Lifestyle Counseling and Long-term Clinical Outcomes in Patients With Diabetes

Diabetes Care
Huabing ZhangAlexander Turchin

Abstract

To investigate the relationship between lifestyle counseling in primary care settings and clinical outcomes in patients with diabetes. We retrospectively studied hyperglycemic adults with diabetes treated at primary care practices between 2000 and 2014. We analyzed the relationship between frequency of lifestyle counseling (identified using natural language processing of electronic notes) and a composite outcome of death and cardiovascular events during subsequent follow-up. Among patients with monthly counseling or more, 10-year cumulative incidence of the primary outcome was 33.0% compared with 38.1% for less than monthly counseling (P = 0.0005). In multivariable analysis, higher frequency of lifestyle counseling was associated with lower incidence of the primary outcome (hazard ratio 0.88 [95% CI 0.82-0.94]; P < 0.001). More frequent lifestyle counseling was associated with a lower incidence of cardiovascular events and death among patients with diabetes.

References

Dec 24, 2005·The New England Journal of Medicine·David M NathanUNKNOWN Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications (DCCT/EDIC) Study Research
Dec 27, 2005·American Journal of Preventive Medicine·Brian HazlehurstNancy A Rigotti
May 25, 2011·Archives of Internal Medicine·Alexander TurchinJonathan S Einbinder
Jun 26, 2013·The New England Journal of Medicine·Rena R WingSusan Z Yanovski
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Jan 1, 2007·Expert Review of Endocrinology & Metabolism·Steven V EdelmanJuan P Frias

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Citations

Mar 20, 2021·Journal of Diabetes Science and Technology·Alexander Turchin, Luisa F Florez Builes

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