Diabetes care and control: the effect of frequent visits to diabetes care center.
Diabetes care and control: the effect of frequent visits to diabetes care center.
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DOI：
10.5144/0256-4947.2014.229
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发表时间：
2014-05
影响因子：
1.6
通讯作者：
Al OM
中科院分区：
文献类型：
--
作者：
Al OM
经常去糖尿病护理诊所就诊与更好地控制糖尿病 (DM) 相关，但对于应该多久去一次仍存在争议。本研究的目的是评估频繁就诊对糖尿病护理和控制的影响。一项前瞻性研究对 2011 年 3 月至 2012 年 12 月期间在沙特阿拉伯麦地那阿尔穆纳瓦拉阿卜杜勒-阿齐兹·本·马吉德亲王糖尿病护理中心 (PAMDCC) 就诊的 100 名糖尿病患者进行了一项前瞻性研究。人口统计、生活方式和糖尿病数据在索引访视时获得。在那次和随后的访视中，测量了糖化血红蛋白 (HBA1c)、血压 (BP) 和低密度脂蛋白 (LDL)。所有这些数据以及访问次数和差距都被记录下来。进行了统计分析，包括线性回归分析。在最后一次访问时观察到糖尿病控制参数的平均值显着降低。在就诊次数 > 6 次、就诊间隔 ≤ 1 个月、就诊月指数 ≥ 8 的患者中观察到最高的平均变化。调整后的线性回归显示，每次就诊使 HBA1c 显着降低 0.25%，血压显着降低 2.1/0.7 mm Hg，LDL 显着降低 0.2 mmol/L。获得 HBA1c <7% 和 BP <130/85 所需的就诊次数分别为 8 次和 5 次，就诊月指数分别为 14 和 5。研究表明，短时间频繁就诊可能会更好地控制糖尿病。需要其他前瞻性临床试验研究来证实这些发现，并概述适当的成本效益间隔和访问间隙。
Frequent visits to diabetes care clinics linked with better control of diabetes mellitus (DM), but debates exist about how frequently visits should be done. The objective of this study was to assess the effect of frequent visits on diabetes care and control. A prospective study of 100 diabetic patients attending Prince Abdul-Aziz Bin-Majed Diabetes Care Centre (PAMDCC), Al Madinah Al Munawwarah, Saudi Arabia, during the period from March 2011 through December 2012. Demographics, lifestyle, and diabetes data were obtained at the index visit. At that and subsequent visits, glycosated hemoglobin (HBA1c), blood pressure (BP) and low-density lipoprotein (LDL) were measured. All these data together with visit number and gap were recorded. Statistical analysis including linear regression analysis was done. A significant reduction in the mean of diabetic control parameters was observed at the last visit. The highest mean changes were observed in patients with >6 visits, visit gap ≤1 month, and visit-month index ≥8. Adjusted linear regression showed that each visit significantly lowered HBA1c by 0.25%, BP by 2.1/0.7 mm Hg and 0.2 mmol/L for LDL. The number of visits needed to get HBA1c <7% and BP <130/85 was 8 and 5 visits with a visit-month index of 14 and 5, respectively. The study suggests that frequent visits at short intervals may lead to better diabetes control. Other prospective clinical trial studies are needed to confirm these findings and to outline the appropriate cost-effective intervals and visit gaps.
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影响因子：
168.9
作者：
Turner, RC;Holman, RR;Ward, JD
通讯作者：
Ward, JD
影响因子：
4.1
作者：
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通讯作者：
Vivian, EM
影响因子：
2.5
作者：
Artinian, Nancy T.;Flack, John M.;Fathy, Maryam
通讯作者：
Fathy, Maryam
影响因子：
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作者：
Morrison, Fritha;Shubina, Maria;Turchin, Alexander
通讯作者：
Turchin, Alexander
影响因子：
16.2
作者：
Denver, EA;Barnard, M;Earle, KA
通讯作者：
Earle, KA