Disease-management programs shown to improve diabetes care

December 13, 2010

Disease-management programs, which may include patient education, psychological intervention, dietary education, self-monitoring and telemedicine, can improve diabetes care, states an article in CMAJ (Canadian Medical Association Journal).

The study, by French researchers, included 41 randomized controlled trials published between 1990 and 2009 with a total of 7013 patients.

The findings showed that disease-management programs are more effective than usual care in reducing glycated hemoglobin levels in diabetic patients with poor glycemic control.

Moreover, some characteristics of disease-management programs appear to be associated with a greater effectiveness, in particular how often a patient sees a doctor. A high frequency leads to a greater impact on glycated hemoglobin.

"We found that the ability of disease managers to start or modify medical treatment was an effective feature of disease-management programs," write Dr. Clement Pimouguet, Centre de recherche en épidémiologie et biostatistique, Université Victor Segalen Bordeaux 2, France, and coauthors. "This has important implications, because nonadherence to medical treatment is a significant predictor of all-cause mortality and hospital admission among patients with diabetes."

The authors conclude that their findings are important for the delivery of and the direction of future research. More research is needed, however, to know the long-term impact of disease-management programs and whether other groups besides those with nonstabilized would benefit from disease management. Also, cost-effectiveness studies of disease-management programs need to be developed to ensure proper allocation of health care resources.

Related Stories

Recommended for you

New insights into herpes virus could inform vaccine development

October 18, 2017
A team of scientists has discovered new insights into the mechanisms of Epstein-Barr virus (EBV) infection, as well as two antibodies that block the virus' entry into cells. The findings, published in Proceedings of the National ...

Pair of discoveries illuminate new paths to flu and anthrax treatments

October 17, 2017
Two recent studies led by biologists at the University of California San Diego have set the research groundwork for new avenues to treat influenza and anthrax poisoning.

Portable 3-D scanner assesses patients with elephantiasis

October 17, 2017
An estimated 120 million people worldwide are infected with lymphatic filariasis, a parasitic, mosquito-borne disease that can cause major swelling and deformity of the legs, a condition known as elephantiasis. Health-care ...

New tools to combat kidney fibrosis

October 16, 2017
Interstitial fibrosis – excessive tissue scarring – contributes to chronic kidney disease, which is increasing in prevalence in the United States.

How hepatitis C hides in the body

October 13, 2017
The Hepatitis C (HCV) virus is a sly enemy to have in one's body. Not only does it manage to make itself invisible to the immune system by breaking down communication between the immune cells, it also builds secret virus ...

Largest study yet of malaria in Africa shows historical rates of infection

October 12, 2017
(Medical Xpress)—A team of researchers with members from the Kenya Medical Research Institute, the University of Oxford and the University of KwaZulu-Natal has conducted the largest-ever study of the history of malaria ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.