Does patient education improve patient outcomes in diabetes care?
The addition of patient education to these interventions and the enhancement of the role of nurses in diabetes care led to improvements in patient outcomes and the process of care. Diabetes is a major and growing health care problem.
Are interventions to improve medication adherence among patients with diabetes effective?
This paper describes interventions that were not only effective in improving medication adherence among patients with diabetes, but were also potentially scalable (ie, easy to implement to a large population). We identify key characteristics that make these interventions effective and scalable.
Do patients with diabetes comply with diabetes clinical practice recommendations?
However, empirical data suggest that compliance with diabetes clinical practice recommendations is inadequate in primary care ( 12, 13, 14) and that a large proportion of patients with diabetes remain at high risk ( 15, 16 ).
How can we improve the quality of diabetes care?
Additional strategies to improve diabetes care include reimbursement structures that, in contrast to visit-based billing, reward the provision of appropriate and high-quality care ( 33 ), and incentives that accommodate personalized care goals ( 6, 34 ).
What are the advancements in the treatments of diabetes?
So far, they are exploring at least five different approaches:Regeneration of existing beta cells.Regeneration of beta cells using stem cells.“Reprogramming” beta cells with differentiated cell types.Replacing beta cells with cells from nonhuman donors.Replacing beta cells with cells from deceased donors.
What are the 3 treatment targets diabetes?
Reducing variation in the achievement of the three NICE recommended treatment targets (HbA1c (blood sugar), cholesterol and blood pressure) for adults and one treatment target (HbA1c) for children. Expanding provision of structured education (including digital options) to better support patient self-management.
What are the positive effects of diabetes?
So how about some positives:It won't even make you feel ill much of the time.It won't stop you doing anything.You can eat whatever you want.You can refuse food you don't want and blame diabetes – nobody will dare argue.You'll get free prescriptions for life.You'll get regular health checks for life.More items...
How can you improve the quality of care for diabetes?
Changes that have been shown to increase quality of diabetes care include basing care on evidence-based guidelines (18); expanding the role of teams to implement more intensive disease management strategies (6,21,25); redesigning the care process (26); implementing electronic health record tools (27,28); activating and ...
Why is the management of diabetes so important?
Diabetes is a serious medical condition that can cause you to become fatigued, feel extreme hunger, and experience other more serious problems over time. If you do not manage this disease, you could develop more serious complications like vision problems, dementia, and kidney issues.
How do you manage diabetes in reducing potential complications?
Make a commitment to managing your diabetes Make healthy eating and physical activity part of your daily routine. Maintain a healthy weight. Monitor your blood sugar, and follow your health care provider's instructions for managing your blood sugar level. Take your medications as directed by your health care provider.
What are the benefits of lowering blood sugar levels?
That's because treatments to reduce blood sugar levels have been linked to a number of health benefits, such as weight loss and reductions in blood pressure and cholesterol levels. Some have also been shown to reduce risk for heart attack, stroke and heart-related death.
What is the most common complication of diabetes?
Diabetes Complications Are RelatedHeart disease and stroke: People with diabetes are two times more likely to have heart disease or a stroke as people without diabetes.Blindness and other eye problems: ... Kidney disease: High blood sugar levels can damage the kidneys and cause chronic kidney disease (CKD).More items...
Which of the following are the most effective in achieving blood sugar checks?
Some meters allow you to test in various spots on the body, but the fingertip is still the most accurate.
How can a nurse support a patient with diabetes?
These roles are vital to help patients:Identify their risk factors.Identify if they have diabetes or prediabetes.Work through the emotional and physical response to a diagnosis.Identify resources in their community.Manage their disease throughout all stages of life to minimize nerve damage and other symptoms.
What are the components of a successful diabetes care team?
Besides you, diabetes care team members will usually include a diabetes care provider, which may be a physician, nurse-practitioner, and/or a physician's assistant; your diabetes educators, such as a registered nurse, a registered dietitian, and/or a registered pharmacist; and, in many cases, a mental health ...
What changes could be made to the patient's lifestyle to improve their hba1c?
Losing weight gradually to achieve a healthy body mass index. Replacing refined carbohydrates with wholegrain foods and increase intake of vegetables and other foods high in dietary fibre. Reducing the amount of saturated fat in the diet....Dietary changesVegetables.Fruits.Beans and.Lentils.
Diabetes Care Concepts
In the following sections, different components of the clinical management of patients with (or at risk for) diabetes are reviewed. Clinical practice guidelines are key to improving population health; however, for optimal outcomes, diabetes care must be individualized for each patient.
Care Delivery Systems
There has been steady improvement in the proportion of patients with diabetes treated with statins and achieving recommended levels of A1C, blood pressure, and LDL cholesterol in the last 10 years ( 2 ).
When Treatment Goals are not Met
In general, providers should seek evidence-based approaches that improve the clinical outcomes and quality of life of patients with diabetes. Recent reviews of quality improvement strategies in diabetes care ( 24, 35, 36) have not identified a particular approach that is more effective than others.
Tailoring Treatment to Vulnerable Populations
The causes of health disparities are complex and include societal issues such as institutional racism, discrimination, socioeconomic status, poor access to health care, and lack of health insurance. Disparities are particularly well documented for cardiovascular disease.
Scope of the Problem
It has been generally acknowledged for years that nonadherence rates for chronic illness regimens and for lifestyle changes are ∼50%. 1 As a group,patients with diabetes are especially prone to substantial regimen adherence problems.
Factors Related to Adherence
To improve patient adherence, it is important to understand why nonadherence occurs. A substantial literature has documented a number of factors related to diabetes regimen adherence problems.
Compliance and Adherence
Most health care providers use the term “compliance” instead of“adherence,” although these concepts are quite different. Compliance has been defined as “the extent to which a person's behavior coincides with medical advice.” 1 Noncompliance then essentially means that patients disobey the advice of their health care providers.
Collaborative Care Model for Chronic Illness
In the care of acute health conditions, provider-directed,compliance-oriented care may be very helpful. However, for treatment of chronic illnesses such as diabetes, there are clear limitations to compliance-or adherence-oriented approaches.
Improving Patient Self-Care Behaviors
Ironically, to improve diabetic patients' compliance or adherence, health care professionals should first abandon the concept of trying to get their patients to comply or adhere better.
Summary
Compliance or adherence problems are common in diabetes management. Many factors are potentially related to these problems, including demographic,psychological, social, health care provider and medical system, and disease-and treatment-related factors.
RESEARCH DESIGN AND METHODS
This review was conducted within the Effective Practice and Organization of Care (EPOC) review group of the Cochrane Collaboration ( 17 ).
CONCLUSIONS
This review was performed to identify effective intervention strategies to improve the management of patients with diabetes in primary care, outpatient, and community settings.
Article Information
This study was funded by Grant 940-20-096 from the Dutch Organization for Scientific Research (NWO) Quality and Care Program.
How does lifestyle change affect prediabetes?
Lifestyle changes are hard to make and can be even harder to sustain, but evidence-based lifestyle intervention programs and strategies are available and have been shown to enable people with prediabetes to lose weight and cut their risk of developing type 2 diabetes in half. Patients who are ready to attend such a program will benefit ...
How does self-efficacy help patients?
It helps patients to understand and weigh the benefits of action and disadvantages of the status quo, while expressing optimism toward the potential for success and support for intentions to act. The result is to promote goal setting and action by building self-efficacy (i.e., confidence) for successful behavior change.
Why do health care teams need to use different communication skills?
Health care teams may need to use different communication skills in order to support patients getting started with their behavior change efforts and help them persist when they face barriers and challenges.