Characteristics of Diabetics with Poor Glycemic Control Who Achieve Good Control

Shani, Michal; Taylor, Tomas R.; Vinker, Shlomo; Lustman, Alexander; Erez, Rina; Elhayany, Asher; Lahad, Amnon

doi:10.3122/jabfm.2008.06.070267

Cited by 38 publications

(28 citation statements)

References 16 publications

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“…However, other studies [37][38][39] found that diabetes knowledge, attitude and adherence to health regimens were associated with glycemic control. Lack of relationships among age and gender and poor glycemic control in our study is consistent with Shani et al [40] who found neither age nor gender were related to the achievement of good glycemic control. Moreira et al [41] found that gender was not associated with improved glycemic control.…”

Section: Hba1c <7supporting

confidence: 92%

Glycemic Control and Its Determinants among Patients with type 2 Diabetes Mellitus Attending a Teaching Hospital

A¹,

S²,

M³

2011

J Diabetes Metab

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Section: Hba1c <7supporting

confidence: 92%

Glycemic Control and Its Determinants among Patients with type 2 Diabetes Mellitus Attending a Teaching Hospital

A¹,

S²,

M³

2011

J Diabetes Metab

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“…Other studies have noted that there are age differences in patients who seek care from a single provider and those who do not develop continuous relationships with physician. 16 It is also possible that there are other differences that we did not measure that would obscure the benefits of a personal physician-patient relationship. For example, it is possible that patients who did not have a continuous provider were less ill than those who had a regular provider.…”

Section: Discussionmentioning

confidence: 99%

Does Having a Personal Physician Improve Quality of Care in Diabetes?

Hueston¹

2010

The Journal of the American Board of Family Medicine

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Purpose: Although having a continuous relationship with a physician is a defining feature of primary care, few studies have evaluated the effect of this on chronic disease management. This aim of this study was to examine whether having a regular physician is associated with improvements in reaching treatment goals for patients with diabetes.Methods: Through the use of a diabetes registry, patients diagnosed with diabetes mellitus for a minimum of 6 months cared for in a large, single academic family medicine practice were compared based on whether they had a regular physician or not. The 2 groups were compared in the frequency in which they achieved goals for management of glycated hemoglobin, blood pressure, low-density lipoprotein cholesterol, and other aspects of diabetes care.Results: Patients with a regular provider were slightly older than those without a provider (57.5 years vs. 50.9 years; P ‫؍‬ .002), but the gender distribution and percent who were smokers was the same. In assessing diabetes quality measures, patients with a regular provider had lower average levels of glycated hemoglobin (7.70 vs 8.53; P ‫؍‬ .01), but no difference was noted in the percentage achieving a goal of <7.0. No differences were noted between the groups in either the average systolic or diastolic blood pressures or low-density lipoprotein cholesterol or in the percentages of patients achieving recognized goals for these measures. When examining other preventive services, patients with a regular provider were more likely to receive an influenza immunization within the last year (51.8% vs 35.6%; P ‫؍‬ .02) but no more likely to receive a pneumococcal vaccine or take an aspirin each day. Conclusion: This study suggests that there are few benefits for patients with diabetes in having an established regular provider over having a regular place of service. (J Am Board Fam Med 2010;23: 82-87.)Along with first contact, comprehensiveness, and coordination of care, continuity is considered one of the 4 cornerstones of primary care. 1 The belief in the value of patient continuity with a regular provider who can develop intimate knowledge of the patient's clinical condition and establish a trusting, healing relationship with the patient is widely accepted among primary care providers and health policy experts. Having a regular physician has been shown to have a beneficial effect on a large range of health care services, including preventive services in children 2,3 and reductions in hospital and emergency department use among patients with chronic health problems. 4,5The effects of having a regular physician would seem to have the greatest benefit for patients who have complex chronic diseases for which the frequency of care and the necessity of multiple therapeutic interventions would be enhanced by an ongoing relationship with a single physician. However, there is conflicting evidence that having a regular physician makes a difference in the management of diabetes, a highly complex chronic medical illness. In an analysis of diabetes i...

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“…Apart from being preventable, the majority of patients (194, 96%) had long standing T2DM (6 -10 years). Glycemic control is significantly associated with age, race/ethnicity, duration of diabetes, type and number of medications taken, obesity, psychological variables, and family support [52][53][54][55][56][57][58][59][60][61][62][63]. In addition, poor medical care, lack of education, non-compliance of patients or access to care problems all contribute to poor glycemic control, all of which are relevant to resource poor countries.…”

Section: Discussionmentioning

confidence: 99%

Patterns of Hyperglycemia in Patients With Type 2 Diabetes Mellitus With or Without Hypertension, Requiring Emergency Care and Hospitalization

Mungrue

Honore

2015

J Endocrinol Metab

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Background: Hyperglycemia is treatable and preventative cause of both microvascular and macrovascular complications in persons with type 2 diabetes mellitus (T2DM). Hyperglycemia is unequivocally associated with poor outcomes especially in hospitalized patients. The aim of this study therefore is to measure the occurrence of hyperglycemic events particularly in patients with T2DM requiring acute care and subsequent hospitalization with or without hypertension and describe the epidemiological features.

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Characteristics of Diabetics with Poor Glycemic Control Who Achieve Good Control

Abstract: Objective: To find the characteristics of diabetics with poorly controlled diabetes that became well controlled compared with the patients with poorly controlled diabetes that remained poorly controlled.

Cited by 38 publications

References 16 publications

Glycemic Control and Its Determinants among Patients with type 2 Diabetes Mellitus Attending a Teaching Hospital

Glycemic Control and Its Determinants among Patients with type 2 Diabetes Mellitus Attending a Teaching Hospital

Does Having a Personal Physician Improve Quality of Care in Diabetes?

Patterns of Hyperglycemia in Patients With Type 2 Diabetes Mellitus With or Without Hypertension, Requiring Emergency Care and Hospitalization

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