Sustaining quality in the community: trends in the performance of a structured diabetes care programme in primary care over 16 years

2018 ◽  
Vol 35 (8) ◽  
pp. 1078-1086 ◽  
Author(s):  
F. Riordan ◽  
S. M. McHugh ◽  
V. Harkins ◽  
P. Marsden ◽  
P. M. Kearney
Keyword(s):  
Primary Care ◽  
Diabetes Care ◽  
Care Programme ◽  
Structured Diabetes Care

scholarly journals ISQUA17-1820TRENDS IN THE QUALITY OF STRUCTURED DIABETES CARE IN PRIMARY CARE

2017 ◽  
Vol 29 (suppl_1) ◽  
pp. 61-62
Author(s):  
F Riordan ◽  
S Mchugh ◽  
V Harkins ◽  
P Kearney
Keyword(s):  
Primary Care ◽  
Diabetes Care ◽  
Structured Diabetes Care

scholarly journals Trends in the Quality of Structured Diabetes Care in Primary Care

2017 ◽  
Vol 17 (5) ◽  
pp. 172 ◽  
Author(s):  
Fiona Riordan ◽  
Sheena McHugh ◽  
Velma Harkins ◽  
Patricia Kearney
Keyword(s):  
Primary Care ◽  
Diabetes Care ◽  
Structured Diabetes Care

scholarly journals Transition from specialist to primary diabetes care: A qualitative study of perspectives of primary care physicians

2009 ◽  
Vol 10 (1) ◽  
Author(s):  
Sharon Brez ◽  
Margo Rowan ◽  
Janine Malcolm ◽  
Sheryl Izzi ◽  
Julie Maranger ◽  
...  
Keyword(s):  
Primary Care ◽  
Qualitative Study ◽  
Diabetes Care ◽  
Primary Care Physicians

scholarly journals Primary care nurses struggle with lifestyle counseling in diabetes care: a qualitative analysis

2010 ◽  
Vol 11 (1) ◽  
Author(s):  
Renate Jansink ◽  
Jozé Braspenning ◽  
Trudy van der Weijden ◽  
Glyn Elwyn ◽  
Richard Grol
Keyword(s):  
Primary Care ◽  
Qualitative Analysis ◽  
Diabetes Care ◽  
Lifestyle Counseling ◽  
Primary Care Nurses

scholarly journals Implications of remote monitoring Technology in Optimizing Traditional Self-Monitoring of blood glucose in adults with T2DM in primary care

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alex R. Montero ◽  
David Toro-Tobon ◽  
Kelly Gann ◽  
Carine M. Nassar ◽  
Gretchen A. Youssef ◽  
...  
Keyword(s):  
Primary Care ◽  
Blood Glucose ◽  
Diabetes Care ◽  
Remote Monitoring ◽  
Secondary Analysis ◽  
Time Of Day ◽  
Trial Registration ◽  
Blood Glucose Monitoring ◽  
Self Monitoring ◽  
The Impact

Abstract Background Self-monitoring of blood glucose (SMBG) has been shown to reduce hemoglobin A1C (HbA1C). Accordingly, guidelines recommend SMBG up to 4–10 times daily for adults with type 2 diabetes (T2DM) on insulin. For persons not on insulin, recommendations are equivocal. Newer technology-enabled blood glucose monitoring (BGM) devices can facilitate remote monitoring of glycemic data. New evidence generated by remote BGM may help to guide best practices for frequency and timing of finger-stick blood glucose (FSBG) monitoring in uncontrolled T2DM patients managed in primary care settings. This study aims to evaluate the impact of SMBG utility and frequency on glycemic outcomes using a novel BGM system which auto-transfers near real-time FSBG data to a cloud-based dashboard using cellular networks. Methods Secondary analysis of the intervention arm of a comparative non-randomized trial with propensity-matched chart controls. Adults with T2DM and HbA1C > 9% receiving care in five primary care practices in a healthcare system participated in a 3-month diabetes boot camp (DBC) using telemedicine and a novel BGM to support comprehensive diabetes care management. The primary independent variable was frequency of FSBG. Secondary outcomes included frequency of FSBG by insulin status, distribution of FSBG checks by time of day, and hypoglycemia rates. Results 48,111 FSBGs were transmitted by 359 DBC completers. Participants performed 1.5 FSBG checks/day; with 1.6 checks/day for those on basal/bolus insulin. Higher FSBG frequency was associated with greater improvement in HbA1C independent of insulin treatment status (p = 0.0003). FSBG frequency was higher in patients treated with insulin (p = 0.003). FSBG checks were most common pre-breakfast and post-dinner. Hypoglycemia was rare (1.2% < 70 mg/dL). Conclusions Adults with uncontrolled T2DM achieved significant HbA1C improvement performing just 1.5 FSBGs daily during a technology-enabled diabetes care intervention. Among the 40% taking insulin, this improvement was achieved with a lower FSBG frequency than guidelines recommend. For those not on insulin, despite a lower frequency of FSBG, they achieved a greater reduction in A1C compared to patients on insulin. Low frequency FSBG monitoring pre-breakfast and post-dinner can potentially support optimization of glycemic control regardless of insulin status in the primary care setting. Trial registration Trial registration number:NCT02925312 (10/19/2016).

Improving the Quality of Diabetes Care in Primary Care Practice

2004 ◽  
Vol 26 (4) ◽  
pp. 14-21 ◽  
Author(s):  
Janice C. Zgibor ◽  
Harsha Rao ◽  
Jacqueline Wesche-Thobaben ◽  
Nancie Gallagher ◽  
Janis McWilliams ◽  
...  
Keyword(s):  
Primary Care ◽  
Diabetes Care ◽  
Primary Care Practice ◽  
Care Practice ◽  
Quality Of Diabetes Care
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