149-LB: Reluctant to Lose Control: Older Patients’ A1C Goals Lower than ADA Guidelines
Autor: | Cristy Miles, Mengqi Zhu, Rabia Ali, Michael Cui, Aviva G. Nathan, Mariko Pusinelli, Elbert S. Huang, Kamilah Scales, Valerie G. Press |
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Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
endocrine system diseases business.industry Endocrinology Diabetes and Metabolism Control (management) Patient portal nutritional and metabolic diseases medicine.disease Older patients Diabetes mellitus Intervention (counseling) Family medicine Internal Medicine medicine Risk factor business Glycemic |
Zdroj: | Diabetes. 69 |
ISSN: | 1939-327X 0012-1797 |
Popis: | Older adults (≥65 years) represent >40% of patients living with diabetes. Multiple practice guidelines call for stratifying risk factor goals based on health status. “My Diabetes GOAL” is an intervention designed to introduce ADA guidelines to patients and to collaborate with them on setting glycemic goals. Participants ≥ 65 years, with type 2 DM, and an active patient portal account (MyChart) were randomized to a 6 month intervention (n=42) or delayed start control arm. Intervention patients completed a MyChart survey to elicit health status to identify ADA goals and initial self-reported A1C goals. A diabetes nurse spoke with patients to review and potentially revise goals. We compared patients’ 1) baseline A1C, 2) self-reported A1C and 3) revised A1C goals, versus ADA guidelines. Among 42 intervention patients, ADA A1C goals were 0.5% lower than the ADA A1C goals. There were no statistically significant differences in baseline A1C, self-reported A1C, or revised A1C across patients with different ADA A1C goals (Figure 1). Older patients’ personal A1C goals were more aggressive than ADA guidelines and did not alter with nurse intervention. The results suggest that older patients with diabetes are anchored to lower A1C goals, and find more lenient A1C goals difficult to choose. Disclosure M. Cui: None. A. Nathan: None. C. Miles: None. V.G. Press: Consultant; Self; Humana, Vizient Inc. M. Pusinelli: None. M. Zhu: None. R. Ali: None. K. Scales: None. E. Huang: None. |
Databáze: | OpenAIRE |
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