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The upside down world of diabetes care medical economics and what we might do to improve it.

Curr Opin Endocrinol Diabetes Obes

April 2017

aDepartment of Medicine, Diabetes Center of Excellence, University of Massachusetts Medical School, Worcester, Massachusetts bDepartment of Medicine, Division of Metabolism, Endocrinology, and Nutrition at the University of Washington Medical School, Seattle, Washington, USA.

Purpose Of Review: Increasingly over the past generation, the American healthcare delivery system has received consistently poor marks with regard to public health outcomes and costs. This review by two seasoned diabetes care providers is intended to shed light on the fundamental flaws we believe to underlie that poor performance, and suggest options for better outcomes and cost efficiencies.

Recent Findings: Despite major advances in diabetes management medications and tools, overall public health with regard to diabetes outcomes remains poor.

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