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The effect of group clinics in the control of diabetes
Cyrus V Desouza1, Lindsey Rentschler, Gleb Haynatzki
1University of Nebraska Medical Center, Omaha, 68105, United States. cdesouza@unmc.edu
Objectives:
Novel interventions are needed for long-term maintenance of diabetes control. We studied the effects of a group diabetes clinic (GDC) on diabetes control when compared to usual care with primary care providers (PCP).
Research Design/Methods:
Data from the electronic medical records of 56 patients were collected. Twenty-nine patients were in the group diabetes clinic (GDC) while 27 patients followed with their PCP. Outcome variables, A1c, LDL, and blood pressure (BP) were measured at baseline and every 6 months for a 2 year period.
Results:
A1c, LDL and BP were no different at the end of 2 years in the GDC cohort and the PCP cohort. Slight upward trend in time was detected for A1c in both groups, but more so in the PCP group.
Conclusion:
GDC can lead to maintenance of diabetes control in a population with difficult to manage diabetes as effectively as and more efficiently than usual care.
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