Clinical factors associated with persistently poor diabetes control in the Veterans Health Administration: A nationwide cohort study.

ABSTRACT:

Objective

Patients with persistent poorly-controlled diabetes mellitus (PPDM) despite engagement in clinic-based care are at particularly high risk for diabetes complications and costs. Understanding this population's demographics, comorbidities and care utilization could guide strategies to address PPDM. We characterized factors associated with PPDM in a large sample of Veterans with type 2 diabetes.

Methods

We identified a cohort of Veterans with medically treated type 2 diabetes, who received Veterans Health Administration primary care during fiscal years 2012 and 2013. PPDM was defined by hemoglobin A1c levels uniformly >8.5% during fiscal year (FY) 2012, despite engagement with care during this period. We used FY 2012 demographic, comorbidity and medication data to desc

SUBMITTER: Alexopoulos AS 

PROVIDER: S-EPMC6440639 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature