High adherence to recommended diabetes follow‐up procedures by general practitioners is associated with lower estimated cardiovascular risk

Nøkleby, Kjersti; Berg, Tore Julsrud; Mdala, Ibrahimu; Buhl, Esben S.; Claudi, Tor; Cooper, John G.; Løvaas, Karianne Fjeld; Sandberg, Sverre; Jenum, Anne Karen

doi:10.1111/dme.14586

Cited by 8 publications

(5 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The proportion was consistent with results from another cross-sectional survey conducted in western China [ 21 ], but was lower than that reported in a longitudinal study in Luxembourg, Belgium [ 22 ], where 90% of T2DM patients consulted physicians at least 4 times a year. Another cross-sectional study among the Norwegian population found that high adherence to recommended diabetes follow-up procedures in primary care was associated with better glycaemic control and lower estimated CV risk in diabetic patients [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

“…The high rate of uncontrolled blood glucose reported in a large-scale survey in China [ 35 ] has posed a significant challenge for effective diabetes self-management and appropriate intervention with follow-up strategies, which are part of primary care for addressing multimorbidity [ 36 , 37 ]. Previous studies found that increased primary care visits and blood glucose monitoring could lead to improved glycaemic control and lower the risk of adverse CV outcomes [ 10 , 23 , 38 ]. Patients with T2DM at higher CV risk often need more intensive care, yet they were found to have poor engagement in follow-up attendance and blood glucose monitoring.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Frequency of Follow-Up Attendance and Blood Glucose Monitoring in Type 2 Diabetic Patients at Moderate to High Cardiovascular Risk: A Cross-Sectional Study in Primary Care

Zhong

Zhu

et al. 2022

IJERPH

View full text Add to dashboard Cite

Regular follow-up attendance in primary care and routine blood glucose monitoring are essential in diabetes management, particularly for patients at higher cardiovascular (CV) risk. We sought to examine the regularity of follow-up attendance and blood glucose monitoring in a primary care sample of type 2 diabetic patients at moderate-to-high CV risk, and to explore factors associated with poor engagement. Cross-sectional data were collected from 2130 patients enrolled in a diabetic retinopathy screening programme in Guangdong province, China. Approximately one-third of patients (35.9%) attended clinical follow-up <4 times in the past year. Over half of patients (56.9%) failed to have blood glucose monitored at least once per month. Multivariable logistic regression analysis showed that rural residents (adjusted odds ratio [aOR] = 0.420, 95% confidence interval [CI] = 0.338–0.522, p < 0.001, for follow-up attendance; aOR = 0.580, 95%CI: 0.472–0.712, p < 0.001, for blood glucose monitoring) and subjects with poor awareness of adverse consequences of diabetes complications (aOR = 0.648, 95%CI = 0.527–0.796, p < 0.001, for follow-up attendance; aOR = 0.770, 95%CI = 0.633–0.937, p = 0.009, for blood glucose monitoring) were both less likely to achieve active engagement. Our results revealed an urban–rural divide in patients’ engagement in follow-up attendance and blood glucose monitoring, which suggested the need for different educational approaches tailored to the local context to enhance diabetes care.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Frequency of Follow-Up Attendance and Blood Glucose Monitoring in Type 2 Diabetic Patients at Moderate to High Cardiovascular Risk: A Cross-Sectional Study in Primary Care

Zhong

Zhu

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…Having a larger and positive SN could also moderate disease risk by reducing certain negative health behaviors such as smoking, by directly or indirectly improving immune system responses, by offering socioeconomic benefits, and by providing greater social support to reduce emotional distress. 8 Though previous reports have found that cigarette smoking and physical activity are in the pathway of SN and CHD, 6 it is uncertain whether other factors, strongly associated with CVD are in the pathway, such as having better control of risk factors such as hypertension 9 and diabetes 10 and low depressive symptoms. 11 These key risk factors for CVD may be better managed among those who are better connected and may be the reason for connectedness lowering the risk of CVD.…”

Section: Introductionmentioning

confidence: 99%

Social Networks and Cardiovascular Disease Events in the Jackson Heart Study

Glover¹,

Sutton

O’Brien

et al. 2023

Preprint

View full text Add to dashboard Cite

Background: Cardiovascular disease (CVD) disproportionately affects African American adults. Greater social networks (SN), or social connectedness, may lower the risk of CVD events. Objective: Determine the association of SN and incident CVD and test mediation by depressive symptoms, hypertension control and diabetes control. Methods: We used the Social Network Index (SNI) at exam 1 (2000-2004) to develop a continuous standardized SN score and binary categories (high vs. low) among participants in the Jackson Heart Study (n=5252, mean age=54.8 years). Surveillance of coronary heart disease (CHD), stroke, and heart failure (HF) events occurred after exam 1 (2005 for HF) until 2016. Using Cox proportional hazards regression, we estimated the association of SN and CVD events by sex and tested the mediation of depressive symptoms, hypertension control and diabetes control. Models adjusted for age, education, health behaviors, and CVD co-morbidities. Results: Among women, the SN score was associated with a lower risk of CHD and HF after full adjustment (HR 0.78, 95% CI 0.68, 0.89 and HR 0.78, 95% CI 0.63, 0.95, respectively), but the association with stroke attenuated after adjustment for co-morbidities (HR 95% CI 0.88 95% CI 0.67, 1.14). SN scores were also associated with CHD in men (HR 0.84, 95% CI 0.70, 0.99) after full adjustment. High vs. low SN was associated with CHD in men and women, but not after adjustment for co-morbidities. There was no evidence of mediation by depressive symptoms, diabetes control, and hypertension control. Conclusion: Higher SN may lower the risk of CVD events, especially in women.

show abstract

“…Having a larger and positive SN could also moderate disease risk by reducing certain negative health behaviors such as smoking, by directly or indirectly improving immune system responses, by offering socioeconomic benefits, and by providing greater social support to reduce emotional distress. 8 Although previous reports have found that cigarette smoking and physical activity are in the pathway of SNs and coronary heart disease (CHD), 6 it is uncertain whether other factors strongly associated with CVD are in the pathway, such as having better control of risk factors such as hypertension 9 and diabetes, 10 and low depressive symptoms. 11 These key risk factors for CVD may be better managed among those who are better connected and may be the reason for connectedness lowering the risk of CVD.…”

mentioning

confidence: 99%

Social Networks and Cardiovascular Disease Events in the Jackson Heart Study

Glover,

Sutton,

O'Brien

et al. 2023

JAHA

View full text Add to dashboard Cite

Background Cardiovascular disease (CVD) disproportionately affects Black adults. Greater social networks (SNs), or social connectedness, may lower the risk of CVD events. This study determined the association of SNs and incident CVD and tested mediation by depressive symptoms, hypertension control, and diabetes control. Methods and Results We used the Social Network Index at exam 1 (2000–2004) to develop a continuous standardized SN score and binary categories (high versus low) among participants in the Jackson Heart Study (n=4686; mean age, 54.8 years). Surveillance of coronary heart disease, stroke, and heart failure events occurred after exam 1 (2005 for HF) until 2016. Using Cox proportional hazards regression, we estimated the association of SNs and CVD events by sex and tested the mediation of depressive symptoms, hypertension control, and diabetes control. Models adjusted for age, education, health behaviors, CVD comorbidities, and depressive symptoms. Among women, the SN score was associated with a lower hazard of stroke, coronary heart disease, and heart failure after full adjustment (hazard ratio [HR], 0.78 [95% CI, 0.64–0.95]; HR, 0.79 [95% CI, 0.71–0.88]; and HR, 0.78 [95% CI, 0.66–0.92], respectively). SN scores were also associated with a lower hazard of coronary heart disease in men (HR, 0.84 [95% CI, 0.75–0.94]) after full adjustment. High versus low SNs were associated with a lower hazard of coronary heart disease and heart failure among women after full adjustment. There was no evidence of mediation by depressive symptoms, diabetes control, and hypertension control. Conclusions Higher SNs may lower the risk of CVD events, especially in women.

show abstract

High adherence to recommended diabetes follow‐up procedures by general practitioners is associated with lower estimated cardiovascular risk

Abstract: This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

Cited by 8 publications

References 28 publications

Frequency of Follow-Up Attendance and Blood Glucose Monitoring in Type 2 Diabetic Patients at Moderate to High Cardiovascular Risk: A Cross-Sectional Study in Primary Care

Frequency of Follow-Up Attendance and Blood Glucose Monitoring in Type 2 Diabetic Patients at Moderate to High Cardiovascular Risk: A Cross-Sectional Study in Primary Care

Social Networks and Cardiovascular Disease Events in the Jackson Heart Study

Social Networks and Cardiovascular Disease Events in the Jackson Heart Study

Contact Info

Product

Resources

About