Electronic Documentation of Lifestyle Counseling and Glycemic Control in Patients With Diabetes.

Abstract:

OBJECTIVE:To establish quantitative characteristics of lifestyle counseling documentation associated with improved glycemic control in patients with diabetes. RESEARCH DESIGN AND METHODS:We retrospectively studied 10,870 hyperglycemic (HbA1c ≥7.0% [53 mmol/mol]) adults with diabetes followed at primary care practices affiliated with two academic hospitals between 2000 and 2010. Documentation intensity was represented by the mean number of characters per note documenting lifestyle counseling. Heterogeneity was calculated as the normalized Levenshtein distance between lifestyle counseling sentences between consecutive notes. Cox proportional hazards model was constructed to assess association of heterogeneity and intensity of lifestyle counseling documentation to time to HbA1c <7.0% (53 mmol/mol) while adjusting for demographics, initial HbA1c level, insulin therapy, medication intensification, and frequency of lifestyle counseling. RESULTS:Comparing patients in the highest versus lowest tertile by documentation heterogeneity and documentation intensity, median time to HbA1c <7.0% (53 mmol/mol) was 26 vs. 39 months and 24 vs. 39 months, respectively (P < 0.001 for all). In multivariable analysis, an increase of documentation heterogeneity by 0.15 units and an increase of documentation intensity by 45 characters/note was associated with hazard ratios of 1.08 (95% CI 1.04-1.12; P < 0.001) and 1.27 (95% CI 1.23-1.31; P < 0.001) for time to HbA1c target, respectively. CONCLUSIONS:Higher heterogeneity and intensity of lifestyle counseling documentation in provider notes were associated with better glycemic control. Further studies involving direct observation of patient care are needed to establish the nature of the relationship between documentation characteristics and patient outcomes.

journal_name

Diabetes Care

journal_title

Diabetes care

authors

Hosomura N,Goldberg SI,Shubina M,Zhang M,Turchin A

doi

10.2337/dc14-2016

subject

Has Abstract

pub_date

2015-07-01 00:00:00

pages

1326-32

issue

7

eissn

0149-5992

issn

1935-5548

pii

dc14-2016

journal_volume

38

pub_type

杂志文章
  • Association of Pro12Ala polymorphism in peroxisome proliferator-activated receptor gamma with Pre-diabetic phenotypes: meta-analysis of 57 studies on nondiabetic individuals.

    abstract:OBJECTIVE:The provariant of the Pro12Ala polymorphism in peroxisome proliferator-activated receptor (PPAR)gamma has been identified as a risk allele for type 2 diabetes. The purpose of the present study was to reveal a significant association with pre-diabetic phenotypes in nondiabetic individuals based on a systematic...

    journal_title:Diabetes care

    pub_type: 杂志文章,meta分析

    doi:10.2337/dc06-0513

    authors: Tönjes A,Scholz M,Loeffler M,Stumvoll M

    更新日期:2006-11-01 00:00:00

  • Combined use of fasting plasma glucose and HbA1c predicts the progression to diabetes in Chinese subjects.

    abstract:OBJECTIVE:We have previously suggested using the paired values of fasting plasma glucose (FPG) and HbA1c to identify potential diabetic subjects. In this article, we followed up on 208 nondiabetic subjects and examined their rates of progression to diabetes. We analyzed their likelihood of becoming diabetic according t...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.23.12.1770

    authors: Ko GT,Chan JC,Tsang LW,Cockram CS

    更新日期:2000-12-01 00:00:00

  • Serum adiponectin and progression of diabetic nephropathy in patients with type 1 diabetes.

    abstract:OBJECTIVE:The purpose of this study was to elucidate whether serum adiponectin is associated with progression of diabetic nephropathy in type 1 diabetic patients. RESEARCH DESIGN AND METHODS:This was a prospective follow-up study as a part of the nationwide Finnish Diabetic Nephropathy Study; 1,330 type 1 diabetic pat...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc07-2306

    authors: Saraheimo M,Forsblom C,Thorn L,Wadén J,Rosengård-Bärlund M,Heikkilä O,Hietala K,Gordin D,Frystyk J,Flyvbjerg A,Groop PH,FinnDiane Study Group.

    更新日期:2008-06-01 00:00:00

  • Diastolic function is reduced in adolescents with type 1 diabetes in response to exercise.

    abstract:OBJECTIVE:To determine whether adolescents with type 1 diabetes have left ventricular functional changes at rest and during acute exercise and whether these changes are affected by metabolic control and diabetes duration. RESEARCH DESIGN AND METHODS:The study evaluated 53 adolescents with type 1 diabetes and 22 contro...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc11-2331

    authors: Gusso S,Pinto TE,Baldi JC,Robinson E,Cutfield WS,Hofman PL

    更新日期:2012-10-01 00:00:00

  • Global Disability Burdens of Diabetes-Related Lower-Extremity Complications in 1990 and 2016.

    abstract:OBJECTIVE:No study has reported global disability burden estimates for individual diabetes-related lower-extremity complications (DRLECs). The Global Burden of Disease (GBD) study presents a robust opportunity to address this gap. RESEARCH DESIGN AND METHODS:GBD 2016 data, including prevalence and years lived with dis...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc19-1614

    authors: Zhang Y,Lazzarini PA,McPhail SM,van Netten JJ,Armstrong DG,Pacella RE

    更新日期:2020-05-01 00:00:00

  • Less nocturnal hypoglycemia and better post-dinner glucose control with bedtime insulin glargine compared with bedtime NPH insulin during insulin combination therapy in type 2 diabetes. HOE 901/3002 Study Group.

    abstract:OBJECTIVE:Available basal insulin formulations do not provide a constant and reliable 24-h insulin supply. We compared the efficacy and safety of glargine (a long-acting insulin analog) and NPH insulins in insulin-naive type 2 diabetic patients treated with oral antidiabetic agents. RESEARCH DESIGN AND METHODS:There w...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.2337/diacare.23.8.1130

    authors: Yki-Järvinen H,Dressler A,Ziemen M,HOE 901\/300s Study Group.

    更新日期:2000-08-01 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

  • Delayed vascular reactivity to ischemia in diabetic microangiopathy.

    abstract::To investigate vascular responses in insulin-dependent diabetic patients both with and without retinopathy, we have assessed vasodilation by forearm transcutaneous pO2 measurement after 10 min of ischemia produced by a sphygmomanometer cuff. Diabetic patients with proliferative retinopathy had a delayed vasodilatory r...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.7.1.47

    authors: Haitas B,Barnes A,Shogry ME,Weindling M,Rolfe P,Turner RC

    更新日期:1984-01-01 00:00:00

  • High Blood Pressure and Its Association With Incident Diabetes Over 10 Years in the Korean Genome and Epidemiology Study (KoGES).

    abstract:OBJECTIVE:No prospective, community-based cohort studies have investigated the association between blood pressure and diabetes in Asian ethnicity. We investigated this issue in a 10-year prospective, community-based study of Koreans. RESEARCH DESIGN AND METHODS:We studied whether high blood pressure was associated wit...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc14-1931

    authors: Cho NH,Kim KM,Choi SH,Park KS,Jang HC,Kim SS,Sattar N,Lim S

    更新日期:2015-07-01 00:00:00

  • Valsartan improves {beta}-cell function and insulin sensitivity in subjects with impaired glucose metabolism: a randomized controlled trial.

    abstract:OBJECTIVE:Recently, the Nateglinide and Valsartan in Impaired Glucose Tolerance Outcomes Research Trial demonstrated that treatment with the angiotensin receptor blocker (ARB) valsartan for 5 years resulted in a relative reduction of 14% in the incidence of type 2 diabetes in subjects with impaired glucose metabolism (...

    journal_title:Diabetes care

    pub_type: 杂志文章,随机对照试验

    doi:10.2337/dc10-2224

    authors: van der Zijl NJ,Moors CC,Goossens GH,Hermans MM,Blaak EE,Diamant M

    更新日期:2011-04-01 00:00:00

  • Association of vitamin D with insulin resistance and beta-cell dysfunction in subjects at risk for type 2 diabetes.

    abstract:OBJECTIVE:To examine cross-sectional associations of serum vitamin D [25-hydroxyvitamin D, 25(OH)D] concentration with insulin resistance (IR) and beta-cell dysfunction in 712 subjects at risk for type 2 diabetes. RESEARCH DESIGN AND METHODS:Serum 25(OH)D was determined using a chemiluminescence immunoassay. Insulin s...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc09-2321

    authors: Kayaniyil S,Vieth R,Retnakaran R,Knight JA,Qi Y,Gerstein HC,Perkins BA,Harris SB,Zinman B,Hanley AJ

    更新日期:2010-06-01 00:00:00

  • Racial differences in glycemic control in a well-functioning older diabetic population: findings from the Health, Aging and Body Composition Study.

    abstract:OBJECTIVE:To evaluate racial differences and factors associated with worse glycemic control in well-functioning older individuals with type 2 diabetes. Our hypothesis was that glycemic control would be worse among black than white diabetic individuals but that this association would be explained by differences in sever...

    journal_title:Diabetes care

    pub_type: 杂志文章,多中心研究

    doi:10.2337/diacare.26.7.1986

    authors: de Rekeneire N,Rooks RN,Simonsick EM,Shorr RI,Kuller LH,Schwartz AV,Harris TB,Health, Aging and Body Composition Study.

    更新日期:2003-07-01 00:00:00

  • Physical activity, cardiovascular fitness, and insulin sensitivity among U.S. adolescents: the National Health and Nutrition Examination Survey, 1999-2002.

    abstract:OBJECTIVE:The purpose of this study was to examine the association of physical activity and cardiovascular fitness (CVF) with insulin sensitivity in a nationally representative sample of U.S. youth. RESEARCH DESIGN AND METHODS:The study included 1,783 U.S. adolescents (11% Mexican American, 14% non-Hispanic black, 63%...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc06-0426

    authors: Imperatore G,Cheng YJ,Williams DE,Fulton J,Gregg EW

    更新日期:2006-07-01 00:00:00

  • Morning or bedtime NPH insulin combined with sulfonylurea in treatment of NIDDM.

    abstract:OBJECTIVE:To compare the effect of morning and bedtime NPH insulin combined with daytime sulfonylurea on glycemic control in non-insulin-dependent diabetes mellitus (NIDDM) patients no longer responding to treatment with sulfonylureas alone. RESEARCH DESIGN AND METHODS:Twenty-four NIDDM patients who fulfilled these cr...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.2337/diacare.15.7.831

    authors: Groop LC,Widén E,Ekstrand A,Saloranta C,Franssila-Kallunki A,Schalin-Jäntti C,Eriksson JG

    更新日期:1992-07-01 00:00:00

  • Plasma Fucosylated Glycans and C-Reactive Protein as Biomarkers of HNF1A-MODY in Young Adult-Onset Nonautoimmune Diabetes.

    abstract:OBJECTIVE:Maturity-onset diabetes of the young (MODY) due to variants in HNF1A is the most common type of monogenic diabetes. Frequent misdiagnosis results in missed opportunity to use sulfonylureas as first-line treatment. A nongenetic biomarker could improve selection of subjects for genetic testing and increase diag...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc18-0422

    authors: Juszczak A,Pavić T,Vučković F,Bennett AJ,Shah N,Pape Medvidović E,Groves CJ,Šekerija M,Chandler K,Burrows C,Rojnić Putarek N,Vučić Lovrenčić M,Ćuća Knežević J,James TJ,Gloyn AL,Lauc G,McCarthy MI,Owen KR,Gornik O

    更新日期:2019-01-01 00:00:00

  • Determinants of elevated urinary albumin in the 4,937 type 2 diabetic subjects recruited for the DIABHYCAR Study in Western Europe and North Africa.

    abstract:OBJECTIVE:Whether ACE inhibition is useful for type 2 diabetic patients with micro- and macroalbuminuria remains unknown. The Non-Insulin-Dependent Diabetes, Hypertension, Microalbuminuria, Cardiovascular Events and Ramipril (DIABHYCAR) Study was set up to address this issue through a multicenter double-blind parallel ...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:

    authors: Marre M,Lièvre M,Vasmant D,Gallois Y,Hadjadj S,Reglier JC,Chatellier G,Mann J,Viberti GC,Passa P

    更新日期:2000-04-01 00:00:00

  • Determinants for the effectiveness of lifestyle intervention in the Finnish Diabetes Prevention Study.

    abstract:OBJECTIVE:Intensive lifestyle intervention significantly reduced diabetes incidence among the participants in the Finnish Diabetes Prevention Study. We investigated whether and to what extent risk factors for type 2 diabetes and other baseline characteristics of the study participants modified the effectiveness of the ...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc07-2162

    authors: Lindström J,Peltonen M,Eriksson JG,Aunola S,Hämäläinen H,Ilanne-Parikka P,Keinänen-Kiukaanniemi S,Uusitupa M,Tuomilehto J,Finnish Diabetes Prevention Study (DPS) Group.

    更新日期:2008-05-01 00:00:00

  • Living well with diabetes: 24-month outcomes from a randomized trial of telephone-delivered weight loss and physical activity intervention to improve glycemic control.

    abstract:OBJECTIVE:To evaluate the effectiveness of a telephone-delivered behavioral weight loss and physical activity intervention targeting Australian primary care patients with type 2 diabetes. RESEARCH DESIGN AND METHODS:Pragmatic randomized controlled trial of telephone counseling (n = 151) versus usual care (n = 151). Re...

    journal_title:Diabetes care

    pub_type: 杂志文章,随机对照试验

    doi:10.2337/dc13-2427

    authors: Eakin EG,Winkler EA,Dunstan DW,Healy GN,Owen N,Marshall AM,Graves N,Reeves MM

    更新日期:2014-08-01 00:00:00

  • Diabetes in a Large Dementia Cohort: Clinical Characteristics and Treatment From the Swedish Dementia Registry.

    abstract:OBJECTIVE:We aimed to investigate the differences in clinical characteristics and pharmacological treatment associated with the presence of diabetes in a large cohort of patients with dementia. RESEARCH DESIGN AND METHODS:A cross-sectional registry-based study was conducted using data from the Swedish Dementia Registr...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc16-2516

    authors: Secnik J,Cermakova P,Fereshtehnejad SM,Dannberg P,Johnell K,Fastbom J,Winblad B,Eriksdotter M,Religa D

    更新日期:2017-09-01 00:00:00

  • Oral candidiasis in patients with diabetes mellitus: a thorough analysis.

    abstract::It has generally been assumed that oral candidiasis occurs with increased frequency in patients with diabetes mellitus. To evaluate this, we compared the frequency and severity of oral Candida colonization in 60 patients with insulin-dependent diabetes mellitus (IDDM) admitted to a low-intensity-care diabetes unit wit...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.10.5.607

    authors: Bartholomew GA,Rodu B,Bell DS

    更新日期:1987-09-01 00:00:00

  • Influence of Renin-Angiotensin System Inhibitors on Lower-Respiratory Tract Infections in Type 2 Diabetes: The Fremantle Diabetes Study Phase II.

    abstract:OBJECTIVE:To determine whether ACE inhibitors (ACEi) and angiotensin receptor blockers (ARB) protect against lower-respiratory tract infections complicating type 2 diabetes. RESEARCH DESIGN AND METHODS:Of 1,732 participants with diabetes recruited to the longitudinal observational Fremantle Diabetes Study Phase II (FD...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc20-0895

    authors: Davis TME,Davis WA

    更新日期:2020-09-01 00:00:00

  • Decreased polymorphonuclear leukocyte deformability in NIDDM.

    abstract:OBJECTIVE:To determine the rheological properties of polymorphonuclear leukocytes (PMN) from non-insulin-dependent diabetes mellitus (NIDDM) patients. RESEARCH DESIGN AND METHODS:The deformability of PMN from 33 NIDDM subjects, 13 with impaired glucose tolerance (IGT), and 22 with normal glucose tolerance (NGT) was st...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.17.1.57

    authors: Pécsvarády Z,Fisher TC,Darwin CH,Fabók A,Maqueda TS,Saad MF,Meiselman HJ

    更新日期:1994-01-01 00:00:00

  • Analysis of Attained Height and Diabetes Among 554,122 Adults Across 25 Low- and Middle-Income Countries.

    abstract:OBJECTIVE:The prevalence of type 2 diabetes is rising rapidly in low-income and middle-income countries (LMICs), but the factors driving this rapid increase are not well understood. Adult height, in particular shorter height, has been suggested to contribute to the pathophysiology and epidemiology of diabetes and may i...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc20-0019

    authors: Teufel F,Geldsetzer P,Manne-Goehler J,Karlsson O,Koncz V,Deckert A,Theilmann M,Marcus ME,Ebert C,Seiglie JA,Agoudavi K,Andall-Brereton G,Gathecha G,Gurung MS,Guwatudde D,Houehanou C,Hwalla N,Kagaruki GB,Karki KB,Lab

    更新日期:2020-10-01 00:00:00

  • Neurocognitive functioning in children and adolescents at the time of type 1 diabetes diagnosis: associations with glycemic control 1 year after diagnosis.

    abstract:OBJECTIVE:To determine whether impairments in neurocognitive functioning are detectable at type 1 diabetes diagnosis and associated with subsequent glycemic control. RESEARCH DESIGN AND METHODS:Children/adolescents (N = 147) aged 5-18 years completed neuropsychological testing during their inpatient hospitalization fo...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc14-0103

    authors: Schwartz DD,Axelrad ME,Anderson BJ

    更新日期:2014-09-01 00:00:00

  • Continuous subcutaneous insulin infusion. American Diabetes Association.

    abstract::Use of continuous subcutaneous insulin infusion requires continuing available care by skilled professionals, careful selection of patients, meticulous patient monitoring, and provisions for recording and reporting experiences. Insulin pumps prescribed by a physician within these guidelines are a part of treatment and ...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.8.5.516

    authors:

    更新日期:1985-09-01 00:00:00

  • Epidemiology and treatment of diabetic ketoacidosis in a community population.

    abstract::We evaluated the epidemiology of diabetic ketoacidosis in the period 1960-1979. In Frederiksborg County, Denmark, the incidence of ketoacidosis at the county hospital increased from 60 per 100,000 in the period 1943-1963 to 120 per 100,000 in the period 1960-1979. In the investigation period we found an increasing inc...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.7.6.528

    authors: Ellemann K,Soerensen JN,Pedersen L,Edsberg B,Andersen OO

    更新日期:1984-11-01 00:00:00

  • Spanish diabetes self-management with and without automated telephone reinforcement: two randomized trials.

    abstract:OBJECTIVE:To determine 1) whether participants in the Spanish Diabetes Self-Management Program (SDSMP), when compared at 6 months to randomized control subjects, would demonstrate improvements in health status, health behaviors, and self-efficacy; and 2) whether SDSMP participants receiving monthly automated telephone ...

    journal_title:Diabetes care

    pub_type: 杂志文章,随机对照试验

    doi:10.2337/dc07-1313

    authors: Lorig K,Ritter PL,Villa F,Piette JD

    更新日期:2008-03-01 00:00:00

  • Microalbuminuria associated with diabetic neuropathy.

    abstract:OBJECTIVE:To test the hypothesis that microalbuminuria may show an independent statistical association with diabetic neuropathy. RESEARCH DESIGN AND METHODS:An observational study of a prospectively identified cohort was conducted at the University Medical Center. The cohort consisted of 78 consecutive diabetic patien...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.15.4.528

    authors: Bell DS,Ketchum CH,Robinson CA,Wagenknecht LE,Williams BT

    更新日期:1992-04-01 00:00:00

  • Long-term Diet Quality and Risk of Type 2 Diabetes Among Urban Chinese Adults.

    abstract:OBJECTIVE:Little evidence exists regarding long-term diet quality and the risk of type 2 diabetes among Asian populations, who have undergone a nutrition transition and a diabetes epidemic. RESEARCH DESIGN AND METHODS:A total of 117,919 Chinese men and women, 40-74 years old, free of diabetes, cardiovascular disease, ...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc17-1626

    authors: Yu D,Zheng W,Cai H,Xiang YB,Li H,Gao YT,Shu XO

    更新日期:2018-04-01 00:00:00

  • Hormone replacement therapy and its relationship to lipid and glucose metabolism in diabetic and nondiabetic postmenopausal women: results from the Third National Health and Nutrition Examination Survey (NHANES III).

    abstract:OBJECTIVE:Among postmenopausal women, those with diabetes experience more cardiovascular diseases than those without diabetes. We examine the relationship of hormone replacement therapy (HRT) with indicators of lipid and glucose metabolism using a national sample of diabetic and nondiabetic postmenopausal women. RESEA...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.25.10.1675

    authors: Crespo CJ,Smit E,Snelling A,Sempos CT,Andersen RE,NHANES III.

    更新日期:2002-10-01 00:00:00