Navigation Links
Frequent doctor visits benefits patients with diabetes

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
Brigham and Women's Hospital

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:
(Date:6/27/2016)... Viejo, California (PRWEB) , ... June 27, 2016 , ... ... are fully customizable inside of Final Cut Pro X," said Christina Austin - CEO ... another unique style. Final Cut Pro X users can now reveal the ...
(Date:6/27/2016)... ... June 27, 2016 , ... ... industry today announced its strategic partnership with Connance, a healthcare industry leader ... two companies’ proven, proprietary technology combine to provide health systems, hospitals and ...
(Date:6/27/2016)... ... , ... recently awarded their highest five-star rating to Best Buy Eyeglasses, ... the United States and Canada wear eyeglasses. Once considered to be a purely functional ... a fashion statement. Even celebrities use glasses as a way of creating an iconic ...
(Date:6/26/2016)... ... 2016 , ... On June 10-11, 2016, A Forever Recovery, a holistic treatment ... Longest Breakfast Table in Battle Creek, MI, where the rehabilitation facility is located. This ... of the world’s leading providers of cereal and other breakfast foods. Its residents often ...
(Date:6/26/2016)... ... ... PawPaws brand pet supplements owned by Whole Health Supply is ... of felines. The formula is all-natural and is made from Chinese herbs that have ... Kidney Support Supplement Soft Chews are Astragalus Root Extract and Rehmannia Root Extract ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... , June 23, 2016 ... CAPR ), a biotechnology company focused on the ... announced that patient enrollment in its ongoing randomized ... has exceeded 50% of its 24-patient target. Capricor ... the third quarter of 2016, and to report ...
(Date:6/23/2016)... -- , , , WHEN: , ... , , , LOCATION: , , , Online, with free ... EXPERT PANELISTS:  , , , Frost & Sullivan,s Global Vice President ... Industry Analyst, Divyaa Ravishankar and Unmesh Lal, Program Manager , ... is witnessing an exceptional era. Several new demand spaces, such as ...
(Date:6/23/2016)... LONDON , June 23, 2016 ... environments  Oticon , industry leaders in ... the launch of Oticon Opn ™, the world,s ... world of possibilities for IoT devices.      ... Opn, Oticon introduces a number of ,world firsts,: ...
Breaking Medicine Technology: