Abstract
To compare clinical outcomes obtained using treatment algorithms versus standard "usual care" to treat patients with type 2 diabetes in a community setting. An observational group comparison was implemented in three community-based clinics in San Antonio, Texas: 1). a community clinic following treatment algorithms (CC-TA), 2). university clinic following treatment algorithms (UC-TA), and 3). a community clinic following standard "usual care" practices (CC-SC). Three hundred fifty-eight recently diagnosed type 2 diabetic patients (90% Mexican American, from low-income neighborhoods) who were consecutively identified at the three clinics were recruited. Following medical and laboratory evaluation, participants were started on treatment for hyperglycemia, hypertension, and dyslipidemia and followed for 12 months. Decrements in HbA(1c) at 12 months in the CC-TA and UC-TA were 3.1 and 3.3%, respectively, compared to 1.3% in the CC-SC (P < 0.0001). Corresponding decrements in fasting plasma glucose at 12 months were 94 and 99 mg/dl, respectively, versus 38 mg/dl in CC-SC (P < 0.0001). Reductions in total cholesterol, LDL cholesterol, and triglycerides at 12 months were greater in both algorithm-managed clinics compared to standard c...Continue Reading
References
Nov 11, 1992·Journal of the American Society of Nephrology : JASN·S M HaffnerK R Tuttle
Dec 1, 1991·Diabetes Care·M P Stern, S M Haffner
Feb 1, 1991·Diabetes Care·S M HaffnerM P Stern
Nov 18, 1988·JAMA : the Journal of the American Medical Association·R KleinD L DeMets
Jan 1, 1988·American Journal of Epidemiology·J A PughM Zapata
Jul 1, 1984·Diabetes Care·S M HaffnerL J Franco
Nov 1, 1983·American Journal of Epidemiology·C L HanisW J Schull
Apr 1, 1983·Diabetologia·M P SternS M Haffner
May 1, 1995·Diabetes Research and Clinical Practice·Y OhkuboM Shichiri
Feb 1, 1995·Diabetes Care·D M Nathan
Jun 1, 1994·Diabetes Care
Jan 1, 1993·Annals of Epidemiology·S M HaffnerR Klein
Sep 30, 1993·The New England Journal of Medicine·UNKNOWN Diabetes Control and Complications Trial Research GroupC Siebert
Jan 1, 1996·Annals of Internal Medicine·R TurnerR Holman
Jan 1, 1997·Diabetologia·S M HaffnerM P Stern
Aug 14, 1998·Diabetes Care·M I HarrisD D Byrd-Holt
Sep 11, 1998·BMJ : British Medical Journal
Oct 24, 1998·Annals of Internal Medicine·R E AubertJ P Koplan
Mar 31, 1999·Diabetes Care·M I HarrisM S Eberhardt
Jun 4, 1999·American Journal of Epidemiology·B D MitchellJ W MacCluer
Jun 8, 1999·JAMA : the Journal of the American Medical Association·R C TurnerR R Holman
Aug 11, 2000·BMJ : British Medical Journal·I M StrattonR R Holman
Feb 24, 2001·Diabetes Care·A H MokdadJ S Marks
Jan 5, 2002·Diabetes Care·Carlos Arauz-PachecoPhilip Raskin
Apr 17, 2002·Annals of Internal Medicine·Jinan B SaaddineK M Venkat Narayan
Dec 28, 2002·Diabetes Care·Saul GenuthUNKNOWN American Diabetes Association
May 14, 2003·Pharmacotherapy·Ellen L TothJeffrey A Johnson
Feb 7, 2004·The Journal of Clinical Endocrinology and Metabolism·Harold BaysRalph A DeFronzo
Citations
Mar 2, 2010·Reviews in Endocrine & Metabolic Disorders·Miguel A ArizaJames L Rosenzweig
Sep 15, 2012·Current Diabetes Reports·Joseph R BetancourtMatthew R Bondaryk
Jan 27, 2005·Disease Management : DM·Etta L Fanning
Aug 10, 2007·International Journal of Clinical Practice·G R PishdadP Pishdad
Apr 9, 2008·International Journal of Clinical Practice·G R PishdadP Pishdad
Mar 7, 2006·Postgraduate Medical Journal·T A ChowdhuryR Mahfuz
Oct 19, 2007·Medical Care Research and Review : MCRR·Monica E PeekElbert S Huang
Feb 2, 2010·Diabetes Research and Clinical Practice·Garry WelchRobert A Gabbay
May 28, 2008·Journal of the American Dietetic Association·Ann Albright
Jul 28, 2015·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Michelle F MageeJeffrey S Dubin
Apr 29, 2005·Diabetes/metabolism Research and Reviews
Jan 8, 2009·Journal of the American Academy of Nurse Practitioners·Allen B King, Gary S Wolfe
Jun 29, 2004·Diabetes Care·Mayer B Davidson
May 6, 2011·Diabetes Care·Hwee TeohLawrence A Leiter
Jun 28, 2006·Diabetes Care·Richard H GlazierKristie Willson
Sep 16, 2011·The Diabetes Educator·Garry WelchRichard J Kedziora
Mar 11, 2005·Health Affairs·David R Nerenz
Jan 30, 2007·Diabetes Care·Mayer B DavidsonVicki J Karlan