Navigation Links
Frequent doctor visits benefits patients with diabetes
Date:9/27/2011

BOSTON, MAThe risk for diabetes complications, such as heart attack and stroke, increases with high blood glucose, blood pressure and cholesterol levels. Reducing risk means reducing these values to ideal levels. According to researchers at Brigham and Women's Hospital (BWH), achieving ideal levels may be as simple as seeing your doctor. They found that frequent doctor-patient encounters are associated with faster achievement of blood glucose, blood pressure and cholesterol treatment goals. The research will be published in the September 26, 2011, issue of Archives of Internal Medicine.

Apart from monitoring a patient's hemoglobin A1C (a type of blood glucose measurement) levels every three months, there are no current recommendations in diabetes care guidelines indicating how often doctors should see their patients. These research findings may provide an answer, suggesting that encounters every two weeks may be appropriate for those whose diabetes are severely uncontrolled.

Researchers looked at the electronic medical records (EMRs) of 26,496 patients with type 2 diabetes who had at least one instance of high hemoglobin A1C, blood pressure or LDL cholesterol ("bad" cholesterol) values. A doctor-patient encounter was defined as any note made in the EMR, which included face-to-face encounters, as well as remote encounters such as via telephone. All patients in the study were seen by primary care doctors for at least two years from January 2000 to January 2009.

Researchers evaluated the length of time it took for high levels of hemoglobin A1C, blood pressure and LDL cholesterol to decrease to reach treatment goals. They also determined the mean doctor-patient encounter intervals within this time span.

Patients who saw their doctor every 1𔃀 weeks achieved treatment goals sooner than those who saw their doctor every 3𔃄 months. Patients who saw their doctors every 1𔃀 weeks had a median time of 4.4 months (non-insulin patients) and 10.1 months (insulin patients) to reach their hemoglobin A1C treatment goals compared to 24.9 months (non-insulin patients) and 52.8 months (insulin patients) for those who saw their doctor every 3𔃄 months. Blood pressure level goals were reached at 1.3 months in the 1𔃀 week group vs. 13.9 months in the 3𔃄 month group. LDL cholesterol level goals were also reached sooner at 5.1 months vs. 32.8 months, respectively. For all values combined, the median time to reach treatment goals was 1.5 months vs. 36.9 months, respectively.

Alexander Turchin, MD, MS, BWH endocrinologist and assistant professor at Harvard Medical School and the study's senior and corresponding author, attributes several interactions during these encounters for reaching target goals.

"Physicians may be prescribing new medications or increasing the dose of existing ones," said Turchin. "Another process occurring is lifestyle counseling. Physicians are telling patients how they can improve their diet. They are telling their patients to exercise more and lose weight, which is going to help their diabetes control."

Further analysis showed that doubling the amount of time between doctor-patient encounters increased the time it took to reach treatment goals. Time to reach hemoglobin A1C goals increased by 35 percent (non-insulin patients) and 17 percent (insulin patients). Time to reach blood pressure and LDL cholesterol treatment goals increased by 87 percent and 27 percent, respectively.


'/>"/>

Contact: Holly Brown-Ayers
hbrown-ayers@partners.org
617-534-1603
Brigham and Women's Hospital
Source:Eurekalert

Related medicine news :

1. More Frequent Doctor Visits May Benefit Diabetes Patients
2. Frequent Tests Help Track Progression of Glaucoma, Study Finds
3. ERs Frequented by Kids With Behavioral Problems: Report
4. Frequent moderate drinking of alcohol is associated with a lower risk of fatty liver disease
5. Large study finds CT scans are frequently unnecessary after head injury in children
6. Frequent Business Travel Tough on the Heart, Study Finds
7. Frequently hospitalized patients may benefit from new medical specialty focused on their needs
8. Intellectual disability is frequently caused by non-hereditary genetic problems
9. Study: Infrequent Sex Can Raise Risk of Heart Attack, Death
10. Medically underserved girls receive less frequent evaluation for short stature
11. Frequent Pitching Could Harm Kids Shoulders, Elbows
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... (PRWEB) , ... June 26, 2016 , ... PawPaws ... a new product that was developed to enhance the health of felines. The formula ... , The two main herbs in the PawPaws Cat Kidney Support Supplement ...
(Date:6/25/2016)... ... 25, 2016 , ... The temporary closing of Bruton Memorial Library on June 21 due to ... a new, often overlooked aspect of head lice: the parasite’s ability to live away from ... common occurrence, but a necessary one in the event that lice have simply gotten out ...
(Date:6/25/2016)... ... ... On Friday, June 10, Van Mitchell, Secretary of the Maryland Department of Health ... of their exemplary accomplishments in worksite health promotion. , The Wellness at Work Awards ... at the BWI Marriott in Linthicum Heights. iHire was one of 42 businesses to ...
(Date:6/24/2016)... ... June 24, 2016 , ... Marcy was in a crisis. Her son James, eight, was ... his family verbally and physically. , “When something upset him, he couldn’t control his emotions,” ... He would throw rocks at my other children and say he was going to kill ...
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... Topical BioMedics, Inc, makers of Topricin and ... that call for a minimum wage raise to $12 an hour by 2020 and then ... will restore the lost value of the minimum wage, assure the wage floor does not ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... Dehaier Medical Systems Ltd. (NASDAQ: DHRM ) ... medical devices and wearable sleep respiratory products in ... with Hongyuan Supply Chain Management Co., Ltd. (hereinafter referred ... to develop Dehaier,s new Internet medical technology business. ... Hongyuan Supply Chain,s sales platform to reach Dehaier,s dealers ...
(Date:6/24/2016)... , June 24, 2016 ... appointment of Dr. Edward Futcher to ... Director, effective June 23, 2016.Dr. Futcher was also ... and Governance Committees.  As a non-executive member of ... expertise and strategic counsel to VolitionRx in connection ...
(Date:6/23/2016)... , June 23, 2016 Research ... "Pharmaceutical Excipients Market by Type (Organic Chemical (Sugar, Petrochemical, ... (Oral, Topical, Coating, Parenteral) - Global Forecast to 2021" ... The global pharmaceutical excipients market is ... a CAGR of 6.1% in the forecast period 2016 ...
Breaking Medicine Technology: