Diabetes Education Linked to Comprehensive Clinical Care

Those receiving DSME more likely to have services like eye and foot checks, vaccinations, A1C testing
By Eric Metcalf
HealthDay Reporter

WEDNESDAY, March 17 (HealthDay News) -- People with diabetes who receive diabetes self-management education (DSME) have a higher likelihood of receiving more comprehensive diabetes clinical care, according to research published in the winter issue of Diabetes Spectrum.

Tammie M. Johnson and colleagues from the Florida Department of Health in Tallahassee analyzed data from the 2007 Florida Behavioral Risk Factor Surveillance System on 4,888 men and women with type 2 diabetes or probable type 1 diabetes of at least five years duration. The authors assessed whether subjects had received DSME, and then created a measurement of their comprehensive diabetes clinical care based on their history of dilated retinal exam, foot exam, A1C testing, flu and pneumococcal shots.

The researchers found that slightly more than half (51.5 percent) had received DSME. Those receiving DSME were more likely to have a high level of comprehensive care (51.4 percent versus 31.8 percent; odds ratio, 2.48). Other factors linked to having high-level comprehensive diabetes clinical management included having health insurance (odds ratio, 3.65) and being at least 65 years of age (odds ratio, 5.29).

"Disease self-management and glycemic (metabolic) control are the cornerstones of reducing the incidence of diabetes-related complications. Routine clinical care is necessary to monitor glycemic control and detect developing complications early, which provides the best means of complication mitigation. Despite the benefits of receiving DSME, only about half of Florida adults with diabetes received this service," the authors write.

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