Navigation Links
Culturally Specific Diabetes Management Helps Low-Income Patients

Diabetes case management that takes a patient’s specific culture into consideration can help increase life expectancy// and decrease the incidence of diabetes-related complications over the patient’s lifetime, a new study finds.

"Better management results in reduced long-term complications, such as blindness, stroke, amputation and nerve damage,” said lead researcher Todd Gilmer, Ph.D.

The research focused on 3,893 people with diabetes who participated in San Diego’s Project Dulce, which set out to meet American Diabetes Association standards of care. The target population was primarily low-income, underinsured Latino people.

Study participants showed “clinically significant improvements in A1c, blood pressure, low-density lipoprotein and triglycerides,” said Gilmer, an associate professor in the department of family and preventive medicine at the University of California, San Diego.

Hemoglobin A1c — a measure of how well patients control their blood glucose — low-density lipoprotein (“bad cholesterol”) and blood pressure are commonly managed risk factors among diabetes patients.

The study appears in the latest online issue of Health Services Research.

The clinical team included a registered nurse/certified diabetes educator and a medical assistant and a registered dietitian who were bilingual and bicultural. Patients underwent an initial 50-minute visit with a nurse and were asked to return for additional visits. They also had a 25-minute visit with the dietitian and were called by team members for appointment reminders.

Patients also participated in a group self-management training program consisting of an eight-week curriculum delivered by trained peer educators who had diabetes themselves and were of the same cultural or ethnic group as the participants.

The researchers used the resulting clinical and cost data in what Gilbert describes as “a model that simulates l ong-term effects of implementing health policies for the management of diabetes.” The model estimates the number of years of life patients gain from treatment — adjusted for quality of life — for the amount spent to deliver the treatment.

Direct medical costs over a patient’s lifetime were higher for patients who received case-management and self-management training help. Nevertheless, a further breakdown showed that about one-third of the additional costs of implementing the intervention were offset by reduced expenses of diabetes-related complications over patients’ lifetimes.

“If these individuals live longer without these complications … it gives them a higher quality of life,” Gilmer said. “It is worth it.”

“Strategies such as [those used in the study] should help our awareness of the needs to reach overall goals and prevent long-term complications related to diabetes,” said Julienne Kirk, Pharm.D., an associate professor in the department of family and community medicine at Wake Forest University.

The results of the study should encourage health systems to consider setting up similar case-management and self-management training programs for their high-risk populations, Gilmer said.

ource-Newswise
SRM
'"/>




Related medicine news :

1. Response to chemotherapy could be measured by Prostate-Specific Antigen Doubling Time
2. Heart Drug Also Effective In Preventing Specific Causes Of Death
3. Specific Changes In A Particular Gene Found To Increase The Risk of Alzheimer’s Diseas
4. New Race –Specific drug
5. Age-Dependent Alterations Not Specific For Alzheimers Disease
6. Developing Specific Skills Ensure Better Grades In US Kids
7. Specific Immune Mechanism against DNA viruses
8. The Publication Of Surgeon Specific Death Rates Raises Controversy
9. Timing of Food Consumption Activates Genes in Specific Brain Area
10. By Targeting Specific Germs, Hospital Hopes to Improve Pneumonia Treatment
11. Complicated Grief Needs Specific Treatment
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:2/10/2016)... ... February 10, 2016 , ... Workrite Ergonomics this week announced the launch ... mounts ever. , “Our goal was to develop a product from the ground ... we have ever created.” said Darren Hulsey, Product Manager for Workrite Ergonomics. “The ...
(Date:2/10/2016)... ... ... The recreational use of marijuana has been legal in Colorado for over ... restrictions as to where they can smoke pot. , As Colorado’s website ... not be consumed openly or publicly.” , Given the momentum of the marijuana legalization ...
(Date:2/10/2016)... , ... February 09, 2016 , ... A new leadership ... Summer 2016. FHU President Joe Wiley made the announcement Monday night, Feb. 8, prior ... a 2003 graduate of FHU and the creator of GO! Camp, has been named ...
(Date:2/10/2016)... ... February 09, 2016 , ... Ross A. ... are delighted to welcome a new addition to their growing practice. Beginning this ... as a nurse practitioner performing cosmetic procedures including injectables, fillers and ...
(Date:2/10/2016)... , ... February 09, 2016 , ... ... concussion, yet the cause of injury may be one of many possible sources: ... PT Continuing Education Course , Mastering Rehab Solutions for the Complexities ...
Breaking Medicine News(10 mins):
(Date:2/10/2016)... , February 10, 2016 ... and M 1 receptor selectivity   ... StaR® technology, which has entered clinical development as ... with dementia and schizophrenia.   --> ... technology, which has entered clinical development as a ...
(Date:2/9/2016)... -- Landauer, Inc. (NYSE: LDR ), a recognized leader ... medical physics services and high quality medical consumable accessories, ... quarter ended December 31, 2015. ... Highlights , Revenue of $36.5 million compared to ... Domestic Radiation Measurement services revenues increased 2.8% year-over-year ...
(Date:2/9/2016)...  Sangamo BioSciences, Inc. (NASDAQ: SGMO ), ... its fourth quarter and full year 2015 financial ... therapeutic genome editing," said Edward Lanphier, Sangamo,s president ... (ZFN) technology leads the therapeutic genome editing field ... to move our ground-breaking genome editing programs through ...
Breaking Medicine Technology: