Improving Patient Outcomes in Diabetes Matt Petersen Managing Director, Medical Information & Professional Engagement American Diabetes Association.

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Presentation transcript:

Improving Patient Outcomes in Diabetes Matt Petersen Managing Director, Medical Information & Professional Engagement American Diabetes Association

Improving Patient Outcomes Gregg et al. N Engl J Med 370: 1514—1523, 2014 Trends in age-standardized rates of diabetes-related complications among U.S. adults with diabetes,

Improving Patient Outcomes 1.Improve A1C and other measures of quality care 2.HCP tools to make that happen 3.Supporting patient resources

Case Study: Diabetes Inside 403 randomly selected patients with diabetes 13% at goal: –A1C <8% –LDL <100 mg/dL –BP <130/90 mmHg –Aspirin therapy if indicated –Non-smoker

ADA Resources for Intervention HCP: Grand Rounds presentation and referral to ADA Standards of Medical Care –Intensified glucose control –Foot exams –Referral to diabetes education –Adequate follow-up Patient: Living With Type 2 Diabetes

HCP Insulin Attitude Survey Clinician agreement on insulin barriers and benefits Lack of consensus on the role of insulin –Implies important knowledge gaps and confusion

Second Grand Round 810 T2D patients with A1C >7% 39% A1C >9% No variation among individual providers

Type 2 Treatment Algorithm © American Diabetes Association 2016

Insulin Workshop Follow-up

Actions to Improve Glycemic Control Attended workshop? No Yes

Actions to Improve Glycemic Control Attended workshop? No Yes

Case Study Results 57% of patients with reduced A1C Earlier insulin initiation More aggressive oral therapy Higher use of patient education and community programs

Case Study Conclusion Data analysis + visualization Nationally endorsed messages Non-judgmental environment Entire clinical care team

ADA resources for professionals and patients

ADA Health Care Professional Tools

Professional Education Self-assessment programs Webcasts Point of Care Local events

Diabetes Self-Management Education Recognized program DSME referral algorithm Education resources Chronical Diabetes

HCP Resources for Patients Print resources: Living With Type 2 Diabetes Patient education library

ADA Online Resources

My Food Advisor

Create Your Plate

Diabetes 24/7

For the Workplace Wellness Lives Here –Health Champion Designation Mission Engagement Days Stop Work Signature Physical Activity Events

Patient Resources National resources: diabetes.org 800-DIABETES Diabetes Forecast Local resources: Local page on diabetes.org 888-DIABETES

professional.diabetes.org