Cargando…

Diabetes care and control: the effect of frequent visits to diabetes care center

BACKGROUND AND OBJECTIVES: Frequent visits to diabetes care clinics linked with better control of diabetes mellitus (DM), but debates exist about how frequently visits should be done. The objective of this study was to assess the effect of frequent visits on diabetes care and control. DESIGN AND SET...

Descripción completa

Detalles Bibliográficos
Autor principal: Al Nozha, Omar Mansour
Formato: Online Artículo Texto
Lenguaje:English
Publicado: King Faisal Specialist Hospital and Research Centre 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6074595/
https://www.ncbi.nlm.nih.gov/pubmed/25266183
http://dx.doi.org/10.5144/0256-4947.2014.229
_version_ 1783344446718345216
author Al Nozha, Omar Mansour
author_facet Al Nozha, Omar Mansour
author_sort Al Nozha, Omar Mansour
collection PubMed
description BACKGROUND AND OBJECTIVES: Frequent visits to diabetes care clinics linked with better control of diabetes mellitus (DM), but debates exist about how frequently visits should be done. The objective of this study was to assess the effect of frequent visits on diabetes care and control. DESIGN AND SETTINGS: A prospective study of 100 diabetic patients attending Prince Abdul-Aziz Bin-Majed Diabetes Care Centre (PAMDCC), Al Madinah Al Munawwarah, Saudi Arabia, during the period from March 2011 through December 2012. METHODS: Demographics, lifestyle, and diabetes data were obtained at the index visit. At that and subsequent visits, glycosated hemoglobin (HBA1c), blood pressure (BP) and low-density lipoprotein (LDL) were measured. All these data together with visit number and gap were recorded. Statistical analysis including linear regression analysis was done. RESULTS: A significant reduction in the mean of diabetic control parameters was observed at the last visit. The highest mean changes were observed in patients with >6 visits, visit gap ≤1 month, and visit-month index ≥8. Adjusted linear regression showed that each visit significantly lowered HBA1c by 0.25%, BP by 2.1/0.7 mm Hg and 0.2 mmol/L for LDL. The number of visits needed to get HBA1c <7% and BP <130/85 was 8 and 5 visits with a visit-month index of 14 and 5, respectively. CONCLUSION: The study suggests that frequent visits at short intervals may lead to better diabetes control. Other prospective clinical trial studies are needed to confirm these findings and to outline the appropriate cost-effective intervals and visit gaps.
format Online
Article
Text
id pubmed-6074595
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher King Faisal Specialist Hospital and Research Centre
record_format MEDLINE/PubMed
spelling pubmed-60745952018-09-21 Diabetes care and control: the effect of frequent visits to diabetes care center Al Nozha, Omar Mansour Ann Saudi Med Original Article BACKGROUND AND OBJECTIVES: Frequent visits to diabetes care clinics linked with better control of diabetes mellitus (DM), but debates exist about how frequently visits should be done. The objective of this study was to assess the effect of frequent visits on diabetes care and control. DESIGN AND SETTINGS: A prospective study of 100 diabetic patients attending Prince Abdul-Aziz Bin-Majed Diabetes Care Centre (PAMDCC), Al Madinah Al Munawwarah, Saudi Arabia, during the period from March 2011 through December 2012. METHODS: Demographics, lifestyle, and diabetes data were obtained at the index visit. At that and subsequent visits, glycosated hemoglobin (HBA1c), blood pressure (BP) and low-density lipoprotein (LDL) were measured. All these data together with visit number and gap were recorded. Statistical analysis including linear regression analysis was done. RESULTS: A significant reduction in the mean of diabetic control parameters was observed at the last visit. The highest mean changes were observed in patients with >6 visits, visit gap ≤1 month, and visit-month index ≥8. Adjusted linear regression showed that each visit significantly lowered HBA1c by 0.25%, BP by 2.1/0.7 mm Hg and 0.2 mmol/L for LDL. The number of visits needed to get HBA1c <7% and BP <130/85 was 8 and 5 visits with a visit-month index of 14 and 5, respectively. CONCLUSION: The study suggests that frequent visits at short intervals may lead to better diabetes control. Other prospective clinical trial studies are needed to confirm these findings and to outline the appropriate cost-effective intervals and visit gaps. King Faisal Specialist Hospital and Research Centre 2014 /pmc/articles/PMC6074595/ /pubmed/25266183 http://dx.doi.org/10.5144/0256-4947.2014.229 Text en Copyright © 2014, Annals of Saudi Medicine This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (https://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Original Article
Al Nozha, Omar Mansour
Diabetes care and control: the effect of frequent visits to diabetes care center
title Diabetes care and control: the effect of frequent visits to diabetes care center
title_full Diabetes care and control: the effect of frequent visits to diabetes care center
title_fullStr Diabetes care and control: the effect of frequent visits to diabetes care center
title_full_unstemmed Diabetes care and control: the effect of frequent visits to diabetes care center
title_short Diabetes care and control: the effect of frequent visits to diabetes care center
title_sort diabetes care and control: the effect of frequent visits to diabetes care center
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6074595/
https://www.ncbi.nlm.nih.gov/pubmed/25266183
http://dx.doi.org/10.5144/0256-4947.2014.229
work_keys_str_mv AT alnozhaomarmansour diabetescareandcontroltheeffectoffrequentvisitstodiabetescarecenter