Variation in Diabetes Management: A National Assessment of Primary Care Providers.

ABSTRACT:

Background

Glucose control is monitored primarily through ordering HbA1c levels, which is problematic in patients with glycemic variability. Herein, we report on the management of these patients by board-certified primary care providers (PCPs) in the United States.

Methods

We measured provider practice in a representative sample of 156 PCPs. All providers cared for simulated patients with diabetes presenting with symptoms of glycemic variability. Provider responses were reviewed by trained clinicians against evidence-based care standards and accepted standard of care protocols.

Results

Care varied widely-overall quality of care averaged 51.3%±10.6%-with providers performing just over half the evidence-based practices necessary for their cases. More worryingly, provide

SUBMITTER: Peabody JW 

PROVIDER: S-EPMC7189162 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature