Effects of individualized management on indicators of patients with type 2 diabetes mellitus
10.3760/cma.j.issn.1671-7368.2018.08.023
- VernacularTitle: 糖尿病个体化管理对2型糖尿病患者各指标的影响
- Author:
Yan WANG
1
;
Yonghua WU
2
;
Jingyi JIANG
3
;
Qinfang SHI
3
Author Information
1. Department of General Practive, the Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Suzhou 215001, China
2. Department of Geriatrics, the Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Suzhou 215001, China
3. Lingering Garden Subdistrict Community Health Service Center, Suzhou 215008, China
- Publication Type:Journal Article
- Keywords:
Case management;
Risk stratification;
General practitioner;
General nurses
- From:
Chinese Journal of General Practitioners
2018;17(8):655-657
- CountryChina
- Language:Chinese
-
Abstract:
Thirty eight patients with type 2 diabetes mellitus (T2DM) signed with the Lingering Garden Subdistrict Community Health Service Center of Suzhou Gusu District from October to December 2015 were enrolled in the study. The patients were classified as low risk group (n=3), moderate risk group (n=11), high risk group (n=21) and extremely high risk group (n=3) according to risk stratification of the JADE program based on estimated glomerular filtration rate (eGFR) and risk factors [obesity, dyslipidemia, hypertension, diabetic retinopathy, urinary protein creatinine ratio, foot disease, glycosylated hemoglobin A1c(HbA1c), fasting plasma glucose(FPG) or non fasting plasma glucose]. The patients were managed by a team consisting of general practitioners, general nurses and specialists; the individualized management was implemented with reduction of controllable risk factors and complications as the goal. After one year of management (March 2016 to February 2017) the indicators of T2DM were evaluated. The results showed that the TC, LDL-C, FPG and HbA1c levels were significantly improved in both moderate and high risk groups (P<0.05); the TC, LDL-C and FPG levels in the extremely high risk group were also significantly improved (P<0.05).
