Impact of intervention on metabolic outcomes among dropouts with type 2 diabetes

Tutkimustuotos: ArtikkelijulkaisuArtikkeliTieteellinenvertaisarvioitu

Kuvaus

Purpose: The aim of this study was to evaluate the effect of an individual intervention given by health care professionals to dropouts with type 2 diabetes (T2D) on their metabolic profile.

Materials/methods: In 2010, we identified 356 T2D dropouts in Vantaa Health Centre, Finland. At the baseline visit the participants' status was assessed including laboratory tests. Diabetes counseling was given, and drug treatment was enhanced when needed. The follow-up visit was performed 13 to 30 months later including the same assessments as performed at the baseline visit. The dropouts who attended the follow-up visit formed the study group. One third (n = 115) of the dropouts participated in the follow-up visit.

Results: The study participants (mean age 61.4 years) were older than the non-participants (mean age 58.5 years) (p = 0.009). After the intervention the proportion of participants with hemoglobin A1c >= 9% (75 mmol/mol) decreased from 15.5% to 5.2% (p = 0.004). Improvements were also observed in general in hemoglobin A1c, from 6.6% (49 mmol/mol) to 6.3% (45 mmol/mol) (p = 0.001), in total cholesterol, from 4.9 mmol/l to 4.5 mmol/l (p = 0.011), in low-density lipoprotein cholesterol, from 2.9 mmol/l to 2.6 mmol/l (p = 0.015) and in diastolic blood pressure, from 90 mmHg to 84 mmHg (p = 0.001).

Conclusions: Dropouts with T2D were difficult to bring back to the public health care system, especially men under the age of 60 years. Dropouts who participated in the intervention showed improvements in several metabolic outcomes. (c) 2017 Medical University of Bialystok. Published by Elsevier B.V. All rights reserved.

Alkuperäiskielienglanti
LehtiAdvances in Medical Sciences
Vuosikerta63
Numero1
Sivut5-8
Sivumäärä4
ISSN1896-1126
DOI - pysyväislinkit
TilaJulkaistu - maaliskuuta 2018
OKM-julkaisutyyppiA1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä, vertaisarvioitu

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  • 3121 Sisätaudit

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@article{98dc33961a9c4ccd92d749814e8c0c04,
title = "Impact of intervention on metabolic outcomes among dropouts with type 2 diabetes",
abstract = "Purpose: The aim of this study was to evaluate the effect of an individual intervention given by health care professionals to dropouts with type 2 diabetes (T2D) on their metabolic profile.Materials/methods: In 2010, we identified 356 T2D dropouts in Vantaa Health Centre, Finland. At the baseline visit the participants' status was assessed including laboratory tests. Diabetes counseling was given, and drug treatment was enhanced when needed. The follow-up visit was performed 13 to 30 months later including the same assessments as performed at the baseline visit. The dropouts who attended the follow-up visit formed the study group. One third (n = 115) of the dropouts participated in the follow-up visit.Results: The study participants (mean age 61.4 years) were older than the non-participants (mean age 58.5 years) (p = 0.009). After the intervention the proportion of participants with hemoglobin A1c >= 9{\%} (75 mmol/mol) decreased from 15.5{\%} to 5.2{\%} (p = 0.004). Improvements were also observed in general in hemoglobin A1c, from 6.6{\%} (49 mmol/mol) to 6.3{\%} (45 mmol/mol) (p = 0.001), in total cholesterol, from 4.9 mmol/l to 4.5 mmol/l (p = 0.011), in low-density lipoprotein cholesterol, from 2.9 mmol/l to 2.6 mmol/l (p = 0.015) and in diastolic blood pressure, from 90 mmHg to 84 mmHg (p = 0.001).Conclusions: Dropouts with T2D were difficult to bring back to the public health care system, especially men under the age of 60 years. Dropouts who participated in the intervention showed improvements in several metabolic outcomes. (c) 2017 Medical University of Bialystok. Published by Elsevier B.V. All rights reserved.",
keywords = "Type 2 diabetes, Dropout, Metabolic profile, Primary health care, MULTIFACTORIAL INTERVENTION, CARE, PREDICTORS, DISEASE, COHORT, 3121 Internal medicine",
author = "Laine, {Merja K.} and Timo Kauppila and Mikko Honkasalo and Marko Raina and Eriksson, {Johan G.}",
year = "2018",
month = "3",
doi = "10.1016/j.advms.2017.05.003",
language = "English",
volume = "63",
pages = "5--8",
journal = "Advances in Medical Sciences",
issn = "1896-1126",
publisher = "Elsevier B. V.",
number = "1",

}

Impact of intervention on metabolic outcomes among dropouts with type 2 diabetes. / Laine, Merja K.; Kauppila, Timo; Honkasalo, Mikko; Raina, Marko; Eriksson, Johan G.

julkaisussa: Advances in Medical Sciences, Vuosikerta 63, Nro 1, 03.2018, s. 5-8.

Tutkimustuotos: ArtikkelijulkaisuArtikkeliTieteellinenvertaisarvioitu

TY - JOUR

T1 - Impact of intervention on metabolic outcomes among dropouts with type 2 diabetes

AU - Laine, Merja K.

AU - Kauppila, Timo

AU - Honkasalo, Mikko

AU - Raina, Marko

AU - Eriksson, Johan G.

PY - 2018/3

Y1 - 2018/3

N2 - Purpose: The aim of this study was to evaluate the effect of an individual intervention given by health care professionals to dropouts with type 2 diabetes (T2D) on their metabolic profile.Materials/methods: In 2010, we identified 356 T2D dropouts in Vantaa Health Centre, Finland. At the baseline visit the participants' status was assessed including laboratory tests. Diabetes counseling was given, and drug treatment was enhanced when needed. The follow-up visit was performed 13 to 30 months later including the same assessments as performed at the baseline visit. The dropouts who attended the follow-up visit formed the study group. One third (n = 115) of the dropouts participated in the follow-up visit.Results: The study participants (mean age 61.4 years) were older than the non-participants (mean age 58.5 years) (p = 0.009). After the intervention the proportion of participants with hemoglobin A1c >= 9% (75 mmol/mol) decreased from 15.5% to 5.2% (p = 0.004). Improvements were also observed in general in hemoglobin A1c, from 6.6% (49 mmol/mol) to 6.3% (45 mmol/mol) (p = 0.001), in total cholesterol, from 4.9 mmol/l to 4.5 mmol/l (p = 0.011), in low-density lipoprotein cholesterol, from 2.9 mmol/l to 2.6 mmol/l (p = 0.015) and in diastolic blood pressure, from 90 mmHg to 84 mmHg (p = 0.001).Conclusions: Dropouts with T2D were difficult to bring back to the public health care system, especially men under the age of 60 years. Dropouts who participated in the intervention showed improvements in several metabolic outcomes. (c) 2017 Medical University of Bialystok. Published by Elsevier B.V. All rights reserved.

AB - Purpose: The aim of this study was to evaluate the effect of an individual intervention given by health care professionals to dropouts with type 2 diabetes (T2D) on their metabolic profile.Materials/methods: In 2010, we identified 356 T2D dropouts in Vantaa Health Centre, Finland. At the baseline visit the participants' status was assessed including laboratory tests. Diabetes counseling was given, and drug treatment was enhanced when needed. The follow-up visit was performed 13 to 30 months later including the same assessments as performed at the baseline visit. The dropouts who attended the follow-up visit formed the study group. One third (n = 115) of the dropouts participated in the follow-up visit.Results: The study participants (mean age 61.4 years) were older than the non-participants (mean age 58.5 years) (p = 0.009). After the intervention the proportion of participants with hemoglobin A1c >= 9% (75 mmol/mol) decreased from 15.5% to 5.2% (p = 0.004). Improvements were also observed in general in hemoglobin A1c, from 6.6% (49 mmol/mol) to 6.3% (45 mmol/mol) (p = 0.001), in total cholesterol, from 4.9 mmol/l to 4.5 mmol/l (p = 0.011), in low-density lipoprotein cholesterol, from 2.9 mmol/l to 2.6 mmol/l (p = 0.015) and in diastolic blood pressure, from 90 mmHg to 84 mmHg (p = 0.001).Conclusions: Dropouts with T2D were difficult to bring back to the public health care system, especially men under the age of 60 years. Dropouts who participated in the intervention showed improvements in several metabolic outcomes. (c) 2017 Medical University of Bialystok. Published by Elsevier B.V. All rights reserved.

KW - Type 2 diabetes

KW - Dropout

KW - Metabolic profile

KW - Primary health care

KW - MULTIFACTORIAL INTERVENTION

KW - CARE

KW - PREDICTORS

KW - DISEASE

KW - COHORT

KW - 3121 Internal medicine

U2 - 10.1016/j.advms.2017.05.003

DO - 10.1016/j.advms.2017.05.003

M3 - Article

VL - 63

SP - 5

EP - 8

JO - Advances in Medical Sciences

JF - Advances in Medical Sciences

SN - 1896-1126

IS - 1

ER -