The 14-week Diabetes Boot Camp program significantly reduced mean A1C from 10.7 to 7.4 (mean improvement 3.35; P<0.0001) across all strata of social determinants of health.
Cohort (n=844)
Does a 14-week telehealth Diabetes Care Management program improve A1C across different social determinants of health in patients with A1C >8.0?
A 14-week telehealth diabetes care management program significantly reduced A1C across various social determinants of health, suggesting it can help overcome baseline health disparities.
Mean Difference: 3.35
Absolute Event Rate: 7.4% vs 10.7%
p-value: p=< 0.0001
Introduction and Objective: The Diabetes Boot Camp (DBC) is a 14-week Diabetes Care Management (DCM) program that incorporates intensive education and medication management and has been shown to improve A1C in T2D. Guidelines recommend assessment of A1C stratified by social determinants of health (SDOH). To determine whether DCM outcomes vary by SDOH, we assessed the impact of DBC across traditional SDOH and the Area Deprivation Index (ADI), a validated measure of relative socioeconomic conditions of neighborhoods. Methods: We carried out a retrospective cohort study on consecutive patients referred by their PCP for A1C8.0 (enrolled 7/2019 to 8/2025) with a follow up A1C. Our primary outcome was before/after change in A1C. Our independent variables consisted of ADI, age, gender, race/ethnicity, and insurance status. Results: Among 844 participants, mean baseline A1C was 10.7; mean post-DBC A1C was 7.4 (p value 0.0001 for A1C improvement of 3.35). SDOH were not associated with differential reduction in A1C except for Age and Medicare. Conclusion: The DBC significantly reduced A1C across all strata of SDOH measures including ADI. The attenuated impact on patients with Medicare was likely due to less aggressive A1C targets in older adults. Patient-centered DCM which incorporates optimized telehealth support can overcome diabetes health disparities present at baseline. Disclosure A.R. Montero: None. F. Alghzawi: None. P.K. Patel: None. J. Pujol: None. G.A. Youssef: None. C. Nassar: None. M. Mongraw-Chaffin: None. P.A. Sack: None.
MONTERO et al. (Fri,) conducted a cohort in Type 2 Diabetes (n=844). Diabetes Boot Camp (DBC) vs. Baseline (before/after comparison) was evaluated on before/after change in A1C (MD 3.35, p=< 0.0001). The 14-week Diabetes Boot Camp program significantly reduced mean A1C from 10.7 to 7.4 (mean improvement 3.35; P<0.0001) across all strata of social determinants of health.