Sunday, 29 March 2015

30 March, 2015

How diabetes drugs may increase risk of heart failure

If you are on drugs for diabetes, you are at a greater risk of suffering from heart failure says a new study.
The study conducted at American College of Cardiology examined clinical trials of more than 95,000 patients and found that for every one kilogram of weight gain attributed to a sugar-lowering diabetes medication or strategy, there was an associated seven per cent increased risk of heart failure directly linked to that medication or strategy.

Dr. Jacob Udell, the study’s principal investigator, and cardiologist at the Peter Munk Cardiac Centre, University Health Network (UHN) and Women’s College Hospital (WCH), said that patients randomized to new or more intensive blood sugar-lowering drugs or strategies to manage diabetes showed an overall 14 per cent increased risk for heart failure and this increased risk was directly associated with the type of diabetes therapy that was chosen, with some drugs more likely to cause heart failure than others, compared with placebo or standard care. 

Dr. Barry Rubin, Medical Director, Peter Munk Cardiac Centre, University Health Network (UHN), asserted that the results of this study could prove to be the catalyst for how diabetes patients at risk for heart disease were managed moving forward and as the number one global killer, and the second leading cause of death in Canada, the growing burden of heart disease was in many respects impacting patients, families and the health-care system in ways that were unsustainable. 

Heart failure is a common occurrence for patients with type 2 diabetes and has a major impact on one’s life expectancy and quality of life as well as representing a major driver of healthcare costs.
The study is published in the current issue of The Lancet Diabetes and Endocrinology.


30.03.2015



Now, get a reminder on your phone to have your TB medication

TB or tuberculosis is an infectious disease which can easily spread from one person to the other. India had the highest number of TB cases in 2010 which makes it important that the treatment process be as stringent as possible. In order to make this possible, Apollo Hospitals and the International Union Against Tuberculosis and Lung Disease have come together to bring about a few changes in the process. 

They have started a TB intervention programme that will help patients and the authority as well. TB patients often stop taking drugs once they start feeling better but this is one of the worst mistakes as this can lead to complex drug resistant  TB.  Therefore it is vital that they continue the full course of medicine. The software they have introduced will send reminders in the form of SMS, voice calls to remind them about taking their medicine. It will even provide counselling to such patients.
The software will also help upload the patient’s case information to the Central Govt’s website ‘Nikshay’ which will keep track of their progress and how well they are following the treatment process.
Sarabjit Chadha, the Project Director of the International Union Against Tuberculosis and Lung Disease told the media that as of now there isn’t any automatic mechanism that can notify TB cases to government authorities or any system that can follow up cases. But this software will address both these issues. 

After a trial run at Apollo Hospitals, they want to see the response and later spread it to all private healthcare providers so that better and more effective TB treatment can be delivered across the country.


30.03.2015











Worry is a misuse of the imagination

 Dan Zadra


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