Look at the graph above. This represents 21 years of follow-up in patients with type 2 diabetes and chronic kidney disease identified by a small amount of protein in the urine. This study compared usual care— the care that almost everyone receives— with optimal medical therapy (OMT) (protocol-driven, advanced primary care best practice treatment.) OMT dramatically reduced all complications of diabetes eight years into the study. The difference in outcomes was so impressive, the researcher rightly concluded it would be unethical to continue to expose people to usual care and everyone went on OMT.
Your post is excellent! The information contained in this post is invaluable for the clinician working with patients . It really sets the focus ! I would just like to thank you and tell you how much I appreciate your posts ! I do big time !
I appreciate your enthusiasm. The opportunity to help people has never been better. Rescue after the damage is done does not work well at all. The key is recognizing patients on the path to heart failure and intervening aggressively then.
Your final comment holds true in all that we do as physicians in a world of increasing complexity. That complexity only comes from a lack of clear vision and processes. I appreciate all of your thoughts on OMT and the response to medical therapy when it just seems like so many people are oblivious to what it means to live a healthy lifestyle with their diet and exercise.
Accurate and early detection with effective lifestyle optimization intervention is the key to solving this problem: https://open.substack.com/pub/mcgdoc/p/mcg-vs-insulin-resistanceprediabetesdiabeteshear?r=jonh8&utm_medium=ios&utm_campaign=post
Your post is excellent! The information contained in this post is invaluable for the clinician working with patients . It really sets the focus ! I would just like to thank you and tell you how much I appreciate your posts ! I do big time !
I appreciate your enthusiasm. The opportunity to help people has never been better. Rescue after the damage is done does not work well at all. The key is recognizing patients on the path to heart failure and intervening aggressively then.
Yup! 💯%!
Yup! 💯%!
Very impressive info.
Your final comment holds true in all that we do as physicians in a world of increasing complexity. That complexity only comes from a lack of clear vision and processes. I appreciate all of your thoughts on OMT and the response to medical therapy when it just seems like so many people are oblivious to what it means to live a healthy lifestyle with their diet and exercise.