Type 2 & other diabetes

Pilot feasibility and efficacy of a strategy to sustain A1C improvement among diverse adults with type 2 diabetes completing a diabetes care management program

BMJ Open Diabetes Res CarePublished Pilot non-randomised controlled study

Authors' conclusion

Among completers of a 3-month DCM program, a low intensity 9-month sustaining strategy maintained A1C under 8.0% (HEDIS (Healthcare Effectiveness Data and Information Set) threshold for diabetes control) compared with controls for 15 months after completion of the initial DCM intervention.

Study context

Population
Adults with T2D completing a 3-month Diabetes Boot Camp (diabetes care management (DCM) program), March 2019–July 2021; mean age 55.9 years, 58.2% women, 66.2% black, 30.6% Medicare
Participants
838 DCM completers
Comparison
Boot Camp-Plus (BC-Plus) sustaining strategy vs controls after a 3-month Diabetes Boot Camp
  • BC-Plusn = 281
  • Controlsn = 557reference
Primary endpoint
Change in A1C between BC-Plus and controls
Follow-up
Month 0 to month 21
Methodological detailsfeasibility, non-randomised controls, longitudinal mixed effects analysis
  • Feasibility
  • Non-randomised controls
  • Longitudinal mixed effects analysis

Primary result

As reported in the abstract

A1C · to month 21
  • BC-Plus had significantly lower A1C than controls and remained below 8.0% to month 18

Original publication

Pilot feasibility and efficacy of a strategy to sustain A1C improvement among diverse adults with type 2 diabetes completing a diabetes care management program. BMJ Open Diabetes Res Care. Published 11 March 2024. doi:10.1136/bmjdrc-2023-003788

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