639-P: The HbA1c Test Frequency and Metabolic Control in Patients with Type 2 Diabetes after Share-Care Model Management: A Chinese Survey of 5,183 Adult Patients

Background and Aims: To explore the effect of HbA1c test frequency on HbA1c control in patients with T2D who had been followed up in a diabetes share-care model in five Chinese diabetes hospitals. Methods: From January 2016 to December 2019, 5183 patients with more than 2 times HbA1c tests and 6 mon...

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Veröffentlicht in:	Diabetes (New York, N.Y.) N.Y.), 2020-06, Vol.69 (Supplement_1)
Hauptverfasser:	AN, LINGWANG, LEE, TAO-CHUN, YEH, KUEICHUN, HSU, HUI-CHUN, JI, LINONG
Format:	Artikel
Sprache:	eng
Schlagworte:	Diabetes Diabetes mellitus (non-insulin dependent) Disease management Glucose Health care delivery Hemoglobin Patient education
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creator	AN, LINGWANG LEE, TAO-CHUN YEH, KUEICHUN HSU, HUI-CHUN JI, LINONG
description	Background and Aims: To explore the effect of HbA1c test frequency on HbA1c control in patients with T2D who had been followed up in a diabetes share-care model in five Chinese diabetes hospitals. Methods: From January 2016 to December 2019, 5183 patients with more than 2 times HbA1c tests and 6 months follow up were included in this study. Three groups were divided according to annual HbA1c tests frequency: 3.0 tests/year is associated with higher likelihoods of achieving HbA1c target.
doi_str_mv	10.2337/db20-639-P
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Methods: From January 2016 to December 2019, 5183 patients with more than 2 times HbA1c tests and 6 months follow up were included in this study. Three groups were divided according to annual HbA1c tests frequency: <2.0 times [1495 (28.9%)], 2.0∼3.0 times [1898 (36.6%)] and <3.0 times [1790 (34.5%)]. Results: Significant difference was seen on the proportion of patients reaching HbA1c target of below 7.0% in the three groups from baseline to the last visit. Receiving >3.0 tests/year led to significant larger HbA1c change [-0.60 (-0.68∼-0.52)%] from baseline compared to receiving<2.0 tests/year [-0.16 (-0.27∼-0.04)%] and 2.0∼3.0 tests/year [-0.25 (-0.33∼-0.16)%]. Only >3.0 tests/year were positively associated with higher likelihoods of reaching HbA1c target at last visit (odds ratio 1.862, 95%CI 1.518 to 2.285). No significant association was found in group receiving 2.0∼3.0 times/year. Conclusions: We showed that 71.1% of patients received more than 2.0 HbA1c tests/year within the diabetes share-care model management, however, only >3.0 tests/year is associated with higher likelihoods of achieving HbA1c target.</description><identifier>ISSN: 0012-1797</identifier><identifier>EISSN: 1939-327X</identifier><identifier>DOI: 10.2337/db20-639-P</identifier><language>eng</language><publisher>New York: American Diabetes Association</publisher><subject>Diabetes ; Diabetes mellitus (non-insulin dependent) ; Disease management ; Glucose ; Health care delivery ; Hemoglobin ; Patient education</subject><ispartof>Diabetes (New York, N.Y.), 2020-06, Vol.69 (Supplement_1)</ispartof><rights>Copyright American Diabetes Association Jun 1, 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>AN, LINGWANG</creatorcontrib><creatorcontrib>LEE, TAO-CHUN</creatorcontrib><creatorcontrib>YEH, KUEICHUN</creatorcontrib><creatorcontrib>HSU, HUI-CHUN</creatorcontrib><creatorcontrib>JI, LINONG</creatorcontrib><title>639-P: The HbA1c Test Frequency and Metabolic Control in Patients with Type 2 Diabetes after Share-Care Model Management: A Chinese Survey of 5,183 Adult Patients</title><title>Diabetes (New York, N.Y.)</title><description>Background and Aims: To explore the effect of HbA1c test frequency on HbA1c control in patients with T2D who had been followed up in a diabetes share-care model in five Chinese diabetes hospitals. Methods: From January 2016 to December 2019, 5183 patients with more than 2 times HbA1c tests and 6 months follow up were included in this study. Three groups were divided according to annual HbA1c tests frequency: <2.0 times [1495 (28.9%)], 2.0∼3.0 times [1898 (36.6%)] and <3.0 times [1790 (34.5%)]. Results: Significant difference was seen on the proportion of patients reaching HbA1c target of below 7.0% in the three groups from baseline to the last visit. Receiving >3.0 tests/year led to significant larger HbA1c change [-0.60 (-0.68∼-0.52)%] from baseline compared to receiving<2.0 tests/year [-0.16 (-0.27∼-0.04)%] and 2.0∼3.0 tests/year [-0.25 (-0.33∼-0.16)%]. Only >3.0 tests/year were positively associated with higher likelihoods of reaching HbA1c target at last visit (odds ratio 1.862, 95%CI 1.518 to 2.285). No significant association was found in group receiving 2.0∼3.0 times/year. Conclusions: We showed that 71.1% of patients received more than 2.0 HbA1c tests/year within the diabetes share-care model management, however, only >3.0 tests/year is associated with higher likelihoods of achieving HbA1c target.</description><subject>Diabetes</subject><subject>Diabetes mellitus (non-insulin dependent)</subject><subject>Disease management</subject><subject>Glucose</subject><subject>Health care delivery</subject><subject>Hemoglobin</subject><subject>Patient education</subject><issn>0012-1797</issn><issn>1939-327X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNo9kc9Kw0AQxhdRsFYvPsGANzG6f5K021uJ1gotFpqDt7DZnZiUNKm7WyWv45OaWpGBmTn8Zj5mPkKuGb3nQoweTM5pEAsZrE7IgMm-EXz0dkoGlDIesJEcnZML5zaU0riPAfn-hSeQlgjzfMo0pOg8zCx-7LHRHajGwBK9ytu60pC0jbdtDVUDK-UrbLyDr8qXkHY7BA6PlcrRowNVeLSwLpXFIOkTLFuDNSxVo95x289NYApJWTXoENZ7-4kdtAVEd2wsYGr2tf8XuCRnhaodXv3VIUlnT2kyDxavzy_JdBHoWMSBLBSaOBaGhyGOGWc8H0sjtEEdUq6UzEOthaDcFDTKc4aGRZJpRpmKhKRUDMnNce3Otv3tzmebdm-bXjHjIZNhxEQU99TtkdK2dc5ike1stVW2yxjNDhZkBwuy_qvZSvwAwBd3aw</recordid><startdate>20200601</startdate><enddate>20200601</enddate><creator>AN, LINGWANG</creator><creator>LEE, TAO-CHUN</creator><creator>YEH, KUEICHUN</creator><creator>HSU, HUI-CHUN</creator><creator>JI, LINONG</creator><general>American Diabetes Association</general><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope></search><sort><creationdate>20200601</creationdate><title>639-P: The HbA1c Test Frequency and Metabolic Control in Patients with Type 2 Diabetes after Share-Care Model Management: A Chinese Survey of 5,183 Adult Patients</title><author>AN, LINGWANG ; LEE, TAO-CHUN ; YEH, KUEICHUN ; HSU, HUI-CHUN ; JI, LINONG</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c636-9faed663d244e81212b89d3cdec402aa9b4cc3302df05bb1ed1591c101a539003</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Diabetes</topic><topic>Diabetes mellitus (non-insulin dependent)</topic><topic>Disease management</topic><topic>Glucose</topic><topic>Health care delivery</topic><topic>Hemoglobin</topic><topic>Patient education</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>AN, LINGWANG</creatorcontrib><creatorcontrib>LEE, TAO-CHUN</creatorcontrib><creatorcontrib>YEH, KUEICHUN</creatorcontrib><creatorcontrib>HSU, HUI-CHUN</creatorcontrib><creatorcontrib>JI, LINONG</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>Diabetes (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>AN, LINGWANG</au><au>LEE, TAO-CHUN</au><au>YEH, KUEICHUN</au><au>HSU, HUI-CHUN</au><au>JI, LINONG</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>639-P: The HbA1c Test Frequency and Metabolic Control in Patients with Type 2 Diabetes after Share-Care Model Management: A Chinese Survey of 5,183 Adult Patients</atitle><jtitle>Diabetes (New York, N.Y.)</jtitle><date>2020-06-01</date><risdate>2020</risdate><volume>69</volume><issue>Supplement_1</issue><issn>0012-1797</issn><eissn>1939-327X</eissn><abstract>Background and Aims: To explore the effect of HbA1c test frequency on HbA1c control in patients with T2D who had been followed up in a diabetes share-care model in five Chinese diabetes hospitals. Methods: From January 2016 to December 2019, 5183 patients with more than 2 times HbA1c tests and 6 months follow up were included in this study. Three groups were divided according to annual HbA1c tests frequency: <2.0 times [1495 (28.9%)], 2.0∼3.0 times [1898 (36.6%)] and <3.0 times [1790 (34.5%)]. Results: Significant difference was seen on the proportion of patients reaching HbA1c target of below 7.0% in the three groups from baseline to the last visit. Receiving >3.0 tests/year led to significant larger HbA1c change [-0.60 (-0.68∼-0.52)%] from baseline compared to receiving<2.0 tests/year [-0.16 (-0.27∼-0.04)%] and 2.0∼3.0 tests/year [-0.25 (-0.33∼-0.16)%]. Only >3.0 tests/year were positively associated with higher likelihoods of reaching HbA1c target at last visit (odds ratio 1.862, 95%CI 1.518 to 2.285). No significant association was found in group receiving 2.0∼3.0 times/year. Conclusions: We showed that 71.1% of patients received more than 2.0 HbA1c tests/year within the diabetes share-care model management, however, only >3.0 tests/year is associated with higher likelihoods of achieving HbA1c target.</abstract><cop>New York</cop><pub>American Diabetes Association</pub><doi>10.2337/db20-639-P</doi></addata></record>
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subjects	Diabetes Diabetes mellitus (non-insulin dependent) Disease management Glucose Health care delivery Hemoglobin Patient education
title	639-P: The HbA1c Test Frequency and Metabolic Control in Patients with Type 2 Diabetes after Share-Care Model Management: A Chinese Survey of 5,183 Adult Patients
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