Recognize: Consider diabetes risk factors for all of your patients and screen appropriately for diabetes. Register: Develop a registry for all of your patients with diabetes to track care. Resource: Support self-management through the use of interprofessional teams, which could include the primary care provider, diabetes educator, registered dietitian, nurse, pharmacist, specialists and self-management supports, including linkage to community services. Relay: Facilitate information sharing between the person with diabetes and the health-care team for coordinated care and timely management changes. Recall: Develop a system to remind your patients and caregivers of timely review and reassessment.Conflict of interest statements can be found on page S33. Can J Diabetes 42 (2018) S27-S35
Il y aura bientôt cent trente ans qu’un homme gravait pour la première fois le son dans la matière grâce à l’invention du phonographe. Autour de cet appareil, qui sera transformé au cours des années, naîtra une industrie qui aura un impact sur la destinée musicale planétaire. Aujourd’hui dématérialisée, la musique se transmet dorénavant à la vitesse de la lumière optique, en tout lieu, en tout moment. L’auteur présente un survol historique des différents supports audio employés au fil des ans, leur évolution et leur rayonnement jusqu’à nos jours.It was nearly 130 years ago that, with the invention of the phonograph, humankind etched sound for the first time onto matter. Over the years, an entire industry has been created around this device, which has had a major impact on the planet's musical destiny. In its present dematerialized state, music can now be transmitted at the speed of light, at all places and at all times. The author presents a historical survey of the different sound recording media, their evolution and development
Background: There is increasing evidence linking diabetes and dementia; however, large population-based studies in this area are lacking. Methods: We used administrative health databases to identify a matched cohort of Ontario seniors (age 66 years) with (n¼225 045) and without newly diagnosed diabetes (n¼668 070) between April 1995 and March 2007. Individuals were followed until March 2012 for a new diagnosis of dementia based on a validated algorithm using hospitalization records and physician services claims. Cox proportional hazards modelling was used to compare the incidence of dementia between groups after adjusting for a number of baseline risk factors. Results: From baseline until March 31, 2012, there were 169 114 new cases of dementia diagnosed among members of our cohort. Individuals with diabetes experienced a significantly higher incidence of dementia (156.5 vs. 150.4 per 1000 person years) than those without diabetes; even after adjusting for baseline cardiovascular disease, chronic kidney disease (CKD) and hypertension (adjusted HR 1.20 [1.17 to 1.22] and 1.14 [1.12 to 1.16] among men and women, respectively). Individuals with diabetes who had prior cerebrovascular disease (HR 2.04 [1.89 to 2.21]), peripheral vascular disease (HR 1.46 [1.18 to 1.81]), CKD (HR 1.41 [1.35 to 1.48]) or hospitalizations/emergency department visits for hypoglycemia (HR 1.53 [1.41 to 1.67]) were at greatest risk for dementia (Table 1). Conclusions: Seniors with newly diagnosed diabetes experience an approximately 20% higher risk of developing dementia. Preexisting vascular disease and other comorbidities increase the risk of dementia in the setting of diabetes.
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