Metabolic outcome for diabetes shared care program outpatients in a veterans hospital of southern Taiwan
| Autor: | Fu Shine Chou, Mi Chia Ma, Jin Shiung Cheng, Lyh Jyh Hao, Kai Jen Tien, Hailun Chao, Jiang Kang Chao, Ching Ju Hong, Kuang Chung Ko, Kuo Liang Chai, Ta Jen Wu, Ming Der Shi |
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| Rok vydání: | 2011 |
| Předmět: |
Blood Glucose
Male medicine.medical_specialty Diabetes mellitus educator Hospitals Veterans Psychological intervention Taiwan Blood Pressure Type 2 diabetes Diabetes shared care program chemistry.chemical_compound Diabetes mellitus Patient Education as Topic Internal medicine Outpatients medicine Humans Aged Aged 80 and over Glycated Hemoglobin Medicine(all) lcsh:R5-920 Shared care Cholesterol business.industry Vascular disease Public health Cholesterol HDL General Medicine Cholesterol LDL Middle Aged medicine.disease Self Care Blood pressure chemistry Diabetes Mellitus Type 2 Physical therapy lipids (amino acids peptides and proteins) Female business lcsh:Medicine (General) |
| Zdroj: | Journal of the Chinese Medical Association, Vol 74, Iss 7, Pp 287-293 (2011) |
| ISSN: | 1726-4901 |
| DOI: | 10.1016/j.jcma.2011.05.003 |
| Popis: | Background To evaluate the metabolic outcomes of the Diabetes Shared Care Program (DSCP) for Type 2 diabetes after completion of 1 year and 3 years of intervention. Methods Total 162 Type 2 diabetes (average age 67.14 years with 62.35% men and 37.65% women) in 2004 were referred to the diabetes educator for DSCP. Parameters related to diabetes among these patients were inquired, and biochemical data were compared before and after the DSCP by using SPSS 12.0 software. Results These patients had 3.1% emergency utilization rate and 1.9% hospitalization utilization rate; significant improvement in diastolic blood pressure (DBP), body weight after one year; and significant improvement in systolic blood pressure, DBP, body weight, total cholesterol, high-density lipoproteins cholesterol (HDL-C) and low-density lipoproteins cholesterol (LDL-C) levels after three years. But only 4.84% and 8.87% met all the A1C, blood pressure, and LDL-C target values after the 1- and 3-year interventions, respectively. Conclusion The A1C, blood pressure, and LDL-C achievement rate of DSCP in our hospital is low. DSCP is suggestive to patients with lower duration of diabetes, high baseline A1C, systolic blood pressure, DBP, LDL-C, and low baseline high-density lipoproteins cholesterol levels. Furthermore public health efforts are needed to control risk factors for vascular disease among diabetes. |
| Databáze: | OpenAIRE |
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