Kaitlin Strauss|Charles D. MacLean|Austin Troy|Benjamin Littenberg
Driving distance as a barrier to glycemic control in diabetes
University of Vermont|University of Vermont|University of Vermont|University of Vermont
despite advances treatment diabetes many barriers good glycemic control remainto determine relationship glycemic control driving distance home site primary carecrosssectional analysis data vermont diabetes information systemninehundred seventythree adults diabetes primary care mean age 649 years 57 female 184 used insulinhemoglobin a1c shortest driving distance patients home site primary care calculated geographic software selfreported gender age education income marital status race insurance coverage diabetic complications use insulin oral hypoglycemic agentscontrolling social demographic seasonal treatment variables positive significant relationship glycemic control driving distance beta00710 km p001 95 confidence interval ci003 011 driving distance stronger association glycemic control among insulin users beta02210 km p016 95 ci004 040 among noninsulin users beta00610 km p006 95 ci002 010longer driving distances home site primary care associated poorer glycemic control population older rural subjects mechanism effect known providers aware potential barrier good glycemic control