Effect of follow-up by a hospital diabetes care team on diabetes control at one year after discharge from the hospital

Garg, Rajesh; Hurwitz, Shelley; Rein, Raquel; Schuman, Brooke; Underwood, Patricia; Bhandari, Shreya

doi:10.1016/j.diabres.2017.08.014

Cited by 11 publications

(7 citation statements)

References 22 publications

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“…This finding is similar to that of other studies 21,22 . In patients with diabetes, exercise has well known beneficial effects on glycaemic control and cardiovascular disease 23–26 . Recent studies of long‐term interventions involving supervised exercise programmes reported the beneficial effects of exercise on diabetes control and risk factors for cardiovascular disease 25,27,28 .…”

Section: Discussionsupporting

confidence: 89%

“…21,22 In patients with diabetes, exercise has well known beneficial effects on glycaemic control and cardiovascular disease. [23][24][25][26] Recent studies of longterm interventions involving supervised exercise programmes reported the beneficial effects of exercise on diabetes control and risk factors for cardiovascular disease. 25,27,28 Hence, a more intensive and long-term intervention is required to improve exercise management among patients with diabetes.…”

Section: Discussionmentioning

confidence: 99%

“…[23][24][25][26] Recent studies of longterm interventions involving supervised exercise programmes reported the beneficial effects of exercise on diabetes control and risk factors for cardiovascular disease. 25,27,28 Hence, a more intensive and long-term intervention is required to improve exercise management among patients with diabetes. On the contrary, both groups in this study exhibited improvements in diet, blood glucose testing and foot care.…”

Section: Discussionmentioning

confidence: 99%

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Clinical efficacy and plausibility of a smartphone‐based integrated online real‐time diabetes care system via glucose and diet data management: a pilot study

Park

Jeon

et al. 2020

Internal Medicine Journal

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Background: Smartphones have become novel healthcare tools for patients with diabetes. However, it is uncertain whether the smartphone application support system helps in glycaemic control in patients with type 2 diabetes. Aims: To evaluate the efficacy and plausibility of smartphone-based integrated online real-time diabetes care. Methods: Forty patients with type 2 diabetes were randomly assigned to the smartphone-based care (SC) (n = 20) and conventional care (CC) (n = 20) groups for 12 weeks. The SC group was instructed to use smartphone application (Noom Coach) and a glucose meter, and was provided medical supervision based on blood glucose level and food intake information sent to the central database server. The efficacy was evaluated by glycated haemoglobin (A1C ≤ 6.5%). The Summary of Diabetes Self-Care Activities (SDSCA) questionnaire was collected at baseline and at week 12. Results: Seventeen and 18 patients of the SC and CC groups completed the study respectively. In the SC group, more patients achieved target A1C compared with the CC group (47.1% vs 11.1%, P = 0.019). In both group, SDSCA scores excluding the exercise item showed overall improvement (general diet, 1.4 AE 2.0 ! 2.6 AE 2.3 vs 0.4

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Clinical efficacy and plausibility of a smartphone‐based integrated online real‐time diabetes care system via glucose and diet data management: a pilot study

Park

Jeon

et al. 2020

Internal Medicine Journal

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“…However, none precisely assess the impact of home care on the metabolic profile of diabetic patients who have undergone surgery. [ 4 6 7 8 ]…”

Section: Introductionmentioning

confidence: 99%

The Effect of Home Care on Metabolic Profile and Blood Pressure in Type 2 Diabetic Patients who Underwent General Surgeries

Abazari,

Heidapour,

Kabirzadeh

et al. 2023

Int J Prev Med

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Background: The stress of surgery itself results in metabolic disturbance. Few studies have mentioned how to manage the metabolic profile of diabetic patients after discharge from the hospital. The present study aimed to determine the effect of home care on metabolic profile and blood pressure in type 2 diabetic patients who underwent general surgeries. Methods: Seventy type 2 diabetic patients who were undergoing surgery were assigned to the intervention and control groups via blocking order. The intervention group received a 3-month home care with an interprofessional team approach. The levels of fasting blood glucose, glycosylated hemoglobin (HbA1c), total cholesterol, triglycerides, high-density lipoprotein cholesterol (HDL-c), low-density lipoprotein cholesterols, systolic blood pressure, and diastolic blood pressure were measured before and three months after the intervention in both groups. In the control group, only routine care was performed in the postsurgery period. Data were entered in SPSS software version 23 and were analyzed. Results: There were no significant differences between the intervention and control groups for background characteristics. Systolic blood pressure ( P < .001), diastolic blood pressure ( P = 0.005), lipid profile ( P = 0.001) [except for triglycerides level], fasting blood glucose ( P = .001), and HbA1c ( P = .003) decreased significantly in the intervention group. After controlling baseline data by applying analysis of covariance, a significant increase in HDL-c ( P = .032) was seen. Also, the difference between the mean percentage of variations in HbA1c levels between intervention and control groups was significant. Conclusions: Our study showed improvement in HbA1c and HDL-c levels with home care programs in patients with diabetes who underwent general surgeries. More studies with longer follow-ups are necessarily addressing the effects of home care on other metabolic parameters in these patients.

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“…[ 14 ] Numerous studies conducted in different countries in the form of clinical trial studies, systematic review, retrospective cohorts, or descriptive point to the benefits of home care in relation to various diseases, including diabetes, but none of these studies specifically assess the impact of home care on the readmission of diabetic patients who have undergone surgery. [ 15 16 17 18 ] The aim of this study was to determine the effect of home care on the readmission rate of patients with diabetes who have undergone surgery and are being discharged from the hospital.…”

Section: Introductionmentioning

confidence: 99%

The effect of home care on readmission and mortality rate in patients with diabetes who underwent general surgeries

Faridani

Abazari

Heidarpour

et al. 2021

Journal of Education and Health Promotion

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BACKGROUND: More than one-half of people with diabetes need at least one surgery in their lifespan. Few studies have addressed how to manage the needs of these patients after discharge from the hospital. The present study is designed to determine the effect of home care on readmission of Type 2 diabetic patients who underwent surgical procedures. MATERIALS AND METHODS: The present study was a randomized clinical trial. Sixty-nine patients with Type 2 diabetes undergoing surgery were assigned to the intervention and control groups via blocking order in the selected educational hospitals of Isfahan 2019. Home care was performed for 3 months with interprofessional team approach. Data collection tools were re-admission checklist. Data were entered in SPSS software version 23 and were analyzed by nonparametric tests. RESULTS: The background characteristics in the intervention and control groups were not different. The frequency of readmission in the control and intervention groups from the time of discharge until 3 months later was 25.7% and 18.9%, respectively. Frequency of readmission in the intervention and control groups was not significant in 3 months from discharge, P > 0.05. The mortality rate was 11.4% and 0% in control and intervention groups, respectively, P < 0.05. CONCLUSION: It can be argued that continued home care can decrease the rate of readmission and mortality rate in patients with Type 2 diabetes who will discharge from surgical wards.

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Effect of follow-up by a hospital diabetes care team on diabetes control at one year after discharge from the hospital

Cited by 11 publications

References 22 publications

Clinical efficacy and plausibility of a smartphone‐based integrated online real‐time diabetes care system via glucose and diet data management: a pilot study

Clinical efficacy and plausibility of a smartphone‐based integrated online real‐time diabetes care system via glucose and diet data management: a pilot study

The Effect of Home Care on Metabolic Profile and Blood Pressure in Type 2 Diabetic Patients who Underwent General Surgeries

The effect of home care on readmission and mortality rate in patients with diabetes who underwent general surgeries

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