Multidisciplinary approach to patients with poorly controlled type 2 diabetes mellitus: a prospective, randomized study

Acta Diabetologica
M Maislos, D Weisman

Abstract

Practicing physicians as well as diabetes specialists are confronted with the often-frustrating experience of dealing with patients with poorly controlled diabetes. It is not always obvious why these patients fail to improve. The aims of this study were two-fold: (a). to determine if the interdisciplinary approach offered by the Western Negev Mobile Clinic Diabetes Program (WNMDCP) is of benefit in patients with poorly controlled type 2 diabetes and (b). to more fully characterize patients refractory to treatment. Two primary-care clinics of the Western Negev were randomly selected as control and intervention. All patients from both clinics with hemoglobin (HbA(1C)) >or=10% (tested during June-July 2000) were studied for 6 months. Patients from the control clinic continued the usual treatment. Patients from the intervention clinic received the interdisciplinary approach offered by WNMCDP. The rate of improvement of diabetes control, measured as a decrease in HbA(1C) values of at least 0.5%, and compliance to treatment were determined. Overall, 48 of 258 patients in the intervention clinic and 34 of 179 patients in the control clinic met the inclusion criteria. At the 6-month follow-up, we observed significant improvements in pl...Continue Reading

Citations

Feb 6, 2014·Personalized Medicine·Kathleen E ErskineSiobhan M Dolan
Sep 10, 2014·Best Practice & Research. Clinical Obstetrics & Gynaecology·Giuseppe Benagiano, Ivo Brosens
Jul 16, 2010·Journal of Evaluation in Clinical Practice·Andrea S FokkensSijmen A Reijneveld
Mar 1, 2012·Journal of Evaluation in Clinical Practice·Arianne M J ElissenHubertus J M Vrijhoef
Aug 18, 2010·Contemporary Clinical Trials·Sarah J BeatonC Victor Spain
Jul 6, 2016·AIDS Care·Curtis D HandfordRichard H Glazier
Jul 27, 2006·Southern Medical Journal·Javed M NasirG Dodd Denton
Jan 23, 2009·The Cochrane Database of Systematic Reviews·Sally-Anne S DukeRuth Colagiuri
Jul 21, 2006·The Cochrane Database of Systematic Reviews·C D HandfordR H Glazier
May 10, 2020·The Cochrane Database of Systematic Reviews·Amanda J CrossJohnson George
May 29, 2018·Diabetes Therapy : Research, Treatment and Education of Diabetes and Related Disorders·Zhihui DengFran Richardson
May 17, 2007·British Journal of Community Nursing·Agurtzane Mujika Zabaleta, Angus Forbes

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