Marina Trento|P. Passera|M. Tomalino|M. Bajardi|Fulvio Pomero|Attilio Allione|P. Vaccari|G. M. Molinatti|Massimo Porta
Group Visits Improve Metabolic Control in Type 2 Diabetes
University of Turin|University of Turin|University of Turin|University of Turin|University of Turin|University of Turin|University of Turin|University of Turin|University of Turin
evaluate whether group visits delivered routine diabetes care structured according systemic education approach effective individual consultations improving metabolic control noninsulintreated type 2 diabetesin randomized controlled clinical trial 112 patients 56 patients allocated groups 9 10 individuals participated group consultations 56 patients considered control subjects underwent individual visits plus support education visits scheduled every 3 monthsafter 2 years hba1c levels lower patients seen groups control subjects p 0002 levels hdl cholesterol increased patients seen groups increased control subjects p 0045 bmi p 006 fasting triglyceride level p 0053 lower patients participating group visits improved knowledge diabetes p 0001 quality life p 0001 experienced appropriate health behaviors p 0001 physicians spent less time seeing 910 patients group rather individually patients longer interaction health care providersgroup consultations may improve metabolic control medium term inducing appropriate health behaviors feasible everyday clinical practice without increasing working hours