The Economic Burden Of Diabetes

Dall, Timothy M.; Zhang, Yiduo; Chen, Yaozhu J.; Quick, William W.; Yang, Wenya; Fogli, Jeanene

doi:10.1377/hlthaff.2009.0155

Cited by 256 publications

(189 citation statements)

References 20 publications

Supporting

Mentioning

186

Contrasting

Unclassified

Order By: Relevance

“…Approximately 215,000 U.S. children below the age of 20 years have diabetes (Centers for Disease Control, 2011) with estimates that 80% of pediatric cases are children with type 1 diabetes (Dall et al, 2010;Liese et al, 2006).…”

Section: Background and Significancementioning

confidence: 99%

“…Medical expenses for patients with diabetes are more than 2 times higher than for patients without diabetes with the annual cost of type 1 diabetes estimated at $14.9 billion dollars (Dall et al, 2010). The economic burden per case for type 1 diabetes is higher than for patients with type 2 diabetes; pediatric diabetes-related costs average $4,730 per person-year (Ying et al, 2010) rising to an average of $14,856 in adulthood because of diabetes complications (Dall et al, 2010).…”

Section: Currently 1 In 400 Children and Adolescents Live With Diabetmentioning

confidence: 99%

“…The economic burden per case for type 1 diabetes is higher than for patients with type 2 diabetes; pediatric diabetes-related costs average $4,730 per person-year (Ying et al, 2010) rising to an average of $14,856 in adulthood because of diabetes complications (Dall et al, 2010). Effective communication remains a challenge to teach parents to manage their child's diabetes at near normal blood glucose levels to reduce the risk of micro-and macrovascular complications and the associated rise in cost (ADA, 2010;Nathan et al, 2005).…”

Section: Currently 1 In 400 Children and Adolescents Live With Diabetmentioning

confidence: 99%

See 2 more Smart Citations

Parent Health Literacy and Communication With Diabetes Educators in a Pediatric Diabetes Clinic: A Mixed Methods Approach

Howe

Cipher

LeFlore

et al. 2015

Journal of Health Communication

View full text Add to dashboard Cite

Section: Background and Significancementioning

confidence: 99%

Section: Currently 1 In 400 Children and Adolescents Live With Diabetmentioning

confidence: 99%

Section: Currently 1 In 400 Children and Adolescents Live With Diabetmentioning

confidence: 99%

See 1 more Smart Citation

Parent Health Literacy and Communication With Diabetes Educators in a Pediatric Diabetes Clinic: A Mixed Methods Approach

Howe

Cipher

LeFlore

et al. 2015

Journal of Health Communication

View full text Add to dashboard Cite

“…2 The prevalence of diabetes in rural communities is approximately 17% higher than in urban areas, with diabetes being the third highest-ranking rural health concern after heart disease and stroke. 3 Type 2 diabetes accounts for 90-95% of all cases of diabetes and is the most common type of diabetes in rural communities.…”

mentioning

confidence: 99%

Sustained Effects of a Nurse Coaching Intervention via Telehealth to Improve Health Behavior Change in Diabetes

Young

Miyamoto

Ward

et al. 2014

Telemedicine and e-Health

View full text Add to dashboard Cite

Background: Diabetes educators and self-management programs are scarce in rural communities, where diabetes is the third highestranking health concern. The goal of this study was to evaluate the benefits of nurse telehealth coaching for persons with diabetes living in rural communities through a person-centered approach using motivational interviewing (MI) techniques. Materials and Methods: A randomized experimental study design was used to assign participants to receive either nurse telehealth coaching for five sessions (intervention group) or usual care (control group). Outcomes were measured in both groups using the Diabetes Empowerment Scale (DES), SF-12, and satisfaction surveys. Mean scores for each outcome were compared at baseline and at the 9-month follow-up for both groups using a Student's t test. We also evaluated the change from baseline by estimating the difference in differences (pre-and postintervention) using regression methods. Results: Among the 101 participants included in the analysis, 51 received nurse telehealth coaching, and 50 received usual care. We found significantly higher self-efficacy scores in the intervention group compared with the control group based on the DES at 9 months (4.03 versus 3.64, respectively; p < 0.05) and the difference in difference estimation (0.42; p < 0.05). Conclusions: The nurse MI/telehealth coaching model used in this study shows promise as an effective intervention for diabetes self-management in rural communities. The sustained effect on outcomes observed in the intervention group suggests that this model could be a feasible intervention for long-term behavioral change among persons living with chronic disease in rural communities.

show abstract

“…Healthy People 2020 established 16 objectives to reduce the disease and economic burden of diabetes mellitus and improve quality of life for all people who have, or are at risk for, DM [4,5]. One objective is to increase the number of patients participating in DSME.…”

Section: Expected Outcomesmentioning

confidence: 99%

Diabetes Self-Management Education (DSME) program for glycemic control

Peros¹,

James²,

Nolan³

et al. 2016

Integr Obesity Diabetes

View full text Add to dashboard Cite

Purpose: The purpose of this quality improvement project was to implement and evaluate the impact of Diabetes Self-Management Education (DSME) program with type 2 diabetes mellitus (DM) patients. The goals were to improve glycosylated hemoglobin (A1C) and improve patient satisfaction.Methods: A quality improvement project using the Iowa model was implemented in a primary care setting in Southern California to provide DSME program for adults with type 2 diabetes. A nurse practitioner conducted three DSME group sessions, which were done for 90 minutes per session in a 4-month period. The American Association of Diabetes Educators (AADE) 7 self-care behavior guidelines were used to develop the DSME program. Five patients with type 2 DM participated in the program. Patient satisfaction and A1C levels were collected at baseline and after the completion of the program. Results:The average AIC for patients at the initiation of DSME was 9%. After the completion of DSME program, the mean change in A1C was 1.44%, and the range change was 1% to 1.8%. Twenty percent of total participants met the objective of decreased A1C level below 7%. Five patients, (100%), had 10% decrease in their A1C levels after completing the program and scored highly satisfied" with the DSME program. Conclusion:As the prevalence and incidence of diabetes increase, a coordinated model of care can meet the growing demand for access and utilization of DSME programs. Health care providers in primary care settings can replicate DSME programs focusing on chronic conditions to improve outcomes.

show abstract

The Economic Burden Of Diabetes

Cited by 256 publications

References 20 publications

Parent Health Literacy and Communication With Diabetes Educators in a Pediatric Diabetes Clinic: A Mixed Methods Approach

Parent Health Literacy and Communication With Diabetes Educators in a Pediatric Diabetes Clinic: A Mixed Methods Approach

Sustained Effects of a Nurse Coaching Intervention via Telehealth to Improve Health Behavior Change in Diabetes

Diabetes Self-Management Education (DSME) program for glycemic control

Contact Info

Product

Resources

About