Management of type-2 diabetes in the primary care setting: a practice-based research network study

Journal Name: 
Ann Fam Med
Authors: 
Spann,S.J.
Nutting,P.
Galliher,J.M.
Peterson,K.A.
Pavlik,V.N.
Dickinson,L.M.
Volk,R.J.
Abstract: 
PURPOSE: We wanted to describe how primary care clinicians care for patients with type 2 diabetes. METHODS: We undertook a cross-sectional study of 95 primary care clinicians and 822 of their established patients with type 2 diabetes from 4 practice-based, primary care research networks in the United States. Clinicians were surveyed about their training and practice. Patients completed a self-administered questionnaire about their care, and medical records were reviewed for complications, treatment, and diabetes-control indicators. RESULTS: Participating clinicians (average age, 45.7 years) saw an average of 32.6 adult patients with diabetes per month. Patients (average age, 59.7 years) reported a mean duration of diabetes of 9.1 years, with 34.3% having had the disease more than 10 years. Nearly one half (47.5%) of the patients had at least 1 diabetes-related complication, and 60.8% reported a body mass index greater than 30. Mean glycosylated hemoglobin (HbA1c) level was 7.6% (SD 1.73), and 40.5% of patients had values
2006
Volume: 
4
Pages: 
23-31
Keywords: 
10, Adult, ASPN, blood, Blood Pressure, Body Mass Index, Cholesterol, complications, Cross-Sectional Studies, Diabetes, Disease, education, medical, Medical Records, Methods, patient, Patients, primary care, Record, Records, Research, United States