Case Management Improves Blood Glucose Control for Low-Income Minorities


By: Daniel Trecroci

“Diabetes case management can help reduce disparities in diabetes health status among low-income ethnic populations,” writes Lois Jovanovic, MD, endocrinologist and researcher at Sansum Medical Research Institute in Santa Barbara, California.

Jovanovic undertook a study to address the disparities that exist in the diabetes health status of ethnic minority and low-income populations relative to other groups. Sites in three southern California counties serving low-income, ethnic minority populations participated in the study.

“We randomized 362 Medicaid [called Medi-Cal in California] recipients with type 2 diabetes for at least one year to intervention [diabetes case management in addition to primary care] or control [traditional primary care treatment] groups,” writes Jovanovic. “Fifty-five percent of participants were minorities.”

The primary endpoint being evaluated was blood glucose control. Participants with A1C levels less than 7.5%, serious diabetes-related complications or other serious medical conditions were excluded.

In the intervention group, after 25.3 months, A1C levels decreased from an average of 9.54 to 7.66 percent, compared to an average of 9.66 to 8.53 percent in the traditional care control group.

-Diabetes Care, January 2004



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