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The individual contribution and relative importance of self-management and quality of care on glycaemic control in type 2 diabetes.

Martínez, Yolanda V; Campbell, Stephen M; Hann, Mark; Bower, Peter.
Salud Publica Mex; 58(4): 404-11, 2016 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-27599072

OBJECTIVE:

To evaluate the relative importance of selfmanagement (SM) and quality of care (QoC) inpredicting glycaemic control in patients with type 2 diabetes.

MATERIALS AND METHODS:

A longitudinal cohort study was conducted in 204 adults diagnosed with type 2 diabetes. Self-management and quality of care were measured at baseline. HbA1c was measured at baseline and at six-month follow-up.

RESULTS:

None of the measures of self-management were significantly associated with HbA1c.Treatment intensification (TI) (a proxy for quality of care) resulted in lower HbA1c at follow-up. Other variables were associated with HbA1c at follow-up: HbA1c at baseline, age, diabetes duration, and combination of oral glucose-lowering medications. An exploratory analysis showed that patients who did not receive treatment intensification but performed more self-management behaviours had lower HbA1c levels at follow-up.

CONCLUSION:

Treatment intensification might be more important for glycaemic control than self-management but the interaction between treatment intensification and self-management needs further research.
Selo DaSilva