biostudies-literatureAiello LPNEI NIH HHS888-96https://www.ebi.ac.uk/biostudies/studies/S-EPMC4924347biostudies-literatureUnknown133(8)<h4>Importance</h4>Optimization of glycemic control is critical to reduce the number of diabetes mellitus-related complications, but long-term success is challenging. Although vision loss is among the greatest fears of individuals with diabetes, comprehensive personalized diabetes education and risk assessments are not consistently used in ophthalmologic settings.<h4>Objective</h4>To determine whether the point-of-care measurement of hemoglobin A(1c) (HbA(1c)) and personalized diabetes risk assessments performed during retinal ophthalmologic visits improve glycemic control as assessed by HbA(1c) level.<h4>Design, setting, and participants</h4>Ophthalmologist office-based randomized, multicenter clinical trial in which investigators from 42 sites were randomly assigned to provide either a sJAMA ophthalmologyAssessing the Effect of Personalized Diabetes Risk Assessments During Ophthalmologic Visits on Glycemic Control: A Randomized Clinical Trial.PMC4924347EY14231EY23207U10 EY018817UG1 EY014231EY18817U10 EY014231U10 EY023207Freihammer AJFinkelstein DPankhurst GShah STDiaz-Rohena RSchartman JPKieser TSjoblom KGentile RCSerpentine BDavis MDLaBell NPetty RGonzalez VHGehring KDChalam KVAnderson TALoggins BLAbrams GFrank RHall JJampol LMDiabetic Retinopathy Clinical Research NetworkOvando YBowie EMBentsen BADavis LCConnett JBunch DPBerger BBEmerson GGAntoszyk AMcClain DBressler NMMcClain ATing TDHalperin LSScott AWPutzulo CKBhavsar ARHamlin MFredenberg SLPeloquin MDSchron EDaniels SASteinkamp PNGeorge BDuBose ELStarr JCarrasquillo-Boyd WBhagat NStovall CCFredrickson DFritsch ALundquist ADLazarus HSStockman MEGlassman ARSohn JHSmith BTClow CNobel GSWeinberg DVHan DPCastellarin AAKaur HDupre SSChen MCPatel NRMcOwen MDFlaxel CJClifton BCConnor TBOu ABrady JAFlowers AMPieramici DJMarcus DMLehr JTOrtega EDrossner SLowd DKAndreoli CMMazurek MDhalla MSWealti AMFlores FJelemensky PDavis KParker MGoldenberg DTQuinlan EJAlmukhtar TAlliman KJMehta SCantrell DJamal KNDanis RPGaitan JRDiLoreto DAFriedman SMGottlieb JMcClellan SLNielsen JSFlynn HTaylor MMHoly SEGunderson IMiller PDHarrod MABarnbaum DRSaggau DDWalker MFSneath MKaczanowski TLIsernhagen RDLambert LFLeong CJBaptista AKarow ACottrill MTorres WAdyanthaya RMagee MABuck MMonk MKNiec MSoderling BHDawson KLMiller PSBailey STRamchandran RSGrover SHornsby CLIracheta REarl SRZavala GGenuth SHoughton OMKunimoto DYJanowicz MSlade EAJohnson TBestourous LChica MADowling KDevine CLane RGWong KLRidge ADAntoszyk ANMurphy JChobanoff SMArrigg PGNielsen JHrvatin SAWolpert HAAllchin PCavicchi RWSholtis KASedlacek HMVemulakonda GAFerris FLNovak MATresnak CAurrichio CRao LJHanamoto FPackard KLWienecke CSMoore TWilliams VVBrowning DSchain MMoore JBhavsar AWood WJDuPont JCGreven CMAlvarez CAHarris CMiskala PHNasir MANelson MMSharuk GSBurke KFDale BBStepien KEGraf JOchieng CWan LHamdani GSDuBois JCEnnis SAWorkman ERHanel SAKinyoun JLMein CEStroman RJohnson DLBressler SDickens SRBasefsky JCRaphael TScott IUBeck RWFrey MCarlton KIp MSClark WLConnor CBattle EPeterson JCGiust MO'Gara GWJhaveri CDAltaweel MMPrice AKSchlossman DKConey JMMartinez VDGibson JLPerez BJBerger JMSolomon SDMiller DGSalvo RWolfe JLEverett DFWells JABennett BRWeimann ESMelia MLim JIBressler SBRen YWilker SCKim JDesai UBalasubramaniam UMLeiderman YIBelz JLWesterfeld CGupta SKEdwards PAGross JGGutkowski MARay SKWilliamson KARodriguez-Roman EConner JStockdale CRRath SCRath SAGricoski MEMatta NSSlusher MMRabena MDBlank CDietzman KALazarte VNLevy MHJaffe GJMartin TRLevin LKEmerson MVVentimiglia KMLauer AKHuang SSFishbein SMikheyeva TRahman HTWilkinson CPHuggins MLBaker CKurup SKWatson LGao HMendoza WBrubaker CMSwinford TRCarroll CChung MMLambert HWisniewski SGarza RLauer ARostvold JJones JMHerby JTBleau LAMacDowell PGarg SHallock SKopple AMorales SLeslie JDChau FYArnold-Bush BGoldberg MFriedman SSteele TMcClain AAEverhart CTilford RHFay CCoffey TKarmalkar MYang ATouson SMcKinney AHolcomb DMAiello LPWeinstock RSKim JECooke LNPavlica MRCruz EESmith VASingerman LJPonce EASilva PSStone TWKitchens JWGreanoff GASpivey RWalsh RACaldwell TMGiust JFish JHenry KLStone LWirostko WJKirschbaum LWeeks RFWalker CBrucker AJNovak CKBlodi BAClark LMStanley DArnold ERBlinder KJKirby RKLazar MKwak HNiffenegger JHKhawly JAClark MDMurtha TJSmith JSun JKDavis VMJohnson PAAyala ARElman MJWong RWInusah SFagan DFHoehn EAMaturi RKConstantine SRManhart GJSingletary PVBaker CWBarnhart CJFishburne BCGooge JfalseAssessing the Effect of Personalized Diabetes Risk Assessments During Ophthalmologic Visits on Glycemic Control: A Randomized Clinical Trial.<h4>Importance</h4>Optimization of glycemic control is critical to reduce the number of diabetes mellitus-related complications, but long-term success is challenging. Although vision loss is among the greatest fears of individuals with diabetes, comprehensive personalized diabetes education and risk assessments are not consistently used in ophthalmologic settings.<h4>Objective</h4>To determine whether the point-of-care measurement of hemoglobin A(1c) (HbA(1c)) and personalized diabetes risk assessments performed during retinal ophthalmologic visits improve glycemic control as assessed by HbA(1c) level.<h4>Design, setting, and participants</h4>Ophthalmologist office-based randomized, multicenter clinical trial in which investigators from 42 sites were randomly assigned to provide either a s2015-01-01T00:00:00Z2015 Aug2026-05-30T04:18:08.844Z2019-03-27T02:17:05ZS-EPMC49243472599627310.1001/jamaophthalmol.2015.1312