Christopher D. Miller|Claire S. Barnes|Lawrence Phillips|David C. Ziemer|Daniel L. Gallina|Curtiss B. Cook|Sandra D. Maryman|Imad M. El?Kebbi
Rapid A1c Availability Improves Clinical Decision-Making in an Urban Primary Care Clinic
Emory University|Emory University|Emory University|Emory University|Emory University|Emory University|Emory University|Emory University
failure meet goals glycemic control primary care settings may due part lack information critical guide intensification therapy objective determine whether rapidturnaround a1c availability would improve intensification diabetes therapy reduce a1c levels patients type 2 diabetesin prospective controlled trial a1c determined capillary glucose samples made available providers either rapid routine patient visit frequency intensification pharmacological diabetes therapy inadequately controlled patients a1c levels assessed baseline followupwe recruited 597 subjects patients 79 female 96 african american average age 61 years duration diabetes 10 years bmi 33 kgm2 a1c 85 rapid routine groups similar clinical demographics rapid a1c availability resulted frequent intensification therapy a1c 70 baseline visit 51 vs 32 patients p 001 particularly a1c 80 andor random glucose 84144 mmoll range 151250 mgdl 275 patients two followup visits a1c fell significantly rapid group 84 81 p 004 routine group 81 80 p 031availability rapid a1c measurements increased frequency intensification therapy lowered a1c levels patients type 2 diabetes urban neighborhood health center