scholarly journals Duke University Medical Center Perioperative Diabetes Management Program

2021 ◽  
Author(s):  
Tara A. Lenk ◽  
John Whittle ◽  
Solomon Aronson ◽  
Timothy E. Miller ◽  
Matthew Fuller ◽  
...  
Keyword(s):  
Glycemic Control ◽  
Diabetes Management ◽  
Medical Center ◽  
Tertiary Care ◽  
Management Program ◽  
Surgical Patients ◽  
Tertiary Care Medical Center ◽  
Uncontrolled Diabetes ◽  
Duke University ◽  
Diabetes Management Program

The following article describes a project at an academic tertiary-care medical center aimed at identifying surgical patients with uncontrolled diabetes early in the preoperative process to improve their perioperative glycemic control and surgical outcomes.

scholarly journals Duke University Medical Center Perioperative Diabetes Management Program

2021 ◽  
Author(s):  
Tara A. Lenk ◽  
John Whittle ◽  
Solomon Aronson ◽  
Timothy E. Miller ◽  
Matthew Fuller ◽  
...  
Keyword(s):  
Glycemic Control ◽  
Diabetes Management ◽  
Medical Center ◽  
Tertiary Care ◽  
Management Program ◽  
Surgical Patients ◽  
Tertiary Care Medical Center ◽  
Uncontrolled Diabetes ◽  
Duke University ◽  
Diabetes Management Program

The following article describes a project at an academic tertiary-care medical center aimed at identifying surgical patients with uncontrolled diabetes early in the preoperative process to improve their perioperative glycemic control and surgical outcomes.

scholarly journals Duke University Medical Center Perioperative Diabetes Management Program

2021 ◽  
pp. cd200029
Author(s):  
Tara A. Lenk ◽  
John Whittle ◽  
Solomon Aronson ◽  
Timothy E. Miller ◽  
Matthew Fuller ◽  
...  
Keyword(s):  
Diabetes Management ◽  
Medical Center ◽  
Management Program ◽  
Duke University ◽  
Diabetes Management Program

Assessment of the Effect of a Comprehensive Diabetes Management Program on Hospital Admission Rates of Children With Diabetes Mellitus

1990 ◽  
Vol 16 (5) ◽  
pp. 389-393 ◽  
Author(s):  
Debra J. Drozda ◽  
Veronica A. Dawson ◽  
Dorothy J. Long ◽  
Lisa S. Freson ◽  
Marka. Sperling
Keyword(s):  
Diabetes Mellitus ◽  
Diabetes Management ◽  
Type I Diabetes ◽  
Average Length ◽  
Medical Center ◽  
Management Program ◽  
Type I ◽  
Number Of Children ◽  
Diabetes Management Program ◽  
The Impact

Admission records at Children's Hospital Medical Center in Cincinnati were reviewed to determine the impact of a compre hensive diabetes management program on selected indicators of health status in children with diabetes mellitus. Two periods were compared: January 1973 through June 1978 (periodA), prior to institution of the program, and July 1978 through December 1987 (period B). Although the number of children admitted with a diagnosis of type I diabetes not associated with DKA or other diagnoses increased by 10 % during these 10 years, the number of children with diabetic ketoacidosis (DKA) not associated with other diagnoses fell from 58% in period A to 24% in period B. Similarly, average length of stay for the reported DKA admissions decreased from a mean of 5.84 days in period A to a mean of 4. 62 days in period B. This reduction of 1.2 days saved an estimated $342,000 in hospi talization costs. These findings suggest that a comprehensive diabetes management program consisting of medical treatment, education, and psychological support services, has a positive influence on patient outcome and can be cost effective.

Improved Glycemic Control With a Digital Health Intervention in Adults With Type 2 Diabetes: Retrospective Study (Preprint)

2021 ◽  
Author(s):  
Gretchen Zimmermann ◽  
Aarathi Venkatesan ◽  
Kelly Rawlings ◽  
Michael Scahill
Keyword(s):  
Type 2 Diabetes ◽  
Glycemic Control ◽  
Diabetes Management ◽  
Digital Health ◽  
Management Program ◽  
Health Intervention ◽  
Diabetes Management Program ◽  
Program Engagement

BACKGROUND Traditional lifestyle interventions have shown limited success in improving diabetes related outcomes. Digital interventions with continuously available support and personalized educational content may offer unique advantages for self-management and glycemic control. OBJECTIVE In the present study, we evaluate changes in glycemic control among participants with type 2 diabetes who enrolled in a digital diabetes management program. METHODS The study employed a single-arm, retrospective design. A total of 950 participants with a HbA1c baseline value of at least 7.0% enrolled in the Vida Health Diabetes Management Program. The intervention included one-to-one remote sessions with a Vida provider and structured lessons and tools related to diabetes management. Hemoglobin A1c (HbA1c) was the primary outcome measure. A total of 258 (27.2%) participants had a follow-up HbA1c completed at least 90 days from program start. Paired t-tests were utilized to evaluate changes in HbA1c between baseline and follow-up. Additionally, a cluster-robust multiple regression analysis was employed to evaluate the relationship between high and low program engagement and HbA1c change. A repeated measures ANOVA was used to evaluate difference in HbA1c as a function of measurement period (ie, pre-Vida enrollment, baseline, and post-enrollment follow-up). RESULTS We observed a significant reduction in HbA1c of -0.81 points between baseline (M = 8.68, SD = 1.7) and follow-up (M = 7.88, SD = 1.46), t(257) = 7.71, P = .00). Among participants considered high-risk (baseline HbA1c >= 8), there was an average reduction of -1.44 points between baseline (M = 9.73, SD = 1.68) and follow-up (M = 8.29, SD = 1.64), t(139) = 9.14, P = .00). Additionally, average follow-up HbA1c (M = 7.82, SD = 1.41) was significantly lower than pre-enrollment HbA1c (M = 8.12, SD = 1.46), F(2, 210) = 22.90, P = .00. There was also significant effect of engagement on HbA1c change, β = -.60, P = .00, such that high engagement was associated with a greater decrease in HbA1c (M = -1.02, SD = 1.60) compared to low-engagement, (M = -.61, SD = 1.72). CONCLUSIONS The present study revealed clinically meaningful improvements in glycemic control among participants enrolled in a digital diabetes management intervention. Higher program engagement was associated with greater improvements in HbA1c. The findings of the present study suggest that digital health intervention may represent an accessible, scalable, and effective solution to diabetes management and improved HbA1c. The study was limited by a non-randomized, observational design and limited post-enrollment follow-up data.

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