Patient Markers of Successful Diabetes Management.
Publication/Presentation Date
8-1-2021
Abstract
PURPOSE: For individuals with diabetes, diabetes health status may not align with A1C targets. Patients may use nonclinical targets when assessing their diabetes management success. Identifying these targets is important in developing patient-centered management plans. The purpose of this study was to identify patient markers of successful diabetes management among patients in an urban academic health system.
METHODS: A secondary analysis of semistructured interviews was completed with 89 adults with type 1 or type 2 diabetes. Participants had a recent diabetes-related emergency department (ED) visits or hospitalization or were primary care patients with an A1C >7.5%. Interviews were conducted to saturation. Demographic data were collected via self-report and electronic medical records. Interviews were analyzed using conventional content analysis. This analysis focused on patient perceptions of successful management coded to "measuring management success."
RESULTS: Although most participants cited A1C or blood glucose as a marker of successful diabetes management, they had varied understanding of these metrics. Most used a combination of targets from the following categories:
CONCLUSION: Individuals not meeting glycemic goals and/or with recent diabetes-related ED visits or hospitalizations had varied understanding of A1C and blood glucose targets. They use multiple additional markers of successful management and had a desire for management discussions that incorporate these markers. These measures should be incorporated into their care plans along with clinical targets.
Volume
34
Issue
3
First Page
275
Last Page
282
ISSN
1040-9165
Published In/Presented At
Cunningham, A. T., Arefi, P., Gentsch, A. T., Mills, G. D., LaNoue, M. D., Doty, A. M. B., Carr, B. G., Hollander, J. E., & Rising, K. L. (2021). Patient Markers of Successful Diabetes Management. Diabetes spectrum : a publication of the American Diabetes Association, 34(3), 275–282. https://doi.org/10.2337/ds20-0099
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
34511854
Department(s)
Administration and Leadership
Document Type
Article