# data[].attributes.body
Science Daily. (2019). Predicting risk of heart failure for diabetes patients with help from learning machine. Science News. Retrieved from https://www.sciencedaily.com/releases/2019/09/190913191451.htm

# data[].attributes.body
[Angelica (analytical), Ivy (individualization), Pablo (positivity), Matthew (maximizer), Abraham (arranger)]
My top five strengths are learner, achiever, communicator, strategic, and responsibility. I chose my five team mates specifically for the reasoning that all five have different strengths than I have myself. I believe a team of diversity will better target the general population in health prevention and promotion rather than a team of common factors.

# data[].attributes.body
- Require patient compliance
-Predictors of heart failure may have evolved since statistical analysis (1999-2009)
-Lacked prediction of heart failure in secondary measures, outside of ejection fraction

# data[].attributes.body
-Early intervention to prevent heart failure
-Convenient tool for clinicians
-Can be integrated with medial records
-High number of participants
-High rate of heart failure rates reflecting accuracy of current innovation
-Strong in prediction of heart failure with primary analysis of ejection fraction

# data[].attributes.body
Summary: the Watch-DM is a tool that is generated by using an algorithm from specific patient information that determines the probability of a type II DM patient developing HF. The algorithm is calculated by a smart computerized system (machine learning) to reflect results. Results are easy to read and available to be placed in the patient charts for coordination of care.

# data[].attributes.attachment_link.readable_text
Researchers from Brigham and Women's Hospital and UT Southwestern Medical center have developed a new machine learning algorithm that predicts the risk of heart failure hospitalization for people suffering from type 2 diabetes. Their work demonstrates that among 147 different demographic, clinical, and biological data, there is an important top 10 list of predictors, which includes BMI, age, hypertentsion, creatinine, HDL-C, and QRS duration.

One day, insightful algorithms such as these will hopefully be integrated into electronic health record systems, allowing physicians to identify risk factors for individual patients and provide personalized care and guidance to reduce the risk of heart failure and other diseases.

Heart failure is a frequent and dangerous complication of type 2 diabetes. New clinical research has shown that new medications can be helpful for patients with heart failure and may help reduce the risk of heart failure in patients with diabetes. Yet, there has not been a reputable method for identifying which patients with diabetes are most at risk of developing heart failure. The researchers developed a machine learning model to address this concern.

Leveraging data from nearly 9,000 patients in the Action to Control Cardiovascular Risk in Diabetes trial (ACCORD Trial), the researchers utilized a model that can work with high dimensional data, understanding patterns in the 147 total variables, including demographic, clinical, and biological data for each patient. Over the five year duration of the trial, 319 patients (3.6% of the total) developed heart failure. The most common factors included weight, age, hypertension, along with creatinine, HDL-C, blood glucose levels, QRS duration, myocardial infarction, and coronary artery bypass grafting. The highest risk score was associated with a 1 in 5 chance of developing heart failure in five years.

The WATCH-DM risk score, defined by the machine learning model, is now available as an online tool for clinicians to use. The team is working to integrate their scoring system into electronic health record systems at both Brigham and Women's Hospital and UT Southwestern Medical Center to allow for real-time usage.

"This risk tool is an important step in the right direction to promote prevention of heart failure in patients with type 2 diabetes. It can be readily used as part of clinical care of patients with type 2 diabetes and integrated with the electronic medical records to inform physicians about the risk of heart failure in their patients and guide use of effective preventive strategies," said Ambarish Pandey, MD, MSCS, a preventive cardiologist at UT Southwestern and the senior author of this study.

Link: WATCH-DM risk score online...

The publication in Diabetes Care: Machine Learning to Predict the Risk of Incident Heart Failure Hospitalization Among Patients With Diabetes: The WATCH-DM Risk Score

Via: Brigham and Women's Hospital

# data[].attributes.attachment_link.title
Machine Learning Helps Predict Risk of Heart Failure in Patients with Diabetes |

# data[].attributes.attachment_link.description
Researchers from Brigham and Women's Hospital and UT Southwestern Medical center have developed a new machine learning algorithm that predicts the risk of heart failure hospitalization for people suffering from type 2 diabetes. Their work demonstrates that among 147 different demographic, clinical, and biological data, there is an important top 10 list of predictors, which includes BMI, age, hypertentsion, creatinine, HDL-C, and QRS duration.

# data[].attributes.headline
Why did I choose the Watch-DM as my current innovation?

# data[].attributes.subject
Why did I choose the Watch-DM as my current innovation?

# data[].attributes.body
Chronic disease management is necessary in the role of the practitioner. Simple tools, such as this, are a great asset. This video addresses my personal opinion and rationale on the Watch- DM assessment tool.

# data[].attributes.body
CDC does a great job of putting statistics into perspective for clinicians. Understanding Type II diabetes will help incorporate chronic disease management interventions in preventing HF in this specific population.

# data[].attributes.attachment_link.provider_name
Centers for Disease Control and Prevention

# data[].attributes.attachment_link.readable_text
More than 37 million Americans have diabetes (about 1 in 10), and approximately 90-95% of them have type 2 diabetes. Type 2 diabetes most often develops in people over age 45, but more and more children, teens, and young adults are also developing it.

What Causes Type 2 Diabetes?

Insulin is a hormone made by your pancreas that acts like a key to let blood sugar into the cells in your body for use as energy. If you have type 2 diabetes, cells don't respond normally to insulin; this is called insulin resistance. Your pancreas makes more insulin to try to get cells to respond. Eventually your pancreas can't keep up, and your blood sugar rises, setting the stage for prediabetes and type 2 diabetes. High blood sugar is damaging to the body and can cause other serious health problems, such as heart disease, vision loss, and kidney disease.

Symptoms and Risk Factors

Type 2 diabetes symptoms often develop over several years and can go on for a long time without being noticed (sometimes there aren't any noticeable symptoms at all). Because symptoms can be hard to spot, it's important to know the risk factors and to see your doctor to get your blood sugar tested if you have any of them.

Testing for Type 2 Diabetes

A simple blood test will let you know if you have diabetes. If you've gotten your blood sugar tested at a health fair or pharmacy, follow up at a clinic or doctor's office to make sure the results are accurate.

Managing Diabetes

Unlike many health conditions, diabetes is managed mostly by you, with support from your health care team (including your primary care doctor, foot doctor, dentist, eye doctor, registered dietitian nutritionist, diabetes educator, and pharmacist), family, and other important people in your life. Managing diabetes can be challenging, but everything you do to improve your health is worth it!

You may be able to manage your diabetes with healthy eating and being active, or your doctor may prescribe insulin, other injectable medications, or oral diabetes medicines to help manage your blood sugar and avoid complications. You'll still need to eat healthy and be active if you take insulin or other medicines. It's also important to keep your blood pressure and cholesterol close to the targets your doctor sets for you and get necessary screening tests.

You'll need to check your blood sugar regularly. Ask your doctor how often you should check it and what your target blood sugar levels should be. Keeping your blood sugar levels as close to target as possible will help you prevent or delay diabetes-related complications.

Stress is a part of life, but it can make managing diabetes harder, including managing your blood sugar levels and dealing with daily diabetes care. Regular physical activity, getting enough sleep, and relaxation exercises can help. Talk to your doctor and diabetes educator about these and other ways you can manage stress.

Make regular appointments with your health care team to be sure you're on track with your treatment plan and to get help with new ideas and strategies if needed.

Whether you were just diagnosed with diabetes or have had it for some time, meeting with a diabetes educator is a great way to get support and guidance, including how to:

Develop a healthy eating and activity plan

Test your blood sugar and keep a record of the results

Recognize the signs of high or low blood sugar and what to do about it

If needed, give yourself insulin by syringe, pen, or pump

Monitor your feet, skin, and eyes to catch problems early

Buy diabetes supplies and store them properly

Manage stress and deal with daily diabetes care

Ask your doctor about diabetes self-management education and support services and to recommend a diabetes educator, or search the Association of Diabetes Care & Education Specialists' (ADCES) nationwide directory for a list of programs in your community.

Type 2 Diabetes in Children and Teens

Childhood obesity rates are rising, and so are the rates of type 2 diabetes in youth. More than 75% of children with type 2 diabetes have a close relative who has it, too. But it's not always because family members are related; it can also be because they share certain habits that can increase their risk. Parents can help prevent or delay type 2 diabetes by developing a plan for the whole family:

Drinking more water and fewer sugary drinks

Eating more fruits and vegetables

Making favorite foods healthier

Making physical activity more fun

Healthy changes become habits more easily when everyone makes them together. Find out how to take charge family style with these healthy tips.

Get Support

Tap into online diabetes communities for encouragement, insights, and support. The American Diabetes Association's Community page and ADCES's Peer Support Resources are great ways to connect with others who share your experience.

# data[].attributes.attachment_link.description
More than 37 million Americans have diabetes (about 1 in 10), and approximately 90-95% of them have type 2 diabetes. Type 2 diabetes most often develops in people over age 45, but more and more children, teens, and young adults are also developing it.

# data[].attributes.body
Heart failure continues to be one of the leading causes of death in the United States. Understanding the significant impact of heart failure is ideally the foundation in preventing HF in patients.

# data[].attributes.attachment_link.readable_text
Heart failure happens when the heart cannot pump enough blood and oxygen to support other organs in your body. Heart failure is a serious condition, but it does not mean that the heart has stopped beating.

Heart Failure in the United States

About 5.7 million adults in the United States have heart failure.¹

One in 9 deaths in 2009 included heart failure as contributing cause.¹

About half of people who develop heart failure die within 5 years of diagnosis.¹

Heart failure costs the nation an estimated $30.7 billion each year.³ This total includes the cost of health care services, medications to treat heart failure, and missed days of work.

Deaths from Heart Failure Vary by Geography

Heart failure is more common in some areas of the United States than in others. Below is a map showing the rate of death from heart failure by county during 2014-2016.

Risk Factors for Heart Failure

Diseases that damage your heart also increase your risk for heart failure. Some of these diseases include

Unhealthy behaviors can also increase your risk for heart failure, especially for people who have one of the diseases listed above. Unhealthy behaviors include

Smoking tobacco.

Eating foods high in fat, cholesterol, and sodium.

Not getting enough physical activity.

Being obese.

Signs and Symptoms of Heart Failure

Common symptoms of heart failure include:

Shortness of breath during daily activities.

Having trouble breathing when lying down.

Weight gain with swelling in the feet, legs, ankles, or stomach.

Generally feeling tired or weak.

Treating Heart Failure

Early diagnosis and treatment can improve quality and length of life for people who have heart failure. Treatment usually involves taking medications, reducing sodium in the diet, and getting daily physical activity. People with heart failure also track their symptoms each day so that they can discuss these symptoms with their health care team.

CDC's Public Health Efforts Related to Heart Failure

Web Sites with More Information About Heart Failure

For more information about heart failure, visit the following Web sites:

References

1. Mozzafarian D, Benjamin EJ, Go AS, et al. on behalf of the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics-2016 update: a report from the American Heart Association. Circulation. 2016;133:e38-e360.

2. Kochanek KD, Xu JQ, Murphy SL, Miniño AM, Kung HC. Deaths: final data for 2009 Cdc-pdf [PDF-3M] . Natl Vital Stat Rep. 2011;60(3).

3. Heidenreich PA, Trogdon JG, Khavjou OA, Butler J, Dracup K, Ezekowitz MD, et al. . Circulation. 2011;123(8):933-44.

# data[].attributes.attachment_link.keywords[]
heart failure fact sheet; fact sheets; heart failure; heart disease and stroke fact sheets

# data[].attributes.attachment_link.title
Heart Failure Fact Sheet|Data & Statistics|DHDSP|CDC

# data[].attributes.attachment_link.description
Heart failure happens when the heart cannot pump enough blood and oxygen to support other organs in your body. Heart failure is a serious condition, but it does not mean that the heart has stopped beating.