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

Abstract:

OBJECTIVE:To investigate the relationship between lifestyle counseling in primary care settings and clinical outcomes in patients with diabetes. RESEARCH DESIGN AND METHODS: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. RESULTS: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). CONCLUSIONS:More frequent lifestyle counseling was associated with a lower incidence of cardiovascular events and death among patients with diabetes.

journal_name

Diabetes Care

journal_title

Diabetes care

authors

Zhang H,Goldberg SI,Hosomura N,Shubina M,Simonson DC,Testa MA,Turchin A

doi

10.2337/dc19-0629

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

1833-1836

issue

9

eissn

0149-5992

issn

1935-5548

pii

dc19-0629

journal_volume

42

pub_type

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