Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Drug Dosing: Geriatric Patients

Drug Dosing: Geriatric Patients

Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...

Diabetes: Symptoms, Diagnosis, and Complications

Diabetes: Symptoms, Diagnosis, and Complications

For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is based on...

Type I Diabetes III: Clinical Manifestations

Type I Diabetes III: Clinical Manifestations

Type 1 diabetes mellitus typically presents with rapid-onset symptoms due to the body’s inability to utilize glucose in the absence of insulin. Since insulin is required for glucose uptake into cells, its deficiency leads to hyperglycemia and cellular energy deprivation, resulting in characteristic clinical features.Polyuria and PolydipsiaOne of the earliest, most prominent symptoms is polyuria (excessive urination). When blood glucose concentrations rise above the renal threshold, the kidneys...

Type II Diabetes Mellitus III: Clinical Manifestations and Diagnosis

Type II Diabetes Mellitus III: Clinical Manifestations and Diagnosis

Type 2 diabetes mellitus develops gradually and is often asymptomatic in early stages.Clinical ManifestationsWhen symptoms appear, they include fatigue, blurred vision, pruritus, delayed wound healing, and recurrent infections, particularly candidal infections. Peripheral neuropathy may present as numbness or tingling in the extremities. Classic hyperglycemia symptoms—polyuria, polydipsia, and polyphagia—are less common. Most patients are overweight and frequently have associated hypertension...

Complications of Diabetes Mellitus

Complications of Diabetes Mellitus

Diabetes mellitus is a chronic metabolic disorder characterized by persistent hyperglycemia due to insulin deficiency, resistance, or both. Prolonged hyperglycemia disrupts metabolic homeostasis and leads to acute and chronic complications.Acute ComplicationsAcute complications result from sudden metabolic imbalance.Diabetic ketoacidosis (DKA) mainly appears in type 1 diabetes but may also develop in type 2 diabetes, particularly under extreme stress. It arises from severe insulin deficiency,...

Hyperglycemia

Hyperglycemia

Hyperglycemia is an abnormally high blood glucose level. It is diagnosed by fasting glucose ≥126 mg/dL, 2-hour oral glucose tolerance test (or OGTT) ≥200 mg/dL, random glucose ≥200 mg/dL with symptoms, or HbA1c ≥6.5%. However, HbA1c results may be unreliable in certain conditions, such as anemia or hemoglobinopathies, and the diagnosis should be confirmed unless classic symptoms are present. Postprandial hyperglycemia is typically considered significant when glucose levels exceed 180 mg/dL two...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Risk Factors for Free Flap Failure in Head and Neck Reconstruction: A Retrospective Analysis From a Single Medical Center.

Plastic and reconstructive surgery. Global open·2026

Same author

Correction: Preventive effects of folic acid on Zika virus-associated poor pregnancy outcomes in immunocompromised mice.

PLoS pathogens·2026

Same author

Protein hydrolysates derived from poultry by-products as nutraceuticals: Bioactive potential, limitations, safety considerations, and commercialization perspectives.

Poultry science·2026

Same author

Oral virome in health and disease.

Journal of the American Dental Association (1939)·2026

Same author

Cesarean Section Rates and Mobile Health's Role in Equitable Access to Prenatal Care.

International journal of environmental research and public health·2026

Same author

Application of Huge Bipedicle Anterolateral Thigh Free Flaps for Reconstructing Extensive Soft-Tissue Defects.

Annals of plastic surgery·2026

Search research articles

Related Experiment Video

Updated: Jul 18, 2026

Improving IV Insulin Administration in a Community Hospital

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

ACOs' Impact on Hospitalization Rates of Rural Older Adults With Diabetes: Early Indications.

Yi-Ling Lin¹, Judith Ortiz, Celeste Boor

¹College of Health and Public Affairs (Drs Lin and Ortiz) and Burnett Honors College (Ms Boor), University of Central Florida, Orlando.

Family & Community Health

|August 23, 2018

Summary

Medicare Shared Savings Program Accountable Care Organizations (SSP ACOs) did not significantly impact diabetes hospitalizations in rural older adults. This study offers baseline patient outcome data during early ACO program formation.

More Related Videos

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Glycemic Impact on Knee Osteoarthritis Symptoms on Physical, Radiographic, and Inflammatory Markers among Individuals Aged 50 and Over with Diabetes

Glycemic Impact on Knee Osteoarthritis Symptoms on Physical, Radiographic, and Inflammatory Markers among Individuals Aged 50 and Over with Diabetes

Published on: March 7, 2025

Related Experiment Videos

Last Updated: Jul 18, 2026

Improving IV Insulin Administration in a Community Hospital

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Glycemic Impact on Knee Osteoarthritis Symptoms on Physical, Radiographic, and Inflammatory Markers among Individuals Aged 50 and Over with Diabetes

Glycemic Impact on Knee Osteoarthritis Symptoms on Physical, Radiographic, and Inflammatory Markers among Individuals Aged 50 and Over with Diabetes

Published on: March 7, 2025

Area of Science:

Health Services Research
Gerontology
Public Health

Background:

Rural older adults face unique healthcare challenges, including higher rates of chronic diseases like diabetes.
Accountable Care Organizations (ACOs) were implemented to improve healthcare quality and reduce costs, particularly for vulnerable populations.
Understanding the impact of ACOs on specific health outcomes in rural settings is crucial for policy development.

Purpose of the Study:

To investigate the effect of Medicare Shared Savings Program Accountable Care Organizations (SSP ACOs) on diabetes-related hospitalization rates among rural older adults.
To analyze potential disparities in hospitalization rates between African American and white older adults within the context of ACO participation.
To establish baseline patient outcome measures during the nascent stages of the SSP ACO program.

Main Methods:

Utilized multiple linear regression analysis to assess the relationship between ACO participation and diabetes-related hospitalizations.
Focused on data from an early implementation year of the SSP ACO program.
Examined outcomes for both African American and white rural older adults.

Main Results:

ACO affiliation did not demonstrate a statistically significant impact on diabetes-related hospitalization rates in the analyzed models.
No significant differences in the effect of ACOs were found between African American and white older adults regarding diabetes hospitalizations.
The study established initial benchmarks for patient outcomes in the early phase of ACO formation.

Conclusions:

Early participation in SSP ACOs did not significantly alter diabetes-related hospitalization rates for rural older adults.
Further research is needed to understand the long-term effects of ACOs on rural health outcomes.
This study provides essential baseline data for future evaluations of ACO effectiveness in diverse rural populations.