Factors associated with persistent poorly controlled diabetes mellitus: clues to improving management in patients with resistant poor control.

ABSTRACT:

Objectives

Patients with persistent poorly controlled diabetes mellitus (PPDM), defined as an uninterrupted hemoglobin A1c >8.0% for ≥1 year despite standard care, are at high risk for complications. Additional research to define patient factors associated with PPDM could suggest barriers to improvement in this group and inform the development of targeted strategies to address these patients' resistant diabetes.

Methods

We analyzed patients with type 2 diabetes from a multi-site randomized trial. We characterized patients with PPDM relative to other patients using detailed survey data and multivariable modeling.

Results

Of 963 patients, 118 (12%) had PPDM, 265 (28%) were intermittently poorly controlled, and 580 (60%) were well-controlled. Patients with PPDM had young

SUBMITTER: Crowley MJ 

PROVIDER: S-EPMC4317345 | biostudies-literature | 2014 Dec

REPOSITORIES: biostudies-literature