Project Title: Comparing Hgb A1c reduction between patient participating in integrated diabetes clinic versus PCP DM follow up visits
Authors: Jeremy Vollmer, DO; Peter Heng, MD
Program: St. Anthony North Family Medicine Residency
Abstract: Our goal was to evaluate the effectiveness of a dedicated integrated diabetes clinic in reducing Hgb A1c compared to diabetes follow-up visits with a patient’s PCP. The diabetes clinic group showed that 27 patients had an average A1c of 10.76, 19 of these patients had 3 month A1c averaging 9.07, 14 patients had 6 month A1c averaging 8.89, and 7 patients had 8 to 11 month A1c averaging 10.59. The non diabetes clinic group showed that 44 patients had a baseline A1c averaging 10.13, 23 of these patients had 3-month A1c averaging 9.29, 28 patients with 6-month A1c averaging 9.40, and 18 patients with 8 to 11 month A1c averaging 9.33. Diabetes clinic patients saw larger changes in A1c at 3 and 6 months than non diabetes clinic patients, but this change was not sustained at 8-11 months. There were no statistically significant differences between these two groups.
Learning Objectives: Participants will be able to…
• To identify barriers that prevent patients from controlling their diabetes.
• To understand the importance of integrated care when treating diabetes
• To identify strategies that may improve A1c in uncontrolled diabetics.
Category: Follow up analysis QI project