentists – many from Southeast Michigan – and hundreds of other volunteers will begin treating an expected 2,000 disadvantaged people starting Friday in the state’s first Mission of Mercy (MOM) event to provide dental care to people without other options.
Patients are expected to begin lining up Thursday night at Saginaw Valley State University’s Ryder Center to receive treatment on a first-come, first-served basis during the two-day event, which ends Saturday. Priority is given to adults and children in pain and with infections. It is expected to be the state’s largest dental access event.
“Michigan is joining the 25 other states that have held Mission of Mercy events in an attempt to get disadvantaged children and adults the dental care they so desperately need,” said Dr. Steve Harris, a Farmington Hills dentist and chairman of the Michigan Mission of Mercy. “We are committed to seeing 1,000 patients each day, and while we know the access problem is much bigger than that, we want to make sure we are doing everything we can to solve it.”
“This obviously is not a solution to Michigan’s access to care problem,” said Dr. Norm Palm, MDA president and a Grand Rapids oral surgeon. “Safety net clinics and the state’s Medicaid program must be adequately funded to serve the more than 1.8 million Michigan children and adults who qualify for Medicaid.”
“There are many individuals in desperate need of dental services in our community,” said Sharon Mortensen, president and CEO of the Midland Area Community Foundation. “It’s heartening to see hundreds of volunteers, local organizers and the Michigan Dental Association working together to help meet that need.”
Patients can receive fillings, extractions, cleanings and certain other procedures as needed. They cannot receive bridges, crowns, dentures, implants or orthodontics. If patients experience complications in the days immediately following the clinic, some local dentists and clinics have agreed to see MOM patients for emergency follow-up care.
In addition to dental treatment, patients will receive information about the importance of good daily oral hygiene, a healthy diet and routine preventive dental care.
“Education is the most cost-effective way to reduce oral disease, so we want to make sure patients are armed with information that allows them to take charge of their oral health,” said Dr. Connie Verhagen, a Muskegon pediatric dentist who was instrumental in bringing MOM to Michigan. “Our ultimate goal is for patients to receive regular preventive care so they do not have to rely on events such as this.”
It costs about $180,000, including in-kind donations, to hold the 100-chair clinic over the two days. Donations include grants, private contributions, dental supplies, meals and snacks, tables and chairs, office supplies and other items.
MOM is a joint project of the MDA and MDA Foundation. Major sponsors include Delta Dental, Blue Cross Blue Shield Foundation, Dow Corning Donor Advised Fund, Midland Area Community Foundation, Patterson Dental and Rollin M. Gerstacker Foundation, and 135 others.
For more information about MOM go to www.smilemichigan.com/foundation.
About the Michigan Dental Association:
The MDA works to educate the public about oral health, promotes the science and art of dentistry, and provides educational materials and services to its 5,500 members, enhancing their ability to provide quality care. For more information, visit www.smilemichigan.com.
Michigan Mission of Mercy: How it works
· Patients complete registration and health history forms.
· Patients receive one-on-one oral health education.
Patients go to “medical triage,” where it is determined whether they have medically compromising conditions (extremely high blood pressure, severe untreated diabetes, etc.), which means they cannot be treated.
Patients go to dental triage, where their dental needs are identified.
Patients are referred to one of six clinic areas:
o oral surgery
Patients then go to an in-house pharmacy for antibiotics and non-narcotic pain medication, as needed.
Patients have an exit interview where they receive post-op instructions and an oral health kit to take home, as well as information on where to go for follow-up dental care.
Last Updated on Wednesday, 05 June 2013 20:30
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