Smith JM, Gohdes D.
AHSR FHSR Annu Meet Abstr Book. 1996; 13: 18.
Department of Pediatrics, University of Arkansas, Little Rock 72202, USA.
OBJECTIVE: Individual mean blood sugar level over followup and the odds of good to fair blood glucose control were used to assess the effectiveness of team-managed ambulatory diabetes care in three American Indian communities. STUDY POPULATION AND DESIGN: In three clinics, the medical records of 634 American Indian patients diagnosed with diabetes from 1983 to 1992 were abstracted for information on metabolic disease severity, demographic and other health characteristics, age at diagnosis, type, number, dates and values of recorded blood sugar tests, and the type and timing of diabetes care services. Complete relevant information for analysis was available on 499 patients. PRINCIPAL FINDINGS: Patients seen by a dietitian in the first year after diagnosis averaged 11 mg/dl lower mean blood sugars over followup (p<.05) than patients who were not seen, controlling for relevant patient and care characteristics. Patients seen for blood sugar monitoring in the first year had 1.95 the odds (95% CI 1.12-3.40) of good control (individual mean blood sugar <200 mg/dl). Patients seen for any patient education or monitoring (Hgb Alc) over followup had 2.04 the odds (95% CI 1.10-3.77) of good control compared to those patients who were not seen. CONCLUSIONS: Early dietary and blood sugar monitoring intervention, and patient education/monitoring over followup were positively associated with long-term blood glucose control, indicating that early patient education can influence important clinical endpoints in diabetes management. Future evaluation of effective diabetes care should focus on the timing and content of ambulatory diabetes care services.
Publication Types:
Keywords:
- Ambulatory Care
- Ambulatory Care Facilities
- Blood Glucose
- Blood Glucose Self-Monitoring
- Diabetes Mellitus
- Diabetes Mellitus, Type 2
- Humans
- Managed Care Programs
- Patient Education as Topic
- economics
- hsrmtgs
Other ID:
UI: 102222129
From Meeting Abstracts