Effectiveness of comprehensive diabetes care program in Taiwanese with type 2 diabetes
| Autor: | Kai-Jen Tien, Jeng-Yueh Hsiao, Shyi-Jang Shin, Hsin-Chia Hung, Ming-Chia Hsieh, Shih-Chieh Hsin, Shih-Chieh Hsu |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Blood Glucose
Male medicine.medical_specialty Lipoproteins Endocrinology Diabetes and Metabolism Taiwan MEDLINE Blood Pressure Type 2 diabetes Patient Care Planning Endocrinology Patient Education as Topic Diabetes mellitus Internal medicine Internal Medicine medicine Humans Aged Glycemic Glycated Hemoglobin Patient Care Team business.industry Reproducibility of Results General Medicine Middle Aged medicine.disease University hospital Lipids Cholesterol Blood pressure Diabetes Mellitus Type 2 Metabolic control analysis Physical therapy Female Care program business Follow-Up Studies |
| Zdroj: | Diabetes Research and Clinical Practice. 79:276-283 |
| ISSN: | 0168-8227 |
| DOI: | 10.1016/j.diabres.2007.08.015 |
| Popis: | To assess continuing diabetic education in Taiwan, we evaluated the impact of comprehensive diabetes care program for Taiwanese people with type 2 diabetes.211 diabetic patients were enrolled and followed up for 1 year at Kaohsiung Medical University Hospital. Patients were provided comprehensive care and their medications were not changed. Clinical and biophysical variables were collected and assessed at 0, 3, 6, 9, 12 months.Metabolic control had improved significantly by 1 year: fasting plasma glucose (164.6+/-60.4 vs. 137+/-37.5mg/dl, p0.001); total serum cholesterol (198.7+/-38.8 vs. 187.2+/-43.1mg/dl, p0.001); high-density lipoproteins cholesterol (43.2+/-10.2 vs. 46.2+/-11.7 mg/dl, p0.001); low-density lipoproteins cholesterol (121.1+/-32.9 vs. 113.1+/-29.6 mg/dl, p0.005). In the male group, HbA1c level fell from 8.16+/-1.99% to 7.61+/-1.31% and 7.72+/-1.40% after 9 months and 1 year, respectively, p0.05. There were also significant improvements in female group after 6 months and 9 months (7.89+/-1.62% after 6 months; 7.94+/-1.66% after 9 months vs. 8.22+/-1.70% at baseline). The change of HbA1c level was significant in male patients, patients whose duration of disease was shorter and in those with higher baseline HbA1c levels after multi-variable and age-adjusted analysis.The comprehensive diabetes care program effectively improved glycemic and cholesterol control. The patients who were more likely to achieve better glycemic control were male, had diabetes for shorter periods of time and had high baseline HbA1c levels. Therefore, diabetic education should be offered to patients as close to the time of diagnosis as possible. |
| Databáze: | OpenAIRE |
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