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:10/12/2017)... MD (PRWEB) , ... October 12, 2017 , ... The ... of Excellence to Carol Friedman, PhD, FACMI, during the Opening Session of AMIA’s Annual ... – 8. , In honor of Morris F. Collen, a pioneer in the field ...
(Date:10/12/2017)... Rockville, Maryland (PRWEB) , ... October 12, 2017 ... ... a magnetic drug delivery system that we intend to develop to enable prevention ... regimens can lead to severe hearing loss, especially in pediatric patients. For cisplatin, ...
(Date:10/12/2017)... ... October 12, 2017 , ... HMP , a leader ... a 2017 Folio Magazine Eddie Digital Award for ‘Best B-to-B Healthcare Website.’ Winners were ... 11, 2017. , The annual award competition recognizes editorial and design excellence across a ...
(Date:10/12/2017)... ... October 12, 2017 , ... On Saturday, October 21, the Health ... Miles by Moonlight to raise money for the American Heart Association Heart Walk. Teams ... Teams will work together to keep their treadmills moving for 5 hours. Treadmills will ...
(Date:10/12/2017)... ... 12, 2017 , ... Health Literacy Innovations (HLI), creator of ... and the Cancer Patient Education Network (CPEN), an independent professional organization that shares ... strategic alliance. , As CPEN’s strategic partner, HLI will help support CPEN ...
Breaking Medicine News(10 mins):
(Date:9/27/2017)... -- Commended for their devotion to personalized service, SMP Pharmacy Solutions ... in the South Florida Business Journal,s 50 Fastest-Growing Companies, and ... the national specialty pharmacy has found its niche.  To that ... be honored by SFBJ as the 2017 Power Leader in ... receive his award in October, Bardisa said of the three ...
(Date:9/22/2017)... -- As the latest Obamacare repeal effort moves is debated, ... and Lindsey Graham (R-SC) medical device market ... is in an odd place.  The industry wants repeal ... on medical device sales passed along with the Affordable ... visits and hospital customers with the funding to invest ...
(Date:9/18/2017)... 18, 2017 EpiVax, Inc. ("EpiVax") ... and immune engineering, today announced a new ... (H7N9) vaccine. ... influenza and presents a challenge for traditional ... to be effective. Using state-of-the-art bioinformatics and molecular ...
Breaking Medicine Technology: