I just published “How To Treat 1,000,000 People With Diabetes”https://medium.com/p/how-to-treat-1-000-000-people-with-diabetes-fd045cc6dde1 …
The other obvious issue being funding for intensive lifestyle modification programs like this - we are currently applying for such but the cost per patient is very high and hard to get!
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To put it another way - if we treated 1,000,000 people with Virta, we'd be paying ~$5 billion for one year of treatment. That's one top of some other regular treatment (i.e. meds) that it does not appear to cover. That's roughly the budget of all the hospitals in Sydney
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In the US it can cost $1000 a month for Insulin alone, so its cost effective for them. You are also looking at a projected 1,000,000, how much is that going to cost to treat over decades? The virta treatment is not secret, you can do it yourself.
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I am sure if you looked at the reduced cost of medication and pathology tests it would be easy to justify, but you might have trouble getting funding from the pharmaceutical industry. Doing the best intervention is still likely to lead to the most good overall.
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