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NOTES
1 I would like to thank Brinda Dalal for constructive critics of previous versions of this paper and my colleagues at ReD Associates with whom the presented understandings have been developed.
2 The human, social and economic impact of diabetes. The International Diabetes Federation http://www.idf.org/home/index.cfm?node=41 , accessed the 27th of August 2007
3 World Health Organisation, http://www.who.int/diabetes/facts/world_figures/en/index3.html , accessed the 14th of July, 2007
4 Type 2 diabetes typically affects middle-aged or older individuals and occurs when the pancreas does not produce enough insulin or when the body fails to use produce insulin effectively. Approximately 90-95 % of the diabetic population has type 2 diabetes, the remainder live with type 1 diabetes. Type 1 diabetes typically occurs in children and adolescents and affects them for their entire life. It occurs when the pancreas fails to produce insulin. (Prevalence of diabetes. The International Diabetes Federation) http://www.idf.org/home/index.cfm?node=264 , accessed the 27th of August 2005
5 http://www.who.int/mediacentre/factsheets/fs312/en/index.html , accessed the 14 July, 2007
6 http://www.who.int/diabetes/facts/world_figures/en/index3.html , accessed the 14 July, 2007
7 To exemplify the severity about 50% of all people with diabetes will be affected by damages to the nerves. 10-20% will die of kidney failure. 50% will die of cardiovascular disease. WHO Facts http://www.who.int/mediacentre/factsheets/fs312/en/index.html, accessed the 14 July, 2007
8 According to the International Diabetes Federation (IDF) a 1% reduction in HbA1c – the measure for long term average level of blood glucose called glycohemoglobin, which is largely agreed to be ideal around 6.5 % < HbA1c – reduces diabetes-related deaths by 21%, risk of micro vascular complications by 37% and myocardial infarction by 14%. http://www.idf.org/webdata/docs/Fact_sheets.pdf , accessed 15 July, 2007
9 http://www.idf.org/webdata/docs/Fact_sheets.pdf , accessed 12 July, 2007
10 This is the finding we have made through ethnographic studies of diabetes care in primary health care in the UK, DK and US over the last year.
11 The research presented is based on the actual spending in 2001 and the spending that would have been had patients been granted the care following national and international advise from 1985 and onwards (Green et al 2006: 6-11).
12 The premise of this calculation is that the of cost for care of people with diabetes in the US could be lowered with the 43%, that Green et al. Argue is the case for Denmark. The actual US cost in 202 was $91.8 billion (American Diabetes Association 2003, http://care.diabetesjournals.org/cgi/content/full/26/3/917).
13 Due to confidentiality issues, I cannot go into detail
REFERENCES
Björk, Stefan, Jaakko Tuomilethto and Rhys Williams (ed)
2000 The Economics of Diabetes Care. An international perspective. Oxford: Blackwell Science.
Ferzacca, Steve
2000 Actually I Don’t feel that Bad”: Managing Diabetes and the Clinical Encounter. Medical Anthropology Quarterly 14(1): 28-50.
Foucault, Michel
1988 Technologies of the Self. In L.H. Martin, H. Gutman & P.H. Hutton, ed. Technologies of the Self. A Seminar with Michel Foucault. Amherst: University of Massachusetts Press. 16-49.
1989 The Archeology of Knowledge. London: Routledge
Gale, Edwin A. M.
2006 Dying of diabetes. In The Lancet 368(9548): 1626-28
Green, Anders, Susanne Reindahl Rasmussen and Martha Emneus
2006 Sundhedsøkonomiske omkostninger og benefits ved behandling af diabetes mellitus i Danmark. Behandlerbladet vol. 23: 6-11.
Hunt, Linda and Nedal H. Arar
2001 An Analytical Framework for Contrasting Patient and Provider Views of the Process of Chronic Disease Management. Medical Anthropology Quarterly vol. 15(3): 347-367.
Mamykina, Lena and Elisabeth D. Mynatt
2007 Investigating and Supporting Health Management Practices of Individuals with Diabetes. In Proceedings of the 1st ACM SIGMOBILE international workshop on Systems and networking support for healthcare and assisted living environment. New York: ACM. 49–54.
Mamykina, Lena and Elisabeth D. Mynatt
2006 Investigating Health Management Practices of Individuals with diabetes. Proceedings of the SIGCHI conference on Human Factors in computing system.New York: ACM Press. 927–936.
Rose, Nikolas
1992 Governing the enterprising self. In Poul Heelas & Poul Morris, ed. Governing the enterprising self. London: Routledge
Samuelsen, Helle and Vibeke Steffen
2004 The Relevance of Foucault and Bourdieu for Medical Anthropology: Exploring New Sites. Anthropology & Medicine 11(1): 3-10.
Schoenberg, Nancy E., Elaine M. Drew, Eleanor Palo Stoller and Cary S. Kart
2005 Situating Stress: Lessons from Lay Discourses on Diabetes. Medical Anthropology Quarterly 19(2): 171-193
Smith, Brian K., Jeana Frost and Meltem Albayrak
2006 Integrating glucometers and digital photography as experience capture tools to enhance pateint understanding and communication of diabetes self-management. Personal and Ubiquitous Computing 11(4): 273-286.
Trostle, James A.
1998 Medical Compliance as an ideology. Social Science and Medicine 27(12): 1299-1308.
WEB RESOURCES
American Diabetes Association
Economic Costs of Diabetes in the U.S. in 2002, accessed 2007.10.10 http://care.diabetesjournals.org/cgi/content/full/26/3/917
International Diabetes Federation
The human, social and economic impact of diabetes, accessed 2007.08.27 http://www.idf.org/home/index.cfm?node=41
Fact sheet, accessed 2007.07.12 http://www.idf.org/webdata/docs/Fact_sheets.pdf
Prevalence of diabetes, accessed 2007.08.27 http://www.idf.org/home/index.cfm?node=264
World Health Organization
Diabetes facts and figures, accessed 2007.07.14 http://www.who.int/diabetes/facts/world_figures/en/index3.html
Diabetes. What is Diabetes, accessed 2007.07.14 http://www.who.int/mediacentre/factsheets/fs312/en/index.html
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