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Effect of the nurse-led program on blood glucose control and microalbuminuria development in type 2 diabetic populations
Current study was to evaluate whether the nurse-led program can improve glycated hemoglobin (HbA1c) control and reduce the incidence of microalbuminuria in type 2 diabetic mellitus (DM2) populations. A total of 150 DM2 subjects were randomly assigned to the usual-care group and nurse-led program gro...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9575708/ https://www.ncbi.nlm.nih.gov/pubmed/36254010 http://dx.doi.org/10.1097/MD.0000000000030693 |
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author | Li, Ling Wang, Suping Huang, Guoding You, Jingyan |
author_facet | Li, Ling Wang, Suping Huang, Guoding You, Jingyan |
author_sort | Li, Ling |
collection | PubMed |
description | Current study was to evaluate whether the nurse-led program can improve glycated hemoglobin (HbA1c) control and reduce the incidence of microalbuminuria in type 2 diabetic mellitus (DM2) populations. A total of 150 DM2 subjects were randomly assigned to the usual-care group and nurse-led program group. Study endpoints included the HbA1c value, the percentage of subjects with HbA1c < 7.0%, the incidence of microalbuminuria, and the rate of adhering to antidiabetic drug at 6 months’ follow-up. At baseline, there was no difference in fasting plasma glucose, HbA1c, proportion of subjects with HbA1c < 7.0%, the use of antidiabetic drug, and urinary albumin-creatinine ratio between these two groups. After 6 months’ follow-up, the mean fasting plasma glucose and HbA1c were lower in the nurse-led program group, as was the proportion of subjects with HbA1c < 7.0%. The median urinary albumin-creatinine ratio and rate of incident microalbuminuria were also lower in the nurse-led program. The nurse-led program was associated with higher odds of achieving HbA1c < 7.0% and a lower incidence of microalbuminuria. After adjusted for covariates, the nurse-led program was still associated with 32% higher odds of achieving HbA1c < 7.0% and 11% lower incidence of microalbuminuria. These benefits were consistent by sex and age, while greater in those with obesity or hypertension (P interaction < .05). The nurse-led program is beneficial for blood glucose control and prevention of microalbuminuria. |
format | Online Article Text |
id | pubmed-9575708 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-95757082022-10-17 Effect of the nurse-led program on blood glucose control and microalbuminuria development in type 2 diabetic populations Li, Ling Wang, Suping Huang, Guoding You, Jingyan Medicine (Baltimore) 4300 Current study was to evaluate whether the nurse-led program can improve glycated hemoglobin (HbA1c) control and reduce the incidence of microalbuminuria in type 2 diabetic mellitus (DM2) populations. A total of 150 DM2 subjects were randomly assigned to the usual-care group and nurse-led program group. Study endpoints included the HbA1c value, the percentage of subjects with HbA1c < 7.0%, the incidence of microalbuminuria, and the rate of adhering to antidiabetic drug at 6 months’ follow-up. At baseline, there was no difference in fasting plasma glucose, HbA1c, proportion of subjects with HbA1c < 7.0%, the use of antidiabetic drug, and urinary albumin-creatinine ratio between these two groups. After 6 months’ follow-up, the mean fasting plasma glucose and HbA1c were lower in the nurse-led program group, as was the proportion of subjects with HbA1c < 7.0%. The median urinary albumin-creatinine ratio and rate of incident microalbuminuria were also lower in the nurse-led program. The nurse-led program was associated with higher odds of achieving HbA1c < 7.0% and a lower incidence of microalbuminuria. After adjusted for covariates, the nurse-led program was still associated with 32% higher odds of achieving HbA1c < 7.0% and 11% lower incidence of microalbuminuria. These benefits were consistent by sex and age, while greater in those with obesity or hypertension (P interaction < .05). The nurse-led program is beneficial for blood glucose control and prevention of microalbuminuria. Lippincott Williams & Wilkins 2022-10-14 /pmc/articles/PMC9575708/ /pubmed/36254010 http://dx.doi.org/10.1097/MD.0000000000030693 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC) (https://creativecommons.org/licenses/by-nc/4.0/) , where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. |
spellingShingle | 4300 Li, Ling Wang, Suping Huang, Guoding You, Jingyan Effect of the nurse-led program on blood glucose control and microalbuminuria development in type 2 diabetic populations |
title | Effect of the nurse-led program on blood glucose control and microalbuminuria development in type 2 diabetic populations |
title_full | Effect of the nurse-led program on blood glucose control and microalbuminuria development in type 2 diabetic populations |
title_fullStr | Effect of the nurse-led program on blood glucose control and microalbuminuria development in type 2 diabetic populations |
title_full_unstemmed | Effect of the nurse-led program on blood glucose control and microalbuminuria development in type 2 diabetic populations |
title_short | Effect of the nurse-led program on blood glucose control and microalbuminuria development in type 2 diabetic populations |
title_sort | effect of the nurse-led program on blood glucose control and microalbuminuria development in type 2 diabetic populations |
topic | 4300 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9575708/ https://www.ncbi.nlm.nih.gov/pubmed/36254010 http://dx.doi.org/10.1097/MD.0000000000030693 |
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