Effects of a Diabetes Boot Camp on Hemoglobin A1c Levels

被引:0
|
作者
Deichmann, Richard E. [1 ,4 ]
Hebert, Ana Maria [1 ]
Harmeyer, Eve D. [2 ]
Cazabon, Pedro [1 ]
Chavis, Erica [3 ]
机构
[1] Ochsner Clin Fdn, Dept Gen Internal Med, New Orleans, LA USA
[2] Ochsner Clin Fdn, Div Clin Nutr, New Orleans, LA USA
[3] Ochsner Clin Fdn, Outpatient Pharm, New Orleans, LA USA
[4] Univ Queensland, Sch Med, Ochsner Clin Sch, New Orleans, LA USA
来源
OCHSNER JOURNAL | 2013年 / 13卷 / 02期
关键词
Diabetes mellitus; hemoglobin A-glycosylated; nutrition therapy; patient education as topic;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Diabetic education can have significant effects in improving glycemic markers in patients with diabetes. This study sought to determine if the Diabetes Boot Camp, a novel 2-hour, intensive educational program by a multidisciplinary team, was effective in lowering mean hemoglobin A1c (HgA1c) levels in diabetic patients when compared to the standard of care. Methods: The research design was that of a retrospective cohort study. The Diabetes Boot Camp population was defined as all diabetic patients referred to the boot camp clinic from the 10 physicians referring the most patients to the clinic from August 2009-August 2010. Three control populations were randomly selected from the same physicians' diabetic patients identified in the Ochsner primary care diabetes database during the same period. Pre-and postintervention HgA1c measurements on the same patients in all groups were analyzed. Control populations studied included an overall group, patients with HgA1c > 9%, and patients with HgA1c <= 9%. Results: Overall, the Diabetes Boot Camp cohort showed a significant decrease in mean HgA1c of 1.25% versus 0.11% compared to the control cohort (P< 0.001). In the other analyses, Diabetes Boot Camp patients with HgA1c > 9% and those with HgA1c <= 9% had statistically significant reductions in HgA1c compared to the control groups (P< 0.001). Conclusion: An intensive 2-hour multidisciplinary diabetes clinic demonstrated significant improvements in glycemic control as measured by HgA1c compared to standard care.
引用
收藏
页码:194 / 199
页数:6
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