Diabetes
patients who visit a primary care doctor every few weeks achieve quicker
control of their blood glucose, blood pressure and cholesterol levels,
researchers have found.
Control of these levels reduces the
risk of diabetes-related complications, but most diabetes patients do not have
these levels under control. Current treatment guidelines do not outline how
often diabetes patients should see a doctor.
To determine whether more frequent
doctor visits could help diabetes patients get control of their condition in a
shorter period of time, researchers analyzed data from 26,496 adult diabetes
patients who visited primary care doctors in Boston for at least two years
between January 2000 and January 2009.
For patients who saw their doctor
every one to two weeks, the median (midpoint) times to achieving their
treatment goals were: 4.4 months without insulin and 10.1 months with insulin
for blood glucose; 1.3 months for blood pressure; and 5.1 months for
cholesterol.
The median times for patients who
saw their doctor every three to six months were: 24.9 months without insulin,
52.8 months with insulin for blood glucose; 13.9 months for blood pressure; and
32.8 months for cholesterol, said Fritha Morrison, of Brigham and Women's
Hospital in Boston, and colleagues.
The study is published in the Sept.
26 issue of the journal Archives of Internal Medicine.
More research is needed because
"the retrospective nature of this study prevents us from establishing a
causal relationship between encounter frequency and patient outcomes," the
study authors pointed out in a journal news release.
More information
The American College of Physicians
offers advice about living with diabetes.
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