Type 2 & other diabetes

Impact of a multicomponent healthcare intervention on glycaemic control in subjects with poorly controlled type 2 diabetes: The INTEGRA study

Diabetes Obes MetabPublished Non-randomised controlled trial

Primary result · HbA1c reductionResult — go to the resultMean difference −0.62 % 95% CI −0.2% to −1.04%

Authors' conclusion

A multicomponent intervention including a dedicated visit oriented at reducing therapeutic inertia by primary care physicians can improve glycaemic control in poorly controlled patients with type 2 diabetes.

Study context

Population
Subjects with T2D and HbA1c >9% (>75 mmol/mol) from 11 primary care centres; mean age 59.5 years, mean diabetes duration 10.7 years, mean HbA1c 10.3% (89.0 mmol/mol)
Participants
225 vs 181
Comparison
Multicomponent healthcare intervention with dedicated visit vs sham control
  • Interventionn = 225
  • Sham controln = 181reference
Primary endpoint
Reduction in HbA1c between groups
Follow-up
12 months
Methodological detailscluster, non-randomized, pragmatic, 11 primary care centres
  • Cluster
  • Non-randomized
  • Pragmatic
  • 11 primary care centres

Primary result

HbA1c reduction

Mean difference

−0.62 %

95% CI −0.2% to −1.04%

P = 0.002

As reported in the abstract

Further findings

HbA1c <8% · 12 months

P = 0.003

Treated with >3 antidiabetic therapies · 12 months

P = 0.0008

OutcomeOR (95% CI)P value
HbA1c <8% · 12 months2.52 (1.54–4.12)P < 0.001
  • HbA1c <8%: intervention was the only variable associated with higher odds of HbA1c <8%

Original publication

Impact of a multicomponent healthcare intervention on glycaemic control in subjects with poorly controlled type 2 diabetes: The INTEGRA study. Diabetes Obes Metab. Published 3 January 2023. doi:10.1111/dom.14951

Composed by AI from the published abstract and checked against it. How Briefs are made →

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