Development of a Diabetes Prevention Management Program for Clinical Practice

Schwarz, Peter E. H.; Schwarz, Jaqueline; Schuppenies, Andrea; Bornstein, Stefan R.; Schulze, Jan

doi:10.1177/003335490712200216

Cited by 80 publications

(109 citation statements)

References 24 publications

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“…Parallel with globalization, pronounced changes in the human environment and in human behavior and lifestyle have resulted in escalating rates of diabetes (Schwarz et al, 2007). The recent statistics released by the World Health Organization (WHO) and the International Diabetes Federation (IDF) are alarming (Boutayeb et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

Risk Estimation of Type 2 Diabetes and Dietary Habits among Adult Saudi Non-diabetics in Central Saudi Arabia

Mohieldein¹,

Alzohairy²,

Hasan³

2011

GJHS

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Background: International Diabetes Federation ranked Saudi Arabia on third among the top 10 countries for prevalence of diabetes in 2010. Identifying people those are at increased risk for diabetes, followed by blood glucose testing to establish the diagnosis, and are considered to be an appropriate way of dealing with this problem. Objectives and methods: This cross-sectional study was conducted for the first time in Saudi Arabia to estimate the 10-years risk of developing type 2 diabetes using the Finnish Diabetes Risk Score and to investigate the dietary habits in such individuals among the Saudi non-diabetic population from July 2009 to March 2010. A total of 2007 Saudi citizens from all 11 provinces of Al-Qassim region were assessed using combined pre-piloted questionnaires. Statistical analysis was done utilizing SPSS version 13.0. Results: The gender ratio of the study participants was 1.6 male: 1.0 female. The mean (SD) age was 26.6 (10.2) years. The mean (SD) weight and height for males were 75.7 (19.6) kg and 169.4 (30.1) cm and for females were 64.4 (17.8) kg and 157.2 (10.4) respectively. Males had significantly higher body weight (kg), height (cm), and waist circumstance (cm) as compared to females (p <0.05). Our findings estimated that more than one-fourth of Saudi non-diabetics were found to be at moderate (one in six), high (one in three), and very high (one in two) risk to develop type 2 diabetes within 10 years. Majority of them were overweight and obese (36.8% and 60% respectively). More than ninety percent were found to have very limited physical activity with poor dietary habits. Conclusion: This study provides insight into progression and onset of type 2 diabetes in Saudi non-diabetic population within next 10 years using FINDRISC. The population at risk characterized by the sedentary activities, unhealthy dietary habits, obesity, and central obesity. Our findings suggest the need for urgent efforts to increase the level of physical activity, minimize sedentary lifestyle, and to improve the pattern of dietary habits especially among the population at risk in Saudi general population.

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Section: Introductionmentioning

confidence: 99%

Risk Estimation of Type 2 Diabetes and Dietary Habits among Adult Saudi Non-diabetics in Central Saudi Arabia

Mohieldein¹,

Alzohairy²,

Hasan³

2011

GJHS

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“…These barriers are ascribed to behavioral aspects of patients and health care providers (e.g., unawareness of guidelines) or may be system oriented (e.g., fragmentation of the care delivery system) (7,9,10). Implementing managed care structures with a strict focus on integrated care (11)(12)(13) may reduce these barriers (14) while keeping costs under control (15).…”

mentioning

confidence: 99%

Evaluation of a Diabetes Management System Based on Practice Guidelines, Integrated Care, and Continuous Quality Management in a Federal State of Germany

et al. 2008

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OBJECTIVE—The aim of this study was to evaluate the Saxon Diabetes Management Program (SDMP), which is based on integrated practice guidelines, shared care, and integrated quality management. The SDMP was implemented into diabetes contracts between health insurance providers, general practitioners (GPs), and diabetes specialized practitioners (DSPs) unified in the Saxon association of Statutory Health Insurance Physicians. RESEARCH DESIGN AND METHODS—The evaluation of the SDMP in Germany represents a real-world study by using clinical data collected from participating physicians. Between 2000 and 2002 all DSPs and about 75% of the GPs in Saxony participated. Finally, 291,771 patients were included in the SDMP. Cross-sectional data were evaluated at the beginning of 2000 (group A1) and at the end of 2002 (group A2). A subcohort of 105,204 patients was followed over a period of 3 years (group B). RESULTS—The statewide implementation of the SDMP resulted in a change in therapeutic practice and in better cooperation. The median A1C at the time of referral to DSPs decreased from 8.5 to 7.5%, and so did the overall mean. At the end, 78 and 61% of group B achieved the targets for A1C and blood pressure, respectively, recommended by the guidelines compared with 69 and 50% at baseline. Patients with poorly controlled diabetes benefited the most. Preexisting regional differences were aligned. CONCLUSIONS—Integrated care disease management with practicable integrated quality management including collaboration between GPs and specialist services is a significant innovation in chronic care management and an efficient way to improve diabetes care continuously.

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“…Within the German cohort, 365 unrelated subjects with T2D and 323 unrelated control individuals, confirmed to be nondiabetic, were enrolled in various centres in Saxony, Germany as described in Schwarz et al 7 Therefore, a total of six hundred and eighty-eight German Caucasian individuals were included.…”

Section: Methodsmentioning

confidence: 99%

Global meta-analysis of the C-11377G alteration in the ADIPOQ gene indicates the presence of population-specific effects: challenge for global health initiatives

et al. 2008

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Development of a Diabetes Prevention Management Program for Clinical Practice

Cited by 80 publications

References 24 publications

Risk Estimation of Type 2 Diabetes and Dietary Habits among Adult Saudi Non-diabetics in Central Saudi Arabia

Risk Estimation of Type 2 Diabetes and Dietary Habits among Adult Saudi Non-diabetics in Central Saudi Arabia

Evaluation of a Diabetes Management System Based on Practice Guidelines, Integrated Care, and Continuous Quality Management in a Federal State of Germany

Global meta-analysis of the C-11377G alteration in the ADIPOQ gene indicates the presence of population-specific effects: challenge for global health initiatives

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