Improving diabetes processes of care in managed care.

Abstract:

OBJECTIVE:To evaluate the impact of systematic patient evaluation and patient and provider feedback on the processes and intermediate outcomes of diabetes care in Independent Practice Association model internal medicine practices. RESEARCH DESIGN AND METHODS:Nine practices providing care to managed care patients were randomly assigned as intervention or comparison sites. Intervention-site subjects had Annual Diabetes Assessment Program (ADAP) assessments (HbA(1c), blood pressure, lipids, smoking, retinal photos, urine microalbumin, and foot examination) at years 1 and 2. Comparison-site subjects had ADAP assessments at year 2. At Intervention sites, year 1 ADAP results were reviewed with subjects, mailed to providers, and incorporated into electronic medical records with guideline-generated suggestions for treatment and follow-up. Medical records were evaluated for both groups for the year before both the year 1 and year 2 ADAP assessments. Processes and intermediate outcomes were compared using linear and logistic mixed hierarchical models. RESULTS:Of 284 eligible subjects, 103 of 173 (60%) at the Intervention sites and 71 of 111 (64%) at the comparison sites participated; 83 of 103 (81%) of the intervention-site subjects returned for follow-up at year 2. Performance of the six recommended assessments improved in intervention-site subjects at year 2 compared with year 1 (5.8 vs. 4.3, P = 0.0001) and compared with comparison-site subjects at year 2 (4.2, P = 0.014). No significant changes were noted in intermediate outcomes. CONCLUSIONS:The ADAP significantly improved processes of care but not intermediate outcomes. Additional interventions are needed to improve intermediate outcomes.

journal_name

Diabetes Care

journal_title

Diabetes care

authors

Ilag LL,Martin CL,Tabaei BP,Isaman DJ,Burke R,Greene DA,Herman WH

doi

10.2337/diacare.26.10.2722

subject

Has Abstract

pub_date

2003-10-01 00:00:00

pages

2722-7

issue

10

eissn

0149-5992

issn

1935-5548

journal_volume

26

pub_type

临床试验,杂志文章,多中心研究,随机对照试验
  • Increased risk factors for coronary artery disease in Japanese subjects with hyperinsulinemia or glucose intolerance.

    abstract:OBJECTIVE:To understand the interrelationship of coronary artery disease (CAD) risk factors including hyperlipidemia, hypertension, and glucose intolerance to prevent and better manage this disease. RESEARCH DESIGN AND METHODS:We performed a 100-g oral glucose tolerance test in 2,113 subjects, and we evaluated their p...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.17.2.107

    authors: Yamada N,Yoshinaga H,Sakurai N,Shimano H,Gotoda T,Ohashi Y,Yazaki Y,Kosaka K

    更新日期:1994-02-01 00:00:00

  • Risk factors for plantar foot ulcer recurrence in neuropathic diabetic patients.

    abstract:OBJECTIVE:Recurrence of plantar foot ulcers is a common and major problem in diabetes but not well understood. Foot biomechanics and patient behavior may be important. The aim was to identify risk factors for ulcer recurrence and to establish targets for ulcer prevention. RESEARCH DESIGN AND METHODS:As part of a footw...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc13-2470

    authors: Waaijman R,de Haart M,Arts ML,Wever D,Verlouw AJ,Nollet F,Bus SA

    更新日期:2014-06-01 00:00:00

  • Increased Liver Fatty Acid Uptake Is Partly Reversed and Liver Fat Content Normalized After Bariatric Surgery.

    abstract:OBJECTIVE:Changes in liver fatty acid metabolism are important in understanding the mechanisms of diabetes remission and metabolic changes after bariatric surgery. RESEARCH DESIGN AND METHODS:Liver fatty acid uptake (LFU), blood flow, and fat content (LFC) were measured in 25 obese subjects before bariatric surgery an...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章

    doi:10.2337/dc17-0738

    authors: Immonen H,Hannukainen JC,Kudomi N,Pihlajamäki J,Saunavaara V,Laine J,Salminen P,Lehtimäki T,Pham T,Iozzo P,Nuutila P

    更新日期:2018-02-01 00:00:00

  • Vibratory and cooling detection thresholds compared with other tests in diagnosing and staging diabetic neuropathy.

    abstract::Increasingly more tests are being used to detect and characterize diabetic polyneuropathy, but their value in setting minimal criteria for the diagnosis of neuropathy and for staging severity remains inadequately studied. In 180 diabetics, we compared the percentage of patients with test abnormalities and associations...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.10.4.432

    authors: Dyck PJ,Bushek W,Spring EM,Karnes JL,Litchy WJ,O'Brien PC,Service FJ

    更新日期:1987-07-01 00:00:00

  • Glycated hemoglobin and risk of hypertension in the atherosclerosis risk in communities study.

    abstract:OBJECTIVE:Diabetes and hypertension often co-occur and share risk factors. Hypertension is known to predict diabetes. However, hyperglycemia also may be independently associated with future development of hypertension. We investigated glycated hemoglobin (HbA(1c)) as a predictor of incident hypertension. RESEARCH DESI...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc11-2248

    authors: Bower JK,Appel LJ,Matsushita K,Young JH,Alonso A,Brancati FL,Selvin E

    更新日期:2012-05-01 00:00:00

  • ABC transporter genes and risk of type 2 diabetes: a study of 40,000 individuals from the general population.

    abstract:OBJECTIVE:Alterations of pancreatic β-cell cholesterol content may contribute to β-cell dysfunction. Two important determinants of intracellular cholesterol content are the ATP-binding cassette (ABC) transporters A1 (ABCA1) and -G1 (ABCG1). Whether genetic variation in ABCA1 and ABCG1 predicts risk of type 2 diabetes i...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc12-0082

    authors: Schou J,Tybjærg-Hansen A,Møller HJ,Nordestgaard BG,Frikke-Schmidt R

    更新日期:2012-12-01 00:00:00

  • Lipoprotein(a) in android obesity and NIDDM.

    abstract:OBJECTIVE:To assess the level of serum lipoprotein(a) [Lp(a)] in nonobese and obese NIDDM subjects with android body distribution. RESEARCH DESIGN AND METHODS:Serum Lp(a) levels were measured in 30 long-standing NIDDM patients (duration of diabetes 12.5 +/- 3 years, mean +/- SD), with 15 of the patients being obese of...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.20.11.1693

    authors: Wassef N,Sidhom G,Zakareya el-K,Mohamed el-K

    更新日期:1997-11-01 00:00:00

  • Physiological differences between interstitial glucose and blood glucose measured in human subjects.

    abstract:OBJECTIVE:This study investigated whether glucose readings from a sensor sampling in interstitial fluid differ substantially from blood glucose (BG) values measured at the same time. RESEARCH DESIGN AND METHODS:We have evaluated the relationship between BG and glucose extracted from interstitial fluid using the GlucoW...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章

    doi:10.2337/diacare.26.8.2405

    authors: Kulcu E,Tamada JA,Reach G,Potts RO,Lesho MJ

    更新日期:2003-08-01 00:00:00

  • Impact of iron deficiency anemia on prevalence of gestational diabetes mellitus.

    abstract:OBJECTIVE:Increased Hb and ferritin have been associated with gestational diabetes mellitus (GDM). This study was performed to determine whether the prevalence of GDM is influenced by iron deficiency anemia. RESEARCH DESIGN AND METHODS:In a retrospective case-control study, 242 women with iron deficiency anemia (Hb<10...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.27.3.650

    authors: Lao TT,Ho LF

    更新日期:2004-03-01 00:00:00

  • 9. Pharmacologic Approaches to Glycemic Treatment: Standards of Medical Care in Diabetes-2021.

    abstract::The American Diabetes Association (ADA) "Standards of Medical Care in Diabetes" includes the ADA's current clinical practice recommendations and is intended to provide the components of diabetes care, general treatment goals and guidelines, and tools to evaluate quality of care. Members of the ADA Professional Practic...

    journal_title:Diabetes care

    pub_type: 杂志文章,评审

    doi:10.2337/dc21-S009

    authors: American Diabetes Association.

    更新日期:2021-01-01 00:00:00

  • Alanine aminotransferase and directly measured insulin sensitivity in a multiethnic cohort: the Insulin Resistance Atherosclerosis Study.

    abstract:OBJECTIVE:The objective of the present analysis was to evaluate the association of alanine aminotransferase (ALT) with directly measured insulin sensitivity (S(i)) in a large, multiethnic cohort of U.S. adults and to determine whether ALT adds to existing metabolic risk definitions in identifying subjects with insulin ...

    journal_title:Diabetes care

    pub_type: 杂志文章,多中心研究

    doi:10.2337/dc07-0086

    authors: Hanley AJ,Wagenknecht LE,Festa A,D'Agostino RB Jr,Haffner SM

    更新日期:2007-07-01 00:00:00

  • Phase I (safety) study of autologous tolerogenic dendritic cells in type 1 diabetic patients.

    abstract:OBJECTIVE:The safety of dendritic cells to selectively suppress autoimmunity, especially in type 1 diabetes, has never been ascertained. We investigated the safety of autologous dendritic cells, stabilized into an immunosuppressive state, in established adult type 1 diabetic patients. RESEARCH DESIGN AND METHODS:A ran...

    journal_title:Diabetes care

    pub_type: 杂志文章,随机对照试验

    doi:10.2337/dc11-0472

    authors: Giannoukakis N,Phillips B,Finegold D,Harnaha J,Trucco M

    更新日期:2011-09-01 00:00:00

  • Differences in Hemoglobin A1c Between Hispanics/Latinos and Non-Hispanic Whites: An Analysis of the Hispanic Community Health Study/Study of Latinos and the 2007-2012 National Health and Nutrition Examination Survey.

    abstract:OBJECTIVE:To determine whether, after adjustment for glycemia and other selected covariates, hemoglobin A1c (HbA1c) differed among adults from six Hispanic/Latino heritage groups (Central American, Cuban, Dominican, Mexican, Puerto Rican, and South American) and between Hispanic/Latino and non-Hispanic white adults wit...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc15-2579

    authors: Avilés-Santa ML,Hsu LL,Arredondo M,Menke A,Werner E,Thyagarajan B,Heiss G,Teng Y,Schneiderman N,Giachello AL,Gallo LC,Talavera GA,Cowie CC

    更新日期:2016-06-01 00:00:00

  • Insulin and glucose excursion following premeal insulin lispro or repaglinide in cystic fibrosis-related diabetes.

    abstract:OBJECTIVE:Insulin and glucose levels in response to premeal insulin lispro or repaglinide were evaluated in adult patients with cystic fibrosis-related diabetes (CFRD) without fasting hyperglycemia. RESEARCH DESIGN AND METHODS:Seven patients with CFRD were fed 1,000-kcal liquid mixed meals. Three study conditions were...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.24.10.1706

    authors: Moran A,Phillips J,Milla C

    更新日期:2001-10-01 00:00:00

  • Prevalence of diabetes and ethnic differences in cardiovascular risk factors. The 1992 Singapore National Health Survey.

    abstract:OBJECTIVE:The purpose of the 1992 Singapore National Health Survey was to determine the current distribution of major noncommunicable diseases and their risk factors, including the prevalence of diabetes and dyslipidemia, in Singapore. RESEARCH DESIGN AND METHODS:A combination of disproportionate stratified sampling a...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.22.2.241

    authors: Tan CE,Emmanuel SC,Tan BY,Jacob E

    更新日期:1999-02-01 00:00:00

  • Therapeutic potentials of acarbose as first-line drug in NIDDM insufficiently treated with diet alone.

    abstract:OBJECTIVE:Acarbose inhibits alpha-glucosidases of the small intestine and thus delays glucose release from complex carbohydrates. Therefore, its efficacy and acceptability as a first-line drug in non-insulin-dependent diabetes mellitus (NIDDM) insufficiently treated with diet alone was tested in a randomized double-bli...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.2337/diacare.14.8.732

    authors: Hanefeld M,Fischer S,Schulze J,Spengler M,Wargenau M,Schollberg K,Fücker K

    更新日期:1991-08-01 00:00:00

  • Role of experimental socks in the care of the high-risk diabetic foot. A multicenter patient evaluation study. American Group for the Study of Experimental Hosiery in the Diabetic Foot.

    abstract:OBJECTIVE:To assess the acceptability of specially designed socks to provide satisfactory pressure relief in the insensitive, high-risk, diabetic foot. We have conducted a longitudinal multicenter patient evaluation study to assess the acceptability of such hosiery in neuropathic diabetic patients. RESEARCH DESIGN AND...

    journal_title:Diabetes care

    pub_type: 杂志文章,多中心研究

    doi:10.2337/diacare.16.8.1190

    authors: Murray HJ,Veves A,Young MJ,Richie DH,Boulton AJ

    更新日期:1993-08-01 00:00:00

  • A pregnancy and postpartum lifestyle intervention in women with gestational diabetes mellitus reduces diabetes risk factors: a feasibility randomized control trial.

    abstract:OBJECTIVE:To pilot, among women with gestational diabetes mellitus (GDM), the feasibility of a prenatal/postpartum intervention to modify diet and physical activity similar to the Diabetes Prevention Program. The intervention was delivered by telephone, and support for breastfeeding was addressed. RESEARCH DESIGN AND ...

    journal_title:Diabetes care

    pub_type: 杂志文章,随机对照试验

    doi:10.2337/dc10-2221

    authors: Ferrara A,Hedderson MM,Albright CL,Ehrlich SF,Quesenberry CP Jr,Peng T,Feng J,Ching J,Crites Y

    更新日期:2011-07-01 00:00:00

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

    abstract:OBJECTIVE:To compare clinical outcomes obtained using treatment algorithms versus standard "usual care" to treat patients with type 2 diabetes in a community setting. RESEARCH DESIGN AND METHODS:An observational group comparison was implemented in three community-based clinics in San Antonio, Texas: 1). a community cl...

    journal_title:Diabetes care

    pub_type: 杂志文章,多中心研究

    doi:10.2337/diacare.27.7.1638

    authors: Fanning EL,Selwyn BJ,Larme AC,DeFronzo RA

    更新日期:2004-07-01 00:00:00

  • Acute hypoglycemia impairs executive cognitive function in adults with and without type 1 diabetes.

    abstract:OBJECTIVE:Acute hypoglycemia impairs cognitive function in several domains. Executive cognitive function governs organization of thoughts, prioritization of tasks, and time management. This study examined the effect of acute hypoglycemia on executive function in adults with and without diabetes. RESEARCH DESIGN AND ME...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc13-0194

    authors: Graveling AJ,Deary IJ,Frier BM

    更新日期:2013-10-01 00:00:00

  • Sodium-Glucose Cotransporter 2 Inhibitors and the Risk of Below-Knee Amputation: A Multicenter Observational Study.

    abstract:OBJECTIVE:Reports of amputations associated with sodium-glucose cotransporter 2 (SGLT2) inhibitors have been inconsistent. We aimed to compare the risk of below-knee amputation with SGLT2 inhibitors versus dipeptidyl peptidase 4 (DPP-4) inhibitors among patients with type 2 diabetes. RESEARCH DESIGN AND METHODS:This m...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc20-0267

    authors: Yu OHY,Dell'Aniello S,Shah BR,Brunetti VC,Daigle JM,Fralick M,Douros A,Hu N,Alessi-Severini S,Fisher A,Bugden SC,Ronksley PE,Filion KB,Ernst P,Lix LM,Canadian Network for Observational Drug Effect Studies (CNODES) Investiga

    更新日期:2020-10-01 00:00:00

  • The impact of diabetes on survival among patients with first myocardial infarction.

    abstract:OBJECTIVE:The purpose of this paper is to estimate the impact of diabetes on survival among patients with first acute myocardial infarction, using data from the World Health Organization (WHO) Monitoring Trends and Determinants of Cardiovascular Disease (MONICA) Project in Newcastle, New South Wales, Australia. RESEAR...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.20.5.704

    authors: Chun BY,Dobson AJ,Heller RF

    更新日期:1997-05-01 00:00:00

  • Costs and consequences associated with newer medications for glycemic control in type 2 diabetes.

    abstract:OBJECTIVE:Newer medications offer more options for glycemic control in type 2 diabetes. However, they come at considerable costs. We undertook a health economic analysis to better understand the value of adding two newer medications (exenatide and sitagliptin) as second-line therapy to glycemic control strategies for p...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc09-1488

    authors: Sinha A,Rajan M,Hoerger T,Pogach L

    更新日期:2010-04-01 00:00:00

  • Quantitative importance of dietary constituents other than glucose as insulin secretagogues in type II diabetes.

    abstract::In seven type II (non-insulin-dependent) diabetic patients, given either 50 g glucose or a mixed meal potentially containing 61 g glucose as starch and sucrose, the postmeal plasma glucose area integrated over 4 h was less after the mixed meal. The insulin area was considerably greater (2.1-fold). The greater increase...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.11.1.72

    authors: Nuttall FQ,Gannon MC

    更新日期:1988-01-01 00:00:00

  • Is pregnancy in diabetic women associated with folate deficiency?

    abstract:OBJECTIVE:To determine whether folate metabolism in pregnant diabetic women is significantly different from that in pregnant nondiabetic women, thus predisposing them to having offspring with major congenital anomalies. RESEARCH DESIGN AND METHODS:A total of 31 pregnant diabetic women and 54 pregnant nondiabetic contr...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.22.7.1017

    authors: Kaplan JS,Iqbal S,England BG,Zawacki CM,Herman WH

    更新日期:1999-07-01 00:00:00

  • A single nucleotide polymorphism in STK11 influences insulin sensitivity and metformin efficacy in hyperinsulinemic girls with androgen excess.

    abstract:OBJECTIVE:Serine-threonine kinase STK11 catalyzes the AMP-activated protein kinase complex. We tested the hypothesis that a gene variant in STK11 contributes to variation in insulin sensitivity and metformin efficacy. RESEARCH DESIGN AND METHODS:We studied the effects of a single nucleotide polymorphism (SNP) (rs81116...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc09-1750

    authors: López-Bermejo A,Díaz M,Morán E,de Zegher F,Ibáñez L

    更新日期:2010-07-01 00:00:00

  • Neurophysiological evidence for altered higher brain functions in NIDDM.

    abstract:OBJECTIVE:To investigate neurophysiological alterations of higher brain function in patients with NIDDM. RESEARCH DESIGN AND METHODS:Auditory P300 event-related potentials were recorded in 60 NIDDM patients who had no evidence of stroke, dementia, or any other neurological illnesses. The P300 wave latencies in diabeti...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.19.4.360

    authors: Kurita A,Katayama K,Mochio S

    更新日期:1996-04-01 00:00:00

  • Moderate intake of n-3 fatty acids for 2 months has no detrimental effect on glucose metabolism and could ameliorate the lipid profile in type 2 diabetic men. Results of a controlled study.

    abstract:OBJECTIVE:To evaluate the effect of a moderate dose of fish oil on glycemic control and in vivo insulin action in type 2 diabetic men with elevated plasma triacylglycerols and to determine the effect of the same treatment on gene expression of GLUT4, lipoprotein lipase (LPL), and hormone-sensitive lipase (HSL) in the a...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.2337/diacare.21.5.717

    authors: Luo J,Rizkalla SW,Vidal H,Oppert JM,Colas C,Boussairi A,Guerre-Millo M,Chapuis AS,Chevalier A,Durand G,Slama G

    更新日期:1998-05-01 00:00:00

  • Medical management of hyperglycemia in type 2 diabetes: a consensus algorithm for the initiation and adjustment of therapy: a consensus statement of the American Diabetes Association and the European Association for the Study of Diabetes.

    abstract::The consensus algorithm for the medical management of type 2 diabetes was published in August 2006 with the expectation that it would be updated, based on the availability of new interventions and new evidence to establish their clinical role. The authors continue to endorse the principles used to develop the algorith...

    journal_title:Diabetes care

    pub_type: 共识发展会议,杂志文章,实务指引

    doi:10.2337/dc08-9025

    authors: Nathan DM,Buse JB,Davidson MB,Ferrannini E,Holman RR,Sherwin R,Zinman B,American Diabetes Association.,European Association for Study of Diabetes.

    更新日期:2009-01-01 00:00:00

  • Markers of platelet activation are increased in adolescents with type 2 diabetes.

    abstract:OBJECTIVE:In adults with diabetes, in vivo platelet activation is a marker for atherosclerosis and cardiovascular disease (CVD). This pilot study investigated whether adolescents with diabetes had evidence of increased in vivo platelet activation. RESEARCH DESIGN AND METHODS:In vivo platelet activation was compared in...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc13-2718

    authors: Israels SJ,McNicol A,Dean HJ,Cognasse F,Sellers EA

    更新日期:2014-08-01 00:00:00