Management of Prediabetes
| Autor: | Zachary L. Anderson, Dawn E. Havrda, Emily M. Scopelliti, Jessica M. Trompeter |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Blood Glucose Counseling Male medicine.medical_specialty Abnormal glucose Pharmacological therapy Health Behavior Physical activity Prediabetic State Impaired glucose tolerance Random Allocation Endocrinology Patient Education as Topic Internal medicine Internal Medicine Humans Hypoglycemic Agents Medicine Pharmacology (medical) Medical history Prediabetes Practice Patterns Physicians' Exercise Life Style Retrospective Studies Glycated Hemoglobin business.industry Disease Management Middle Aged Impaired fasting glucose medicine.disease Diet Practice Guidelines as Topic Moderate exercise Female Guideline Adherence Family Practice business |
| Zdroj: | Journal of Pharmacy Practice. 28:86-92 |
| ISSN: | 1531-1937 0897-1900 |
| Popis: | Purpose: To compare the management of prediabetes between a family practice clinic and internal medicine/endocrinology practice. Methods: A randomized, retrospective evaluation of the medical history in 168 eligible patients with a diagnosis of prediabetes or abnormal blood glucose (BG) at a family practice clinic (n = 78) and an internal medicine/endocrinology practice (n = 90). Results: The internal medicine/endocrinology practice provided more counseling regarding lifestyle modifications (91.1% vs 76.9%, P = .039), specific physical activity recommendations (26.7% vs 7.7%, P = .003), and recommended more patients receive 150 minutes/week of moderate exercise (8.9% vs 1.3%, P = .038). The family practice clinic provided more written dietary information (16.9% vs 13.3%, P = .044) and specific weight loss goals (20.5% vs 6.7%, P = .015). The internal medicine/endocrinology practice initiated pharmacological therapy in more patients (51.1% vs 3.8%, P< .001) and had a significant decrease in fasting BG from baseline compared to the family practice clinic (−9.0 vs −5.6 mg/dL, P< .001). Conclusion: Providers are likely to initiate nonpharmacological therapy but may not provide specific education recommended by the American Diabetes Association. The integration of a multidisciplinary team to provide guideline-based nonpharmacologic counseling may be beneficial in improving outcomes in the management of prediabetes. |
| Databáze: | OpenAIRE |
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