Factors Associated With Improved A1C Values Among People Using High-Dose Insulin With Uncontrolled Type 2 Diabetes.

Q2 Medicine Clinical Diabetes Pub Date : 2024-01-01 Epub Date: 2023-08-21 DOI:10.2337/cd23-0006
Wuenseslao Hernandez, Shannon R Walter, Ryan A Popp
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Abstract

Uncontrolled diabetes negatively affects millions of people in the United States and contributes to significant health burden. Many people with diabetes require high insulin doses to achieve glycemic control, but glycemia in this group has historically been difficult to manage. This retrospective, case-control study evaluated which therapeutic interventions and patient factors were associated with an improvement in A1C in people with type 2 diabetes using high-dose insulin at a county health system serving primarily low-income patients. Medication nonadherence was found to be the most influential factor affecting glycemic control in these individuals.

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使用大剂量胰岛素的2型糖尿病患者A1C值改善的相关因素
不受控制的糖尿病对美国数百万人产生了负面影响,并造成了巨大的健康负担。许多糖尿病患者需要高剂量的胰岛素来控制血糖,但这一群体的血糖历来难以控制。这项回顾性病例对照研究评估了哪些治疗干预措施和患者因素与在主要为低收入患者服务的县卫生系统使用高剂量胰岛素的2型糖尿病患者A1C改善相关。药物不依从性被发现是影响这些人血糖控制的最有影响的因素。
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来源期刊
Clinical Diabetes
Clinical Diabetes Medicine-Internal Medicine
CiteScore
4.30
自引率
0.00%
发文量
93
期刊介绍: The mission of Clinical Diabetes is to provide primary care providers and all clinicians involved in the care of people with diabetes with information on advances and state-of-the-art care for people with diabetes. Clinical Diabetes is also a forum for discussing diabetes-related problems in practice, medical-legal issues, case studies, digests of recent research, and patient education materials.
期刊最新文献
Good To Know: Your Type 2 Diabetes Treatment: Get Ready for Your Visit. Therapeutic Inertia: Still a Big Problem. Increasing Access to Connected Insulin Pens by Promoting Shared Decision-Making Through Collaborative Quality Improvement. Increasing Awareness and Uptake of Connected Insulin Pens for Eligible Patients With Diabetes: A Quality Improvement Success Story. Partnering With Families Through Shared Decision-Making to Increase Connected Pen Use: A Quality Improvement Success Story.
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