The effect of group clinics in the control of diabetes

Prim Care Diabetes. 2010 Dec;4(4):251-4. doi: 10.1016/j.pcd.2010.09.004. Epub 2010 Oct 14.

Abstract

Objectives: Novel interventions are needed for long-term maintenance of diabetes control. We studied the effects of a group diabetes clinic (GDC) on diabetes control when compared to usual care with primary care providers (PCP).

Research design/methods: Data from the electronic medical records of 56 patients were collected. Twenty-nine patients were in the group diabetes clinic (GDC) while 27 patients followed with their PCP. Outcome variables, A1c, LDL, and blood pressure (BP) were measured at baseline and every 6 months for a 2 year period.

Results: A1c, LDL and BP were no different at the end of 2 years in the GDC cohort and the PCP cohort. Slight upward trend in time was detected for A1c in both groups, but more so in the PCP group.

Conclusion: GDC can lead to maintenance of diabetes control in a population with difficult to manage diabetes as effectively as and more efficiently than usual care.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Ambulatory Care Facilities*
  • Appointments and Schedules
  • Biomarkers / blood
  • Blood Pressure
  • Diabetes Mellitus / blood
  • Diabetes Mellitus / physiopathology
  • Diabetes Mellitus / therapy*
  • Glycated Hemoglobin A / metabolism
  • Group Processes*
  • Humans
  • Lipoproteins, LDL / blood
  • Middle Aged
  • Primary Health Care*
  • Retrospective Studies
  • Time Factors
  • Treatment Outcome

Substances

  • Biomarkers
  • Glycated Hemoglobin A
  • Lipoproteins, LDL
  • hemoglobin A1c protein, human