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Community based studies of diabetes control: program development and preliminary analysis

C K Smith, T R Taylor, M J Gordon

    The Journal of Family Practice
    |March 1, 1982
    PubMed
    Summary

    Family physicians struggle to achieve optimal diabetes mellitus control, even with motivated care. Despite aiming for specific glucose targets, actual patient results were significantly higher, indicating a need for further investigation into management strategies.

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    Area of Science:

    • Endocrinology
    • Family Medicine
    • Public Health

    Background:

    • Diabetes mellitus management is crucial for patient outcomes.
    • Most diabetes care studies focus on tertiary settings, not community practices.
    • Understanding community-based physician practices is essential for improving diabetes control.

    Purpose of the Study:

    • To examine diabetes mellitus control patterns by family physicians in the Pacific Northwest and Alaska.
    • To compare achieved glycemic control with established treatment goals.
    • To identify variations in physician management styles for diabetes.

    Main Methods:

    • Retrospective analysis of patient data managed by practicing family physicians.
    • Comparison of physician-set glycemic goals with actual patient fasting plasma glucose levels.

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  • Assessment of physician management strategies, including diet, oral agents, and insulin.
  • Main Results:

    • Patients in community settings showed similar characteristics to those in tertiary care.
    • Significant discrepancies existed between target and achieved fasting plasma glucose levels for both insulin-dependent diabetes mellitus (IDDM) and non-insulin-dependent diabetes mellitus (NIDDM).
    • Wide variations in physician management styles and treatment policies were observed.

    Conclusions:

    • Achieving optimal biochemical control of diabetes mellitus presents challenges for community-based family physicians.
    • Individual physician management approaches vary considerably, warranting further investigation.
    • Collaborative research with community physicians is feasible and can address significant research questions in diabetes care.