Key result
Integrated management by specialists, GPs, and community nurses achieved similar glucose control to specialist management alone, while significantly lowering triglyceride levels (P<0.05).
Why the study?
Does an integrated management model improve glucose and lipid control compared to specialist management alone in patients with type 2 diabetes?
Does an integrated management model improve glucose and lipid control compared to specialist management alone in patients with type 2 diabetes?
p-value: p=<0.05
An integrated management model involving specialists, GPs, and nurses achieves similar glucose control but better triglyceride reduction compared to specialist management alone in primary care.
Supports integrated care for triglyceride lowering in diabetes; hypothesis-generating and requires randomized confirmation before practice change.
A total of 115 patients with type 2 diabetes recruited from Quanzijie Township Health Service Center were divided into integrated management group (n=54) and specialist management group (n=61). Patients in integrated management group were managed by specialists, general practitioners (GPs) and community nurses jointly; while patients in specialist management group were managed by specialists only. Subjects were followed up every 4 weeks for 24 weeks. Total 366 person/time diabetes education courses were given to subjects in integrated management group during the intervention. After intervention, the fasting glucose, 2 h postprandial glucose and glycosylated hemoglobin were decreased significantly in both groups (P<0.05), while the triglyceride level in the integrated management group was significantly lower than that in the specialist management group (P<0.05). In conclusion, patients with type 2 diabetes managed by integrated mode can achieve similar glucose control effect as specialist management mode in primary care settings and their triglyceride level can be also significantly decreased.
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Huang et al. (2020) studied Type 2 diabetes (n=115). Integrated management by specialists, general practitioners, and community nurses vs. Specialist management only was evaluated on Fasting glucose, 2 h postprandial glucose, glycosylated hemoglobin, and triglyceride level (p=<0.05). Integrated management by specialists, GPs, and community nurses achieved similar glucose control to specialist management alone, while significantly lowering triglyceride levels (P<0.05).
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