CA6-02: Collaborative Goal Setting and HbA1c Control Among Patients With Diabetes

The aims of this paper are to describe the development of an intervention to improve teamwork and systems in general practice that support the care of patients with diabetes, ischaemic heart disease and hypertension and to identify the challenges to implementing the intervention. Effective teamwork in general practice encompasses general practitioners (GP), clinical and non-clinical staff, each with clearly defined roles and opportunities to provide feedback and input into how the practice is run and chronic disease managed. The intervention implemented in this study provided an opportunity for key members of general practice teams to work with a facilitator on changes to improve teamwork over three practice visits over 6–12 months. Facilitators had experience in practice support and goal setting, an understanding of the Medicare Items and knowledge about teamwork and systems. The visits focussed on the specific needs and capacities of each practice, assisting the team to set manageable goals and building systems that best utilise the systemic and human resources available. Successful implementation of sustained change depended on strong leadership in the practice and cooperation between team members as well as clear and achievable goals being set. Structured facilitation of teamwork in general practice should focus on goal setting and the development of leadership and communication rather than delivery of information or resources.

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Study of the Glycemic Control and the Biochemical Profile in the Gabonese Diabetic Patient

International Journal of Diabetes & Metabolic Disorders ◽

10.33140/ijdmd/02/01/00002 ◽

2017 ◽

Vol 2 (1) ◽

Keyword(s):

Glycemic Control ◽

Diabetic Patient ◽

Hepatic Steatosis ◽

Poor Glycemic Control ◽

Diabetic Patients ◽

Biochemical Profile ◽

Patients With Diabetes ◽

Hba1c Control ◽

Sub Saharan

Background: Management of diabetes remains a challenge in Africa. Objective: The aim of this study was to evaluate the glycemic control in diabetics patients with diabetes in Gabon sub-Saharan country. Methods: This study involving 87 diabetic patients (Men25 ; Women : 62) were investigated anthropometric parametres, glycemic control and biochemical profil. Results: All our results show that with an average age of 53±11.02 years diabetic Gabonese patients present a poor glycemic control (P <0.0001): Glycemia (Control: 4.95 ± 1.16 mmol/l vs Diabetic : 10.27 ± 4.47 mmol/l) ; HbA1c (Control : 5.05 ± 0.46% vs Diabetics : 7.40 ± 2.36%) associated with a hepatic steatosis : Alat ( Alat : Control: 17.25 ± 13.7u/l vs Diabetic: 25.84 ± 13.19 u/l), Asat (Control: 18 ± 13.20 u/l vs Diabetic: 36.93 ± 17.87 u/l). Conclusion: Is evidence, a high proportion of patients with diabetes remains poorly controlled. This is the case in Gabon diabetic patients.

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869-P: Patient-Provider Video Visit Use and HbA1c Control among Patients with Diabetes

Diabetes ◽

10.2337/db21-869-p ◽

2021 ◽

Vol 70 (Supplement 1) ◽

pp. 869-P

Author(s):

MARY REED ◽

ANJALI GOPALAN ◽

ILANA GRAETZ ◽

LORETTA HSUEH ◽

JIE HUANG ◽

...

Keyword(s):

Patients With Diabetes ◽

Hba1c Control

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An Interprofessional Shared Decision-Making and Goal-Setting Decision Aid for Patients with Diabetes: Preliminary Results of a Feasibility Study

Canadian Journal of Diabetes ◽

10.1016/j.jcjd.2014.07.154 ◽

2014 ◽

Vol 38 (5) ◽

pp. S55-S56

Author(s):

Catherine H. Yu ◽

Susan Hall ◽

Dawn Stacey ◽

Joanna Sale ◽

Sharon E. Straus

Keyword(s):

Decision Making ◽

Shared Decision Making ◽

Goal Setting ◽

Feasibility Study ◽

Decision Aid ◽

Shared Decision ◽

Preliminary Results ◽

Patients With Diabetes

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The effect of automated text messaging and goal setting on pedometer adherence and physical activity in patients with diabetes: A randomized controlled trial

PLoS ONE ◽

10.1371/journal.pone.0195797 ◽

2018 ◽

Vol 13 (5) ◽

pp. e0195797 ◽

Cited By ~ 15

Author(s):

Linnea A. Polgreen ◽

Christopher Anthony ◽

Lucas Carr ◽

Jacob E. Simmering ◽

Nicholas J. Evans ◽

...

Keyword(s):

Physical Activity ◽

Randomized Controlled Trial ◽

Goal Setting ◽

Text Messaging ◽

Controlled Trial ◽

Randomized Controlled ◽

Patients With Diabetes

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Mortality and potential years of life lost attributable to non-optimal glycaemic control in men and women with diabetes in the United Arab Emirates: a population-based retrospective cohort study

BMJ Open ◽

10.1136/bmjopen-2019-032654 ◽

2019 ◽

Vol 9 (9) ◽

pp. e032654

Author(s):

Saif Al-Shamsi ◽

Romona Devi Govender ◽

Elpidoforos S Soteriades

Keyword(s):

Cohort Study ◽

United Arab Emirates ◽

Retrospective Cohort Study ◽

Retrospective Cohort ◽

Tertiary Care ◽

Years Of Life Lost ◽

Men And Women ◽

Patients With Diabetes ◽

Hba1c Control ◽

The Impact

ObjectivesNumerous studies reported that achieving near-normal glycated haemoglobin (HbA1c) levels in patients with diabetes may delay or even prevent vascular complications. However, information regarding the impact of non-optimal HbA1c control on adverse health outcomes in an Arab population is unknown. The aim of this study was to estimate the fraction of deaths and potential years of life lost (PYLL) attributable to non-optimal HbA1c control among Emirati men and women with diabetes in the United Arab Emirates (UAE).DesignA retrospective cohort study.SettingThis study was conducted in outpatient clinics at a tertiary care centre in Al Ain, UAE, between April 2008 and September 2018.ParticipantsThe sample comprised of 583 adult UAE nationals, aged≥18 years, with diabetes. Overall, 57% (n=332) of the study participants were men and 43% (n=251) were women.ExposureNon-optimal HbA1c control, defined as HbA1c≥6.5%.Primary outcome measureAll-cause mortality, defined as death from any cause.ResultsAt the end of the 9-year follow-up period, 86 (14.8%) participants died. Overall, up to 33% (95% CI 2% to 63%) of deaths were attributable to non-optimal HbA1c control among patients with diabetes mellitus (DM). Stratified by sex, the adjusted fraction of avoidable mortality was 17% (95% CI −23% to 57%) for men and 50% (95% CI 3% to 98%) for women. Both deaths and PYLL attributable to non-optimal HbA1c control were higher in women compared with men.ConclusionsUp to one-third of all deaths in adult UAE nationals with DM could be attributed to non-optimal HbA1c control. Effective sex-specific interventions and healthcare quality‐improvement programmes should urgently be implemented.

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