More than 500 companies were making or developing self-management tools by last fall, up 35 percent from January 2012. Nearly 13,000 health and fitness apps are now available for little or no expense.

Technology for Doctors

Many physicians are already connected by mobile smartphones and tablets with accessibility to lab results, prescription information, digital medical textbooks, internet access to the Center for Disease Control, text messaging to other doctors and patients, and real time communication via Skype, instant messaging, GoToMeeting, and other wireless services.

For some practices, FaceTime—a video calling software feature for iPhone 4 and the fourth generation iPod Touch—is replacing face-to-face office visits for minor complaints like cold and flu, headaches, and muscle strains. Follow up visits and lab test result reviews are often easier for the patient and doctor when done long distance.

A lot of patient support used to happen in a doctor’s waiting room. Patients shared views and exchanged information that helped them, and gave warnings for drugs or treatments that harmed them. They were also provided support and sympathy, something that doctors can be in short supply of in a fast paced medical practice.

The waiting room chat is being replaced by websites like CureTogether, http://www.crunchbase.com/company/curetogether, and PatientsLikeMe, http://www.patientslikeme.com/. These sites provide information on what’s working for patients. They provide ratings and real information on different diseases and treatments with no marketing hype or ads.

Doctors are beginning to adopt the iPad into their workflow at their practices and the hospital, with many apps enabling doctors to be more efficient.

WebMD is a great reference app for doctors and it’s free at https://itunes.apple.com/US/app/id373185673?mt=8&ign-mpt=uo%3D4. The app includes a symptom checker to help remind you what may be wrong with a certain patient. The app also includes first aid essentials, conditions, drugs and treatments, a pill identification tool, and local health listings.

Microdex, https://itunes.apple.com/US/app/id390211464?mt=8&ign-mpt=uo%3D4, is a free app that provides drug information for the iPad. The app includes over 4,500 search terms. These results include: generic names, trade names, black box warnings, dosage info, administration, monitoring, precautions, adverse effects, and much more. If you are a doctor prescribing drugs day in and day out, then this is a great app.

Many physicians need to create custom forms for their patients. Tap Forms HD is an app that allows you to do just that. The app includes 17 different field types including: link to form, file attachment, email address, GPS info, contact, text, date, time, date/time, number, rating, URL, check mark, note, audio recording, photo and phone number. The app can also search through your forms allowing you to pull up past information quickly. The app is password protected ensuring your patients’ data is safe. The app also includes 25 different built-in forms. The app integrates with Dropbox to allow easy file transfers. The app can also export your information as a CSV file to be opened up in Excel or Numbers. If you need custom forms, then Tap Forms HD is a great app for that. It’s available at https://itunes.apple.com/US/app/id410500116?mt=8&ign-mpt=uo%3D4 for $8.99

Technology for Patients

The explosion of mobile devices means that more patients have an opportunity to start tracking health data in an organized way and many of the people surveyed said the experience had changed their overall approach to health.

A very effective mobile app for patients to record health information is My Medical, https://itunes.apple.com/us/app/my-medical/id347860026?mt=8. It is a comprehensive record-keeping app for personal medical information and is the perfect replacement for unreliable paper records or various electronic systems that hold bits and pieces of medical history. With My Medical, any and all information that is important to the patient is kept together in one place. And it’s secure because the information is kept on their device, not on a remote server.

Often the worst part of a visit to the doctor isn’t the awkward hospital gown, needle sticks or embarrassing physical exams — it’s the drawn-out wait, camped out in the reception room in the company of sick patients and old magazines.

This realization led to creation of Appointment Status, https://www.appointmentstatus.com/, a web site devoted to improving appointment efficiency and providing patients with information to avoid long waits. The site is designed to make it easier for patients to schedule appointments — and to find out how far behind the doctor may be before settling into a waiting room chair.

These are several innovations meant to help physicians and patients. While many digital developments — electronic medical records and mobile medical encyclopedias — have streamlined doctors’ work, new tools for patients are starting to hit cell phones and the Internet at a rapid rate with no slowdown in sight.

Sources:
http://www.nytimes.com/2013/01/28/health/electronic-health-tracking-increasingly-common-researchers-say.html?partner=rss&emc=rss&_r=4&
http://renegadehealth.com/blog/2012/08/31/doctor-visit-theres-an-app-for-that
http://appadvice.com/applists/show/apps-for-doctors-with-ipads
http://well.blogs.nytimes.com/2012/10/15/the-doctor-can-see-you-now-really-right-now/
https://itunes.apple.com/us/app/my-medical/id347860026?mt=8

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Lynda McLeod of Victoria, British Columbia has applied these self-care principles into action.  Lynda talks about her background in nursing and interest in the arts.  Lynda is a nurse educator, artist and founder of ‘Art By Nurses’, an online gallery of artwork for sale created by nurse-artists.

With no further ado, here’s Lynda…

“Since the beginning of my nursing practice I have always used art as a reflective process to help me make sense of the experiences I encounter as a nurse. In fact, I attribute the process of art as the only reason I am still involved in nursing. Being a highly sensitive, creative person, I found some of my nursing experiences, mainly bearing witness, difficult to unravel.

As an effort to maintain balance and meaning I connect with nature and my family by going on long canoe and kayaking trips along the west coast of BC. The meditative act of painting these moments became my vehicle to transcend the sorrow and arrive at another plane of understanding. I have no formal art education in technique, color or brushwork; instead, I draw on my passion for nursing and the transformational relationships formed while teaching the next generation of registered nurses.

I started the web site company based on a belief that many nurses engage in the meditative process of art in order to make meaning of the experiences they encounter as healers. By creating art and sharing their artistic visions, nurses work to maintain their health and support each other in a very rewarding, yet demanding profession.

ArtbyNurses.com brings nurses together using art. We share the healing qualities of art with the wider community to spotlight our profession, illustrate the benefits of art as a self-care process and celebrate our artistic talents.

We encourage nurses to join Art by Nurse to sell their art in a virtual gallery. Support your colleagues and join Art by Nurses as an artist or an associate member.”

Sources: http://www.artbynurses.com/
http://creativityinhealthcare.com/2010/01/20/art-by-nurses-by-lynda-mcleod/

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Rumors are circulating that the Centers for Medicare & Medicaid Services (CMS) and the Office of Inspector General for the Department of Health and Human Services (OIG) will continue to allow the donation of electronic health records (EHR) items and services to physicians past the current deadline of December 31, 2013.  CMS recently submitted to the Office of Management and Budget (OMB) a proposed rule entitled “Physicians’ Referrals to Health Care Entities with which They have Financial Relationships; Amending the Exception for Certain Electronic Health Records Arrangements (CMS-1454-P),” and the OIG has submitted a similarly titled proposal.  Speculation is circulating that these proposals seek to extend the exception to the Stark Law and the safe harbor under the Anti-Kickback Statute that permit certain donors, including laboratories and hospitals, to donate EHR items and services to physicians if certain requirements are met.  Theresa Carnegie and I previously outlined the history  and requirements of the exception and safe harbor in an article published in the G-2 Compliance Report.

The EHR donation exception and safe harbor have generated considerable controversy since their publication in 2006.  While everyone in the health care industry would agree that widespread adoption of EHR technology is an important goal, there is disagreement regarding whether the exception and safe harbor are a good idea.  For example, the College of American Pathologists has previously urged OIG to reconsider its inclusion of laboratories as protected donors, and the American Clinical Laboratory Association has questioned whether the safe harbor and exception are needed now that physicians who engage in “meaningful use” of EHR technology can qualify to receive incentive payments from the federal government.  In contrast, the Federation of American Hospitals supports extension of the safe harbor and exception through 2016.

Representative Jim McDermott (D-Wash.) contributed to the debate this week by writing a letter asking the OIG’s Chief Counsel to renew the safe harbor for EHR donations.  He noted that “Congress is particularly interested in developing and continuing initiatives that are designed to reduce health care costs” and that care coordination through use of EHR technology can decrease such costs.  This letter is interesting given that in November 2012 the Attorney General of Washington issued an opinion stating that a clinical laboratory violates Washington’s kickback prohibition if it shares the cost of EHR software with a Washington physician and subsequently receives orders for testing from the physician.  The opinion made clear that the federal safe harbor does not preempt similar state laws.

Washington is not the only state to place limitations on EHR donations even though they are permitted under federal law.  Agencies in states such as Missouri, New Jersey, New York, Pennsylvania, Tennessee, and West Virginia also have spoken on this issue.  If CMS and OIG decide to extend federal protection for EHR donations, other states may follow suit.

By Karen S. Lovitch
Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.
www.mintz.com/people/224/Karen_S_Lovitch

Source: http://www.natlawreview.com/article/will-federal-protection-electronic-health-records-ehr-donations-be-extended-beyond-d

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The new finding came from a study conducted by a group of researchers at the Michael E. DeBakey Veterans Affairs Medical Center in Houston and was published in the Journal of the American Medical Association.

The investigators issued a survey of 2,590 primary care practitioners and found that a third of them admitted to missing alerts about test results from an electronic health record notification system – made specifically to inform them when a patient has unusual test results.

The doctors reported getting approximately 63 alerts each day, which could be creating notification overload, resulting in a significant number of results that require doctors’ attention to go unnoticed.

Nearly 87 percent of the doctors said the number of alerts they received was too high. While 69.6 percent said they were receiving more alerts than they could effectively keep track of.

Electronic Health Records – Easier or Harder?

An estimated 55.6 percent commented that the method in which electronic health records notify practitioners makes it possible for them to accidentally skip over important test results.

This is not how the electronic health records system is supposed to be. The aim of iPads replacing folders and health care systems using text messaging to track diseases, should make medical care easier to monitor and more accessible for all parties involved.

The doctors believe that the current system makes them susceptible to information overload.

Even other aspects of electronic medical records have yielded disappointing results for healthcare professionals and authorities. A report just last month revealed that the systems are not well integrated or user-friendly.

Study author Dr. Hardeep Singh of the DeBakey VA Medical Center said:

“If you’re getting 100 emails a day, you are bound to miss a few. I study this area and I still sometimes miss emails. We have good intentions, but sometimes getting too many can be a problem.”

However, they note this could be a small price to pay for the greater advantages of digitizing medical files and results, allowing doctors to stay up-to-date with their workload.

New Policies Needed For Electronic Test Results

Singh and his colleagues have previously documented eight aspects of the electronic health care system that could be improved.

For example: creating simpler ways for doctors to access the information and correctly training personnel to use the systems effectively could help.

Singh said, “We all want the alerts to look like our smartphones and apple products, but the interface is not always clear and you can miss results quite easily.”

There needs to be an established system to determine who is responsible for taking action when tests results appear that require immediate attention.

This would avoid missing crucial opportunities for helping patients – similar to when an email is sent to several recipients and they all assume someone else will respond.

Putting into place more detailed and stricter policies regarding how these responses should occur can eliminate confusion.

Singh also points out that patients have a responsibility to follow-up and be active in their care.

He concludes:

“We need to dispel the myth of ‘no news is good news from the doctor. In fact, if patients don’t hear back about the results, they should actively seek them out.”

Source: http://www.medicalnewstoday.com/articles/257227.php

Written by Kelly Fitzgerald
Copyright: Medical News Today

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New analysis from Frost & Sullivan’s (technicalinsights.frost.com) Emerging Technologies for Women’s Health Evaluation of Funding Prospects research finds that VC backed participants who were hit by the economic slowdown are recovering even as weak pipelines are slowly being strengthened.

“Company valuations reduced over the past few years, as companies were affected by the recession,” noted Frost & Sullivan Technical Insights Industry Analyst Saju John Mathew. “Most investors are now focusing on later-stage, less risky opportunities in the private segment to protect values and generate investor profits.”

VC investment is currently unevenly distributed. This has resulted in a handful of companies dabbling in technology innovation, while the majority struggle to get by. Start-ups in women’s health face many hurdles such as sustaining innovation due to the low amount of VC money being pumped in. The dearth of evidence-based clinical trials also tends to discourage VC investments.

“Attracting VC funding will require start-ups to conduct extensive evidence-based clinical trials, the results of which can be used to substantiate their product or technology,” explained Mathew. “Moreover, the current economic scenario compels companies to work within a strict capital agenda to prove their technology potential.”

For the women’s health sector to truly profit, multiple partners from both private and public sectors need to collaborate and coordinate on issues ranging from financing infrastructure to services. Initiatives to propagate women’s health require cooperation from all stakeholders concerned.

New entrants can rely on government backed technology incubators to ease the path of their product/technology, from the research to the commercialization stage. All companies active in women’s health also need to understand evolving market dynamics in order to tailor their product/technology to fill gaps. Apart from core healthcare issues, they can focus on advancing women’s health through synergies with other fields, such as wireless patient monitoring apps.

“Developing geographies are hotbeds for new VC investment,” concluded Mathew. “The healthcare sector is growing rapidly in BRIC nations and long-term capital of the kind provided by VCs will help in leveraging the plethora of investment opportunities in these geographies.”

Emerging Technologies for Women’s Health Evaluation of Funding Prospects, a part of the Technical Insights subscription, offers a brief snapshot of the market. It analyzes the impact of major trends, drivers and challenges. Furthermore, this research service tracks technology advancements and emerging trends evaluated following extensive interviews with market participants.

Technical Insights is an international technology analysis business that produces a variety of technical news alerts, newsletters and research services.

For more information on this research, please email Britni Myers, Corporate Communications, at britni.myers@frost.com, with your full name, company name, job title, telephone number, company email address, company website, city, state and country.

Connect with Frost & Sullivan on social media, including Twitter, Facebook, SlideShare, and LinkedIn, for the latest news and updates.

About Frost & Sullivan
Frost & Sullivan (frost.com), the Growth Partnership Company, works in collaboration with clients to leverage visionary innovation that addresses the global challenges and related growth opportunities that will make or break today’s market participants.

Source: http://www.newswiretoday.com/news/127132/

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IBM announced that the State of South Carolina has selected IBM software, part of IBM’s Smarter Cities portfolio, to help modernize its statewide Medicaid eligibility system, transforming the delivery of vital health and social programs to its citizens. The solution is expected to improve program efficiencies while meeting big data challenges and opportunities as the State migrates from a largely paper-based approach to a more open, automated platform to manage eligibility requirements.

The South Carolina Medicaid program serves nearly one million citizens. In replacing its current eligibility system, the South Carolina Department of Health and Human Services (SCDHHS) will streamline and improve access to citizens by providing 24/7 online self-service, and enhancing support for a mobile and community-based workforce. The goal is to make it easier to administer and manage eligibility for Medicaid and other social service programs.

States, like South Carolina, are making their health and social service program systems smarter to get vital services to those who need them. South Carolina will also integrate its Medicaid eligibility system with the federally run health insurance marketplace.

“Our updated Medicaid eligibility system will make it easier for all South Carolinians to access the State’s programs,” said John Supra, deputy director & chief information officer for SCDHHS. “Our current manual paper-driven approach limits flexibility in our processes and impacts speed and consistency. We expect the new system to provide us a platform to improve our eligibility performance and be able to more quickly and cost-effectively respond to future changes to the Medicaid programs.”

South Carolina’s decision to implement IBM software was based on the State’s strategy to utilize commercial off-the-shelf software and the solution’s out-of-the-box capabilities to meet the Medicaid program’s eligibility needs. Extending a unique partnership between SCDHHS and Clemson University, Clemson is supporting the State’s implementation and will host the solution. SCDHHS, Clemson and IBM are collaborating to develop a flexible environment in a way that makes the best use of existing State investments.

“States like South Carolina are leading the way in transforming how they interact with their citizens,” said Craig Hayman, general manager, Industry Solutions, at IBM. “IBM supports South Carolina’s goal of delivering citizen-centric services, including those social programs that involve healthcare and related services where timely access to the right programs and benefits is the driving factor. In IBM, South Carolina has chosen a solution built and developed by healthcare and social services industry experts — a solution that can manage all the Big Data challenges and evolve as eligibility requirements change without service delivery interruptions to those citizens who need it most.”

The IBM Cúram solution, the major component to South Carolina’s new eligibility system, is part of IBM’s Smarter Cities portfolio. These capabilities make access to government services easier for the citizen and, more importantly, more effective in achieving desired social outcomes. Several other states, including Maryland and Minnesota, also have selected IBM for similar initiatives.

Source: http://www.pressreleasepoint.com/south-carolina-selects-ibm-smarter-cities-solution-help-modernize-and-improve-delivery-vital-social

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Two researchers at the National Institutes of Health discovered a new genetic link between the rapid growth of healthy fetuses and the uncontrolled cell division in cancer. The findings shed light on normal development and on the genetic underpinnings of common cancers.

The work, conducted using mouse and human tissue, appears in today’s issue of the Proceedings of the National Academy of Sciences. The authors, Julian C. Lui, Ph.D., and Jeffrey Baron, M.D., work at the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD).

“We’ve long known that some of the genes that promote rapid growth in prenatal and early postnatal life become reactivated in cancer cells,” said Dr. Baron. “Now we’ve identified a molecular switch that appears to turn on some of these genes, taking us a step forward in understanding normal body growth and the abnormal growth in some types of cancer.”

Before birth, a team of more than 200 growth-promoting genes is highly active, fueling the fetus’ explosive growth. After birth, these genes are gradually switched off, apparently to slow body growth as we age and approach adult size. In cancer cells, some of these genes can be switched back on.

One of the major growth-promoting genes is called IGF2. This gene is critical for normal prenatal body growth and is reactivated in many types of cancer, showing remarkably high activity in bladder and prostate cancer and some childhood cancers.

For years, scientists did not know what turned IGF2 on and off. Now, using a variety of techniques and tissue types, Drs. Lui and Baron found evidence that a protein known as E2F3 activates the IGF2 gene in normal development and in cancer — in particular, in bladder and metastatic prostate cancers.

More broadly, E2F3 appears to regulate not just IGF2, but also many other genes on the body-growth team. When E2F3 levels are high, these genes are active. When E2F3 takes a dive, so do these genes. The upshot is that E2F3 may function as one of the master switches that limit body growth. As such, it is of great interest as researchers seek to understand the complex genetic choreography responsible for normal growth and the diseases that result when it goes awry.

About the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD): The NICHD sponsors research on development, before and after birth; maternal, child, and family health; reproductive biology and population issues; and medical rehabilitation. For more information, visit the Institute’s website at http://www.nichd.nih.gov/.

About the National Institutes of Health (NIH): NIH, the nation’s medical research agency, includes 27 Institutes and Centers and is a component of the U.S. Department of Health and Human Services. NIH is the primary federal agency conducting and supporting basic, clinical, and translational medical research, and is investigating the causes, treatments, and cures for both common and rare diseases. For more information about NIH and its programs, visit http://www.nih.gov.

Source: http://www.nih.gov/news/health/apr2013/nichd-09.htm

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You should know that ACA has the potential to bring considerable financial and clinical benefits for providers across the health care spectrum. The law enacts comprehensive reforms that will hold health insurance companies accountable, protect you and your patients, and guarantee choice and control.

Here are 5 specific ways you and your practice can benefit:

1. New consumer protections hold health insurers accountable. Insurers won’t be able to cancel coverage when a patient gets sick, and they won’t be able to set lifetime benefit limits that leave patients without coverage in times of catastrophic need. And if insurers don’t spend at least 80% of premium dollars on patient care, they’ll have to provide a rebate to consumers. These protections will end the worst insurance company abuses and put patients and providers ahead of company profits.

2. Expanded insurance coverage to more than 34 million people. In 2014, the law eliminates exclusions based on pre-existing conditions, and makes affordable health coverage accessible to more than 34 million uninsured Americans. This will reduce the burden of uncompensated care on physicians and hospitals and bring more patients into your practice. Right now, the law already makes it possible for young adults to remain on their parents’ coverage till age 26, and the Pre-Existing Condition Insurance Plan provides coverage for people who’ve been rejected by insurance companies.

3. Reduced administrative burdens and more time seeing patients. The law invests in programs designed to help you and your practice transition to electronic record systems. We’re working with your professional organizations to support your efforts to adopt new payment and record-keeping systems, with the goal of reducing your administrative burdens. New rules are intended to help simplify claims and payment processes — we want you to be able to spend more time in the exam room, and less on administration.

4. New models create more opportunities to coordinate care. We’re working to develop new models of patient-centered, efficient, coordinated care designed to give you more support and control over the care you give: faster information flow across care sites, better consults, and provider support systems that help patients become active participants in their care. And Medicare will pay bonuses to qualified primary care doctors. Bonuses are available to general surgeons as well, particularly those who practice in underserved areas.

5. New protections strengthen patient coverage, your practice, and the entire health care system. The Affordable Care Act preserves guaranteed benefits under Medicare; makes recommended preventive services available for free; and provides patients with an annual wellness visit. The law also requires insurers to cover an expanded list of preventive services for free, including a number of services for children. Patients will be able to afford both routine preventive care and necessary treatments. You got into the health care profession to serve patients — ACA protections are designed to help you keep serving them.

Visit http://www.HealthCare.gov/providers for more information.

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Health and Human Services (HHS) Secretary Kathleen Sebelius announced today that about 71 million Americans in private health insurance plans received coverage for at least one free preventive health care service, such as a mammogram or flu shot, in 2011 and 2012 because of the Affordable Care Act. The new data was released in a report from HHS today.

Additionally, an estimated 34 million Americans in traditional Medicare and Medicare Advantage plans have received at least one preventive service, such as an annual wellness visit at no out of pocket cost because of the health care law.

Taken together, this means about 105 million Americans with private health plans and Medicare beneficiaries have been helped by the Affordable Care Act’s prevention coverage improvements.

Preventive services, consumer protections, and other reforms under the Affordable Care Act are giving millions of Americans of all ages more value for their health care dollars and contributing to the slowest growth in health care costs in 50 years.

“Preventing illnesses before they become serious and more costly to treat helps Americans of all ages stay healthier,” Secretary Sebelius said.  “No longer do Americans have to choose between paying for preventive care and groceries.”

Secretary Sebelius released the preventive services report as HHS celebrates the Affordable Care Act’s third anniversary this week.  The law is keeping down costs and providing more value for consumers and taxpayers through new consumer protections, holding insurance companies accountable, building a smarter health care system, and providing seniors with vital savings on their prescription drugs.

The Affordable Care Act is giving Americans better value for their health insurance plans by:

• Eliminating lifetime dollar caps on essential health benefits, and phasing out annual caps. About 105 million Americans no longer have to fear their benefits will disappear when they need them most because their insurer put a lifetime cap on the amount it would pay.
• Prohibiting health insurance companies from denying coverage to children based on a pre-existing condition, such as asthma or cancer.
• And in 2014, it will be illegal for health insurance companies to deny coverage to any American or to charge more because of a pre-existing condition.  No longer will 129 million Americans with health conditions have to fear seeing their premiums increased or getting locked out of the insurance market.
• The law will also make it illegal for a health insurer to charge women more simply because they are women. “That means,” Secretary Sebelius said, “being a woman will no longer be a pre-existing condition.”

The full report on expanded preventive care for Americans with private health insurance is available at http://aspe.hhs.gov/health/reports/2013/PreventiveServices/ib_prevention.cfm.

Learn more about the key features of the Affordable Care Act at http://www.healthcare.gov/law/timeline/full.html.

Source: http://www.hhs.gov/news/press/2013pres/03/20130318a.html

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Findings from the report suggest that a major driver of the diabetes epidemic in India is the increasing levels of obesity. The Indian population that had faced under nutrition for a long time is now exposed to high fat diets and sedentary lifestyles. As a result of increasing disposable incomes and flourishing fast food chains, there were around 157 million overweight and 24 million obese people living in India in 2010. The report expects these levels to increase significantly by 2015.

Apart from the increasing obesity levels, the report also found that Indians are genetically more vulnerable to diabetes compared to other population groups. According to an analyst at IMARC Group “As a result of a higher percentage of body fat to muscle, Indians are more vulnerable to type-2 diabetes compared to other population groups. This fat increases the sugar levels as it gets deposited around the abdomen and interferes with insulin. As a result, Indians get diabetes at a much younger age compared to other population groups”.

IMARC’s new report “Indian Diabetes Market Report: Epidemiology, Patients, Prevalence, Oral Anti-diabetics, Insulin and Diagnostics” provides an analytical and statistical insight into the Indian diabetes market. The report provides both current and future trends in the prevalence, demographical breakup, diagnosis and treatment of diabetes in India. The report has segmented the Indian diabetes market into three segments – Oral Anti-diabetics, Insulin and Diabetes Diagnostics. For each of the aforementioned categories, the report provides historical and future market sales, performance of key classes and the performance of top players.

The research study serves as an exceptional tool to understand the epidemiology, market trends, therapeutic structure, competitive structure and the outlook of the Indian diabetes market. This report can serve as an excellent guide for investors, researchers, consultants, marketing strategists and all those who are planning to foray into the Indian diabetes market in some form or the other.

Source: http://www.pressreleasepoint.com/increasing-obesity-levels-and-high-genetic-vulnerability-driving-prevalence-diabetes-india

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