PMID: 15220240Jun 29, 2004Paper

Improving efficacy of diabetes management using treatment algorithms in a mainly Hispanic population

Diabetes Care
Etta L FanningRalph A DeFronzo

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

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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
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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

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