Evaluation of a community-based intensive multifactorial clinical intervention with Type 2 diabetes
Date
2006-09
Authors
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Publisher
ORCID
Type
Degree Level
Masters
Abstract
Purpose: To examine the effectiveness of a community-based intensive
multifactorial clinical intervention for patients with Type 2 diabetes, to evaluate the
feasibility of achieving clinical targets for glycemic control in a community setting, and
to identify factors that are predictive of glycemic control in this cohort (age, gender,
disease duration, continuity of care, pharmacologic treatment, diabetes self-care and
smoking status).
Methods: Participants with Type 2 diabetes referred to the Diabetes
Clinic following dissemination of the 2003 Clinical Practice Guidelines of Canadian
Diabetes Association and who attended a minimum of two physician visits within a
twelve month period were deemed eligible for participation. 70 patients were included in
this retrospective study. Baseline and twelve month values for the following biomedical
outcomes were collected via chart audit: BMI, hemoglobin Ale, blood pressure (systolic,
diastolic) and lipid profile (HDL, LDL, triglycerides, total cholesterol, TC:HDL ratio).
Data for identification of predictive factors for glycemic control were also retrieved by
chart audit.
Results: The results of the paired t-test yielded a significant improvement in
hemoglobin Ale (p < 0.05), systolic blood pressure (p < 0.0l), HDL-cholesterol (p
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Degree
Master of Science (M.Sc.)
Department
College of Kinesiology
Program
College of Kinesiology