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In two randomized controlled trials, we enrolled 198 adult diabetic patients with most recent A1C ≥7.0%, referred for participation in an enhanced diabetes care program.
To test the one year-post effect of an integrated diabetes care program that includes system changes, education, registry (clinical, metabolic and therapeutic indicators) and disease management (DIAPREM), implemented at primary care level, on care outcomes and costs.
A primary care group diabetes care program using telemedicine was developed and its feasibility and acceptability were tested in 22 subjects with Type 2 diabetes mellitus using a one-group, pretest posttest quasi-experimental design.
The objectives of this article are to (1) describe the outcomes of a diabetes care program in a long term care facility dedicated to diabetes excellence and (2) compare the relevant outcome variables of research published between 2007 and 2012 with the results found in the studied facility.
Patients assigned to the intervention condition were also referred to the local enhanced diabetes care program.
In the Netherlands, 97 diabetes care groups and 104 outpatient clinics are working with a diabetes care program.
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Until now, prevention in integrated diabetes care programs focuses mainly on micro- and macrovascular comorbidity.
Currently, integrated diabetes care programs focus on diabetes-related comorbidities like cardiovascular diseases, retinopathy, nephropathy and diabetic foot.
Perhaps in the long term, current diabetes care programs must be integrated with other chronic diseases care programs.
Furthermore, our study strengthens the demand for integrated diabetes care programs, which include multifaceted and patient-centered elements.
Case-finding protocols as mentioned by Gijsen et al. [ 8], should be developed and implemented in integrated diabetes care programs.
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