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Digging deep into diabetes: achieving better glycemic control in diabetic patients in a resident-run clinic

Background: Diabetes mellitus (DM) affects over 30 million Americans with an estimated annual cost of $327 billion in 2017. Patients with diabetes, especially with financial and/or social hardships, pose challenges in achieving target hemoglobin A1c (HbA1c) values. Understanding patient-specific bar...

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Autores principales: Hawatmeh, Sara, Meier, Maggie, Leung, Erika, Haque, Ramza, Kaur, Harinderjeet, Asghar, Muhammad F., Talebian, Amirsoheil, Qaiyum, Osman, Shailly, Rajat, Al-Abboud, Omar, Patlolla, Keerthi, Aziz, Akm Towfique, Kawsar, Hameem I.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6737724/
https://www.ncbi.nlm.nih.gov/pubmed/31531212
http://dx.doi.org/10.1080/20009666.2019.1650594
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author Hawatmeh, Sara
Meier, Maggie
Leung, Erika
Haque, Ramza
Kaur, Harinderjeet
Asghar, Muhammad F.
Talebian, Amirsoheil
Qaiyum, Osman
Shailly, Rajat
Al-Abboud, Omar
Patlolla, Keerthi
Aziz, Akm Towfique
Kawsar, Hameem I.
author_facet Hawatmeh, Sara
Meier, Maggie
Leung, Erika
Haque, Ramza
Kaur, Harinderjeet
Asghar, Muhammad F.
Talebian, Amirsoheil
Qaiyum, Osman
Shailly, Rajat
Al-Abboud, Omar
Patlolla, Keerthi
Aziz, Akm Towfique
Kawsar, Hameem I.
author_sort Hawatmeh, Sara
collection PubMed
description Background: Diabetes mellitus (DM) affects over 30 million Americans with an estimated annual cost of $327 billion in 2017. Patients with diabetes, especially with financial and/or social hardships, pose challenges in achieving target hemoglobin A1c (HbA1c) values. Understanding patient-specific barriers offer opportunities to improve outcomes in patient care. Objective: We aimed to improve a patient’s glycemic control by reducing barriers to care. Furthermore, we evaluated the impact that a resident quality improvement effort had on providing high value diabetic care. Methods: We performed a retrospective cohort study of patients with HbA1c >9.0% in an underserved, resident-run clinic. Patients were surveyed on their knowledge of diabetes and reported obstacles to achieve diabetic control. We then implemented a 12 -month customized, patient-directed, multi-modal, multidisciplinary intervention. Results: Ninety-four patients with HbA1c >9.0% were identified, 65 surveyed, and 51 included in the intervention phase. After the intervention phase, re-evaluation of HbA1c in a paired sample comparison showed that the average HbA1c had decreased by 1.41% (11.28% vs. 9.87%, p < 0.01). Among the patients included in the intervention group, approximately 8% had their HbA1c reduced by ≥50% from their baseline, 23% had their HbA1c reduced by ≥25% from their baseline and 49% had their HbA1c reduced by ≥10% from their baseline. Conclusions: A strategically designed, a patient-centered customized intervention can have a positive impact on a patient’s diabetic control.
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spelling pubmed-67377242019-09-17 Digging deep into diabetes: achieving better glycemic control in diabetic patients in a resident-run clinic Hawatmeh, Sara Meier, Maggie Leung, Erika Haque, Ramza Kaur, Harinderjeet Asghar, Muhammad F. Talebian, Amirsoheil Qaiyum, Osman Shailly, Rajat Al-Abboud, Omar Patlolla, Keerthi Aziz, Akm Towfique Kawsar, Hameem I. J Community Hosp Intern Med Perspect Research Article Background: Diabetes mellitus (DM) affects over 30 million Americans with an estimated annual cost of $327 billion in 2017. Patients with diabetes, especially with financial and/or social hardships, pose challenges in achieving target hemoglobin A1c (HbA1c) values. Understanding patient-specific barriers offer opportunities to improve outcomes in patient care. Objective: We aimed to improve a patient’s glycemic control by reducing barriers to care. Furthermore, we evaluated the impact that a resident quality improvement effort had on providing high value diabetic care. Methods: We performed a retrospective cohort study of patients with HbA1c >9.0% in an underserved, resident-run clinic. Patients were surveyed on their knowledge of diabetes and reported obstacles to achieve diabetic control. We then implemented a 12 -month customized, patient-directed, multi-modal, multidisciplinary intervention. Results: Ninety-four patients with HbA1c >9.0% were identified, 65 surveyed, and 51 included in the intervention phase. After the intervention phase, re-evaluation of HbA1c in a paired sample comparison showed that the average HbA1c had decreased by 1.41% (11.28% vs. 9.87%, p < 0.01). Among the patients included in the intervention group, approximately 8% had their HbA1c reduced by ≥50% from their baseline, 23% had their HbA1c reduced by ≥25% from their baseline and 49% had their HbA1c reduced by ≥10% from their baseline. Conclusions: A strategically designed, a patient-centered customized intervention can have a positive impact on a patient’s diabetic control. Taylor & Francis 2019-09-05 /pmc/articles/PMC6737724/ /pubmed/31531212 http://dx.doi.org/10.1080/20009666.2019.1650594 Text en © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of Greater Baltimore Medical Center. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Hawatmeh, Sara
Meier, Maggie
Leung, Erika
Haque, Ramza
Kaur, Harinderjeet
Asghar, Muhammad F.
Talebian, Amirsoheil
Qaiyum, Osman
Shailly, Rajat
Al-Abboud, Omar
Patlolla, Keerthi
Aziz, Akm Towfique
Kawsar, Hameem I.
Digging deep into diabetes: achieving better glycemic control in diabetic patients in a resident-run clinic
title Digging deep into diabetes: achieving better glycemic control in diabetic patients in a resident-run clinic
title_full Digging deep into diabetes: achieving better glycemic control in diabetic patients in a resident-run clinic
title_fullStr Digging deep into diabetes: achieving better glycemic control in diabetic patients in a resident-run clinic
title_full_unstemmed Digging deep into diabetes: achieving better glycemic control in diabetic patients in a resident-run clinic
title_short Digging deep into diabetes: achieving better glycemic control in diabetic patients in a resident-run clinic
title_sort digging deep into diabetes: achieving better glycemic control in diabetic patients in a resident-run clinic
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6737724/
https://www.ncbi.nlm.nih.gov/pubmed/31531212
http://dx.doi.org/10.1080/20009666.2019.1650594
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