Distinct HbA1c trajectories in a type 2 diabetes cohort

Walraven, Iris; Mast, Mareike; Hoekstra, Trynke; Jansen, A.P.D.; Heijden, Amber A. W. A. van der; Rauh, Simone P.; Rutters, Femke; Riet, Esther van ’t; Elders, Petra; Moll, Annette C.; Polak, B.C.P.; Dekker, Joost; Nijpels, Giel

doi:10.1007/s00592-014-0633-8

Cited by 53 publications

(60 citation statements)

References 30 publications

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“…It has been suggested that duration of diabetes, diabetic retinopathy [18], and treatment of diabetes (with or without insulin) [19] are related to HbA1c levels, and a relationship with self-efficacy has also been reported [20], [21]. However, in this study, there was no statistical relationship between HbA1c levels 12 weeks after discharge and the total self-efficacy score.…”

Section: Characteristiccontrasting

confidence: 62%

Decrease in Self-Efficacy for Exercise at 12 Weeks after Exercise Education in Diabetic Patients

Matsui¹,

Washida²,

Shoji³

et al. 2017

Health

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The purpose of this study was to investigate whether self-efficacy for exercise decreased 12 weeks after educational intervention in diabetic patients and whether this had an effect on glycemic control. Thirty-eight diabetic patients underwent a 2-week educational program and were then followed for 12 weeks after discharge. The intervention program was delivered by several types of medical professionals. Lectures on exercise were given by a physical therapist, who tailored exercise instructions for individual patients. The assessment of self-efficacy for exercise was performed using a scale from a previous study, modified for Japanese people. The scale consisted of four sub-items: physical fatigue, mental stress, lack of time, and poor weather. Measurements were performed at the time of discharge and 12 weeks after discharge. Glycated hemoglobin (HbA1c) levels were assessed as an index of glycemic control, and diabetic status and social status factors were recorded. The physical fatigue and lack of time components of the self-efficacy for exercise scale were significantly decreased 12 weeks after discharge. Positive correlations were found between HbA1c levels at 12 weeks and duration of diabetes, number of educational admissions, and presence of diabetic retinopathy. The results suggest that the factors that are difficult to reproduce during hospital education (physical fatigue and lack of time) are the ones that decrease after discharge. To clarify the relationship between changes in self-efficacy for exercise and glycemic control, further studies with an extended follow-up period (24 weeks or 48 weeks) are needed.

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Section: Characteristiccontrasting

confidence: 62%

Decrease in Self-Efficacy for Exercise at 12 Weeks after Exercise Education in Diabetic Patients

Matsui¹,

Washida²,

Shoji³

et al. 2017

Health

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show abstract

“…An observational cohort study was performed with data from the DCS West-Friesland, described in detail elsewhere [17,18]. Briefly, the DCS organizes managed diabetes care in the region of West-Friesland in the Netherlands, a region with about 200 000 inhabitants, representative for a white population.…”

Section: Methodsmentioning

confidence: 99%

“…Results of the annual DCS visits and protocol driven therapeutic advices are provided to the patient's GP. The DCS maintains anonymous computer records and patients are informed on the use of these records for research purposes [17].…”

Section: Methodsmentioning

confidence: 99%

Real-world evidence of suboptimal blood pressure control in patients with type 2 diabetes

Walraven¹,

Mast²,

Hoekstra³

et al. 2015

Journal of Hypertension

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“…A prospective, observational study was performed using data from the Diabetes Care System in the period between 1998 and 2012, described in detail elsewhere (13,14). In short, the Diabetes Care System provides diabetes care in the region of West Friesland in The Netherlands, a region with about 200 000 inhabitants that is representative of a Western European population (15).…”

Section: Study Populationmentioning

confidence: 99%

Time to insulin initiation and long-term effects of initiating insulin in people with type 2 diabetes mellitus: the Hoorn Diabetes Care System Cohort Study

Mast

Jansen

Walraven

et al. 2016

European Journal of Endocrinology

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Objective: The aim of this study was to assess the time to insulin initiation in type 2 diabetes mellitus (T2DM) patients treated with oral glucose-lowering agents and to determine the baseline characteristics associated with time to insulin initiation. This was evaluated in T2DM patients with HbA1c levels consistently R7.0% during total follow up and in those with fluctuating HbA1c levels around 7.0%. Design and methods: Prospective, observational study was performed, comprising 2418 persons with T2DM aged R40 years who entered the Diabetes Care System between 1998 and 2012 with a minimum follow up of at least 3 years, following the first HbA1c level R7.0%. Cox regression analyses were performed to assess the determinants of time to insulin initiation. Data related to long-term effects of insulin initiation were studied at baseline and at the end of follow up using descriptive summary statistics. Results: Two-thirds of the patients initiated insulin during follow up. The time to insulin varied from 1.2 years (range 0.3-3.1) in patients with HbA1c levels consistently R7.0% to 5.4 years (range 3.0-7.5) in patients with fluctuating HbA1c levels around 7.0%. Longer diabetes duration (hazard ratio (HR) 1.04 95% CI 1.03-1.05) and lower age (HR 1.00 95% CI 0.99-1.00) at baseline were associated with a shorter time to initiation. More insulin initiators had retinopathy compared with patients that remained on oral glucose-lowering agents during follow up. Conclusion: The time to insulin initiation was short, and most of the patients with HbA1c levels consistently R7.0% were initiating insulin. Longer diabetes duration and younger age shortened the time to insulin.

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Distinct HbA1c trajectories in a type 2 diabetes cohort

Cited by 53 publications

References 30 publications

Decrease in Self-Efficacy for Exercise at 12 Weeks after Exercise Education in Diabetic Patients

Decrease in Self-Efficacy for Exercise at 12 Weeks after Exercise Education in Diabetic Patients

Real-world evidence of suboptimal blood pressure control in patients with type 2 diabetes

Time to insulin initiation and long-term effects of initiating insulin in people with type 2 diabetes mellitus: the Hoorn Diabetes Care System Cohort Study

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