Closing the Gap: Effect of Diabetes Case Management on Glycemic Control Among Low-Income Ethnic Minority Populations
disparities exist diabetes health status ethnic minority andor lowincome populations relative groups primary objective diabetes management improve glycemic control feasibility implementing intensive diabetes case management disparate populations remains largely untestedclinical sites three southern california counties serving lowincome ethnic minority populations participated study randomized 362 medicaid called medical california recipients type 2 diabetes least 1 year intervention diabetes case management control traditional primary care treatment groups fiftyfive percent participants minorities participants hba1c levels less 75 serious diabetesrelated complications serious medical conditions excluded assessed effect intervention ongoing diabetes case management added primary care glycemic control using serial hba1c measurements several yearsthe mean duration followup 253 months hba1c decreased substantially groups average 954766 reduction 188 intervention group average 966853 reduction 113 control group improvement sustained throughout study reduction hba1c consistently greater intervention group time point p 0001 ranging 065 6 months 087 study enddiabetes case management added primary care substantially improved glycemic control compared control group diabetes case management help reduce disparities diabetes health status among lowincome ethnic populations