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Please note that we are unable to respond back directly to your questions or provide medical advice. As the fastest growing consumer health information site a€” with 65 million monthly visitors a€” Healthlinea€™s mission is to be your most trusted ally in your pursuit of health and well-being. The percentage of adults aged 45a€“64 and 65 and over with two or more of nine selected chronic conditions increased between 1999a€“2000 and 2009a€“2010.
The percentage of adults aged 45 and over with two or more of nine selected chronic conditions increased for all racial and ethnic groups between 1999a€“2000 and 2009a€“2010. During the 10-year period, the prevalence of two or more of nine selected chronic conditions increased for adults aged 45 and over in most family income groups. The percentage of adults aged 45 and over with the three most common combinations of the nine selected chronic conditions increased over the 10-year period. The percentage of adults aged 45a€“64 with two or more of nine selected chronic conditions who did not receive or delayed needed medical care in the past year due to cost, or who did not receive needed prescription drugs in the past year due to cost, increased over the 10-year period.
Between 1999a€“2000 and 2009a€“2010, the percentage of adults aged 45a€“64 and 65 and over with two or more of nine selected chronic conditions increased for both men and women, all racial and ethnic groups examined, and most income groups.
The percentage of adults aged 45a€“64 with two or more of nine selected chronic conditions who did not receive or delayed needed medical care due to cost increased from 17% to 23%, and the percentage who did not receive needed prescription drugs due to cost increased from 14% to 22%. The percentage of adults with two or more chronic conditions increased for men and women in both age groups during the 10-year period (Figure 1). In 2009a€“2010, 21% of adults aged 45a€“64 and 45% of adults aged 65 and over had been diagnosed with two or more chronic conditions. Between 1999a€“2000 and 2009a€“2010, the percentage of adults aged 45a€“64 with two or more chronic conditions increased 20% for non-Hispanic black, 35% for non-Hispanic white, and 31% for Hispanic adults (Figure 2).
During this period, the prevalence of two or more chronic conditions among those aged 65 and over increased 18% for non-Hispanic black, 22% for non-Hispanic white, and 32% for Hispanic adults. In both time periods, the prevalence of two or more chronic conditions was higher among non-Hispanic black adults than among adults in other racial and ethnic groups. In both 1999a€“2000 and 2009a€“2010, the prevalence of two or more chronic conditions for adults aged 45a€“64 decreased with rising family income and was more than twice as high among those living in poverty as among those at 400% or more of the poverty level (Figure 3).
Among those aged 65 and over, the percentage with two or more chronic conditions also decreased with increasing family income, but the percentage varied less by family income than among those aged 45a€“64. Between 1999a€“2000 and 2009a€“2010, the percentage of adults aged 45a€“64 with both hypertension and diabetes increased from 5% to 8% because of an increase in the share with hypertension and diabetes only, as well as an increase in the share with hypertension, diabetes, and additional chronic condition(s) (Figure 4).
In 2009a€“2010, 23% of adults aged 45a€“64 with two or more chronic conditions did not receive or delayed needed medical care in the past year due to cost, and 22% did not receive needed prescription drugs due to cost (Figure 5). For adults aged 65 and over with two or more chronic conditions, there was no change in the percentage who did not receive or delayed needed medical care in the past year due to cost, while the percentage who did not receive needed prescription drugs in the past year due to cost increased over the 10-year period.
These findings demonstrate the widespread rise in the prevalence of two or more of nine selected chronic conditions over a 10-year period.
Growth in the prevalence of MCC was driven primarily by increases in three of the nine individual conditions.
Increases in the prevalence of MCC may be due to a rise in new cases (incidence) or longer duration with chronic conditions.
The rising prevalence of MCC has implications for the financing and delivery of health care. Chronic disease, and combinations of chronic diseases, affects individuals to varying degrees and may impact an individual's life in different ways.
Estimates in this report are based on NHIS data, which provide information on the health status of the civilian noninstitutionalized population of the United States. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated. Fat dogs aren't cute or funny, they're more likely to suffer costly health problems and not live as long. Two portly Pugs walked through an antique shop and, needless to say, everyone stopped to take notice. More than half the dogs in this country are overweight, according to the Association for Pet Obesity Prevention. While the average Veterinary Pet Insurance claim for a canine wellness exam was $46 in 2012, the average cost per dog to treat obesity-related health issues easily reached the triple digits. As we kick off this season of conspicuous consumption, it’s a good time to take action. Every Thanksgiving, I have to warn my brother-in-law not to scrape his plate into Lulu’s food bowl. Whether you have a pint-size Chihuahua or a massive English Bulldog, all dogs should have noticeable waistlines. Some dogs may tuck their tails and run from the idea of working for their food, but interactive toys provide a great mental and physical workout. At first, I was resentful of having to drop my keys and grab my sneakers at the end of a stressful workday. About the author: Morieka Johnson lives in Atlanta with her husband, two stepdaughters, and a high-energy pooch named Lulu who inspires them to live each day to the fullest. Uniquely designed, simple, fast, accurate and cost effective Urine Testing Strips to enable both healthcare professionals and individuals to detect and monitor disease. Most doctors will tell you there is no alternative treatments for kidney problems besides costly dialysis or a transplant to deal with impaired renal function.


Kidney dialysis is a treatment that uses a special machine to filter harmful wastes, salt and excess from your blood.
Dialysis requires you to be hooked up to a machine three times a week for four hours per session. Human growth factors are natural substances that send signals to activate the production of new cells. The use of stem cells to treat kidney disease is just one of the many protocols I am researching. The goal is to help hasten the day when stem cell therapy will be used universally to cure all chronic diseases. Over the last 100 years, our environment has become filled with man-made chemicals, toxins and pollutants.
These toxins are the root cause of many of our modern epidemics including cancer, Alzheimer’s disease, diabetes and — yes — kidney disease.
Natural herbs can help clear toxins from your bloodstream, restore liver function and help flush out your kidneys. Milk Thistle – Look for dried extract with a minimum of 80% silymarin — the liver-cleaning active ingredient. The information and recommendations provided on this website have not been evaluated by the Food and Drug Administration and are provided for educational purposes only. Both of which will support, guide, and inspire you toward the best possible health outcomes for you and your family. Department of Health and Human Services established a strategic framework for improving the health of this population (2).
The most common combinations of chronic conditionsa€”hypertension and diabetes, hypertension and heart disease, and hypertension and cancea€”rincreased during this time.
During this 10-year period, prevalence of hypertension increased from 35% to 41%, diabetes from 10% to 15%, and cancer from 9% to 11%, among those aged 45 and over. The prevalence of obesitya€”a risk factor for certain types of heart disease and cancer, hypertension, stroke, and diabetesa€”increased in the United States over the past 30 years, but has leveled off in recent years (7a€“9). Persons with MCC are more likely to be hospitalized, fill more prescriptions and have higher annual prescription drug costs, and have more physician visits (3). Questions about all nine of the selected chronic conditions were answered by 30,682 respondents in 1999a€“2000 and 29,523 respondents in 2009a€“2010. Multiple chronic conditions: Prevalence, health consequences, and implications for quality, care management, and costs. Recent trends in the prevalence of high blood pressure and its treatment and control, 1999a€“2008. As they lumbered toward me like wayward floats in a Macy’s Thanksgiving Day Parade, their labored breaths made it obvious that this was the most exercise they’d had. Having a little extra junk in the trunk may be fine for Sumo wrestlers or reality stars, but it doesn’t work for dogs. VPI clients submitted an average claim of $149 for hypertension, $669 for congestive heart failure, and $872 for diabetes treatment. For a fee varies from $40 to more than $100, pooches can burn calories walking on a treadmill or swimming laps in a pool. If your dog has a little extra weight (and you know who you are), start trimming the fat with these holiday ground rules.
If you are curious about your pet’s weight, the Association for Pet Obesity Prevention lists the ideal weight ranges for various breeds. Take a moment to read the dog food label, and ask your vet for guidance adjusting the amount. Rolling, pushing or nudging toys to access treats will keep pudgy dogs occupied during the busy holiday season.
Overweight pets often mirror their owners’ activity levels, so the dog might not be the only family member who needs to take a daily walk. Now, I embrace our quality time together, especially now that her muzzle shows thick patches of gray. She enjoys writing about dog health, toys, training and anything else that prevents Lulu from eating her shoes.
It’s called stem cell biotherapy, and it offers new hope to those with this life-threatening disease.
That includes lean poultry and grass-fed meats, organic fruits and vegetables and whole organic dairy.
My PACE program is an excellent way to burn fat while also strengthening your heart and lungs.
Asians use it to treat hepatitis, jaundice, swelling of the liver, and deficient bile secretion.
It increases urine and perspiration production by exercising and strengthening these natural purging systems. The recommendation and materials on this site represent his opinion based on his years of practicing medicine. This report presents estimates of the population aged 45 and over with two or more of nine self-reported chronic conditions, using a definition of MCC that was consistent in the National Health Interview Survey (NHIS) over the recent 10-year period: hypertension, heart disease, diabetes, cancer, stroke, chronic bronchitis, emphysema, current asthma, and kidney disease. Between 1999a€“2000 and 2009a€“2010, adults aged 45a€“64 with two or more chronic conditions had increasing difficulty obtaining needed medical care and prescription drugs because of cost.


A limitation of this report is that it includes only respondent-reported information of a physician diagnosis; thus, estimates may be understated because they do not include undiagnosed chronic conditions. Advances in medical treatments and drugs are contributing to increased survival for persons with some chronic conditions. Out-of-pocket spending is higher for persons with multiple chronic conditions and has increased in recent years (5).
For more information about NHIS, including the questionnaires used, visit the NHIS website. All comparisons reported in the text are statistically significant unless otherwise indicated. Bernstein, and Mary Ann Bush are with the Centers for Disease Control and Prevention's National Center for Health Statistics, Office of Analysis and Epidemiology. Then I read a New York Times story about the emergence of pricey fat camps for dogs, and I was fit to be tied. Just one or two extra pounds on a small, furry frame result in human-size health issues such as diabetes and heart disease that come with supersize vet bills. There’s also no shortage of dog low-calorie kibble made especially for our portly pooch population. But that dollop of sweet potato souffle can wreak havoc on her digestive system and she doesn’t need the calories any more than I do. When pets carry excess baggage, those additional pounds lead to joint issues that limit activity.
Pay attention to how much food your dog consumes and avoid leaving bowls out all day, which can encourage overeating.
Lulu’s tinkling collar and gentle footfalls help the stress melt away in a matter of minutes. Use a blood sugar monitor to check your blood glucose level and adjust your diet if necessary. Instead, you’re better off using natural detoxification methods that are safe and reliable.
Use 2-6 g of dried root in decoction (liquid made by boiling down the herb in water), or 2-6 ml of fluid extract three times a day, or 1-2 grams in capsule form three times per day. The regulation of alfalfa saponin extract on key genes involved in hepatic cholesterol metabolism in hyperlipidemic rats.
The information and material provided on this site are for educational purposes only and any recommendations are not intended to replace the advice of your physician. The order, which benefits millions of heart and diabetes patients in the country, will come into effect on July 25.The notification would reduce the retail prices of these drugs to the tune of 10 per cent to 35 per cent.
Examining trends in the prevalence of MCC informs policy on chronic disease management and prevention, and helps to predict future health care needs and use for Medicare and other payers.
During this 10-year period, death rates for heart disease, cancer, and stroke declined (9). The four heart disease questions were combined into one variable and considered as one chronic condition. If you want to treat your pets this season, reduce the amount of kibble and encourage guests to give dogs low-calorie treats for good behavior. Use 1-4 grams of the dried root, 2 to 3 teaspoons liquid extract, or 250 mg of solid extract per day. You are encouraged to seek advice from a competent medical professional regarding the applicability of any recommendations with regard to your symptoms or condition.
The list includes key anti-diabetes molecules such as metformin Hcl, gliclazide, glimepiride, pioglitazone and sitagliptin.The list of cheaper drugs include gliclazide, glimepiride, sitagliptin, voglibose, amlodipine, telmisartan and rosuvastatin, heparin and ramipril. In recent years, the percentage of Americans who were aware of their hypertension, and the use of hypertension medications, has increased (8).
Other definitions of MCC are used in the literature and differ based on analytic objectives and the data sources used in the analyses (2,3).
This face time with the vet should include an honest account of your dog’s diet and activity level.
It is important that you do not reduce, change or discontinue any medication or treatment without consulting your physician first. According to a data compiled by market research firm AIOCD AWCS, the prices of over 57 per cent of the total molecules available to treat cardiac disorders are currently under price control. The personal stories shared on this website are personal to the users and will not be typical of the results you will have if you follow the advice provided on this website.
Similarly, the prices of nearly 21 per cent of the anti-diabetes formulation are now controlled by the pricing authority.Drugs such as amlodipine, valsartan and temisartan used to treat hypertension and associated cardiac problems have also been brought under the ambit of price control. The company's key brands such as Amaryl, Cetapin V and Clexane, which are priced at a substantial premium to others, have now been brought under price control.
A sharp fall in the prices of these drugs will hurt the company's profitability substantially.



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