Diabetes Presentation Nosscr 52010

NOSSCR Spring 2010 Social Security Disability Law Conference Suzanne Villalón Hinojosa 1-800-481-0302 www.southtexasdisabilitylawyer.com

Why Diabetes? ,[object Object],[object Object],[object Object],[object Object],[object Object],http://www.cdc.gov/diabetes/pubs/factsheet07.htm

Why now? ,[object Object],[object Object],[object Object],[object Object]

Why is SSA eliminating the Current listings for Diabetes? ,[object Object],[object Object],[object Object],[object Object],[object Object]

History of Diabetes treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Medical advances have not reduced the incidences and prevalence of Diabetes ,[object Object],[object Object],[object Object],[object Object],[object Object]

Effect of new proposed rules ,[object Object],[object Object],[object Object]

Two Types of Diabetes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Among adults with diagnosed diabetes (type 1 or type 2), 14% take insulin only, 13% take both insulin and oral medication, 57% take oral medication only, and 16% do not take either insulin or oral medication.

Forms of Diabetic Neuropathy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

About 60 to 70 percent of people with diabetes have some form of neuropathy http://diabetes.niddk.nih.gov/DM/pubs/neuropathies/ ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Autonomic neuropathy may be disabling ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Foot damage ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Distal symmetric polyneuropathy (DPN) with autonomic neuropathy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ADA Diabetes Care , Volume 33, Supplement 1, January 2010 & J Neurol Neurosurg Psychiatry 2003; 74 (Suppl II)ii15-ii19

Eye damage ,[object Object],[object Object]

Stages of retinopathy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Symptoms of diabetic retinopathy ,[object Object],[object Object],[object Object],[object Object],[object Object]

Functional effects of retinopathy ,[object Object],[object Object],[object Object],[object Object],[object Object]

Type 2 diabetes is difficult to control ,[object Object],[object Object],[object Object]

Risk Factors for Type 2 Diabetes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Causative Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ADA Treatment Guidelines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Diabetes Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ADA Standards of Care, 1, 2010

Different types of oral medication The choices of oral drug therapy for type 2 diabetes have become extremely complex. AACE Diabetes Guidelines, 2002

State Diabetes Coverage Requirements within Private Insurance http://www.ncsl.org/IssuesResearch/Health/DiabetesHealthCoverageStateLawsandPrograms/tabid/14504/Default.aspx#StateMap

ADA accommodations “tight control” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Diabetes Presentation Nosscr 52010

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