Use of diabetes monitoring tests in primary care suboptimal

Use of diabetes monitoring tests in primary care suboptimal

(HealthDay)—Many primary care patients are not given tests recommended for monitoring diabetes, according to a study published in the December issue of Family Medicine and Community Health.

Mingliang Dai, Ph.D., from the American Board of Family Medicine in Lexington, Kentucky, and colleagues examined adherence to ordering hemoglobin A1c (HbA1c) and lipid profile tests as recommended by the American Diabetes Association using the 2013 National Ambulatory Medical Care Survey. Data were included for 2,379 primary care visits for patients with diabetes.

The researchers found that less than 60.0 percent of the patients were given a test recommended for monitoring diabetes (58.0 percent for HbA1c and 57.0 percent for lipid profile) in the preceding 12 months. With continuity of care with (PCPs), the odds of adhering to diabetes monitoring guidelines increased by 36.0 (P = 0.06) and 76.0 percent (P = 0.0006) for the HbA1c and lipid profile tests, respectively.

"Forty percent of primary care visits of patients with diabetes were missed opportunities where PCPs were not providing guideline-concordant monitoring tests, creating a substantial gap in the quality of care for diabetes in U.S. primary care settings," the authors write. "Our findings suggest that enhancing patient-provider continuity of care may be effective in promoting guideline adherence."

More information: Abstract/Full Text (subscription or payment may be required)

Copyright © 2019 HealthDay. All rights reserved.

Citation: Use of diabetes monitoring tests in primary care suboptimal (2019, January 11) retrieved 1 December 2023 from
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.

Explore further

NPs and PAs can effectively manage diabetes in primary care


Feedback to editors