Action About A1Cs

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By: Daniel Trecroci

When your last A1C registered at more than 7 percent, did your primary care physician take action to lower it?

The Department of Family Medicine at the University of Colorado Health Sciences Center in Aurora, Colorado, conducted a cross-sectional study in two practice-based research networks when A1C results were reviewed for 483 non-pregnant type 2 patients aged 18 years and older.

Surveys were completed by at least 88 providers at 19 clinics.

The action rate for patients with A1Cs greater than 7 percent was 70.7 percent. Patients who were African american or had Medicare without medication insurance had lower rates of action.

According to the researchers, the most common reasons providers reported for inaction were “patient improving/doing well,” “competing demands” and “hypoglycemic risk.”

-Diabetes Care, January 2004

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