Listen and Learn – One Double Cheeseburger and a side of Colorectal Cancer

Alarming Numbers For Black Men And Colorectal Cancer : NPR

Yet another post in the periodic Double Cheeseburger series.  Pay particular attention to the last two minutes of this podcast for an excellent risk factor summary and recommendations for lifestyle changes.  There is a lot of relevant information for assessing risk in this short interview.

Disappearing Docs

Doctor and Patient – Where Have All the Doctors Gone? – NYTimes.com

When I learned the tools of the trade last century, I was taught to be highly suspicious of applicants for life insurance who claimed not to have a family medicine/primary care MD.  I also know that if evidence presents itself to change an opinion or belief, you should do so.

The numbers are staggering and I no longer view applicants without a PCP as suspiciously as I once did.

Less suspicious does not mean the absence of suspicion.  After all, a suspicious underwriter is a good underwriter.

CKD Risk and High HgbA1c

Arch Intern Med — Abstract: Poor Glycemic Control in Diabetes and the Risk of Incident Chronic Kidney Disease Even in the Absence of Albuminuria and Retinopathy: Atherosclerosis Risk in Communities (ARIC) Study, Dec 8/22, 2008, Bash et al. 168 (22): 2440

The more we know, the less we know.  The study population is small, but the findings merit our collective attention.  Think about these things the next time you are considering credits for the absence of retinopathy and/or albuminuria in a diabetic applicant.

Vitamin D and All-Cause Mortality

Follow this link to The American Academy of Dermatology homepage to download a PDF version of the AAD’s position statement on Vitamin D.  We are seeing a lot more older age applicants and it is critical for underwriters to factor in low Vitamin D levels when assessing such risks.

Very few foods in nature contain Vitamin D (but you already knew that, didn’t you?). 

Low levels of Vitamin D have a higher risk of all-cause mortality.

Click this link to access a good article on Vitamin D deficiency and higher all-cause mortality. 

Primary Care Metabolic Group – Vitamin D Deficiency

May I recommend a couple of glasses of soymilk daily?