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Diabetes Disease Management Reviewed

Posted on: Thursday, 20 July 2006, 18:00 CDT

Diabetes disease-management programs lead to better examination and testing but not to better control of blood pressure, cholesterol or blood-sugar levels.

Dr. Carol Mangione of the David Geffen School of Medicine at University of California at Los Angeles says healthcare providers' use of management programs resulted in higher rates among their patients of recommended examinations, such as eye and foot exams, testing for kidney function or damage due to the disease, cholesterol checks and getting influenza vaccinations.

However, the management strategies had no impact on good medication management and were not linked to improved sugar, blood pressure or cholesterol levels, according to Mangione.

The three disease-management strategies include physician reminders; regular feedback from physician groups to their doctors on the care they provide; and structured care management, which is when patients also see case managers, attend diabetes education classes and/or receive reminders about the care they need, such as eye examinations or flu shots, between doctor visits.

The findings are published in the Annals of Internal Medicine.


Source: United Press International

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