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AJMC study: Among diabetics, more weight equals less optimal blood pressure, A1C levels

With 26 million Americans diagnosed with diabetes and the incidence of diabetes tracking obesity geographically, researchers at Kaiser Permanente Southern California set out to determine whether overweight and obese patients with diabetes were more or less likely to seek health screenings associated with diabetes once they knew they had the condition.

The large scale study, published online in January by The American Journal of Managed Care, found Kaiser patients with diabetes consumed more healthcare services by seeking more screenings, and the higher the patients’ weight, the less optimal their blood pressure and A1C levels, according to a news release.

The study examined 164,721 patients enrolled in KPSC from July 1, 2007, to June 30, 2008, and asked whether obese patients — those with a body mass index of greater than 30 — would be less likely to seek common screenings for blood pressure, low-density lipoprotein cholesterol and retinal examinations.

Previous studies had shown overweight patients may avoid screenings generally. The question was whether those with diabetes would seek care.

The Kaiser results published by AJMC found the diabetic patients not only sought care, but that the more obese patients sought the most care and had the most difficulty maintaining control of their blood pressure and A1C levels.

According to the authors, the findings highlight the need for interventions to improve glycemic and blood pressure control among overweight and obese patients with diabetes.

For the full study, visit http://www.ajmc.com/publications/issue/2014/2014-vol20-n1/optimal-management-of-diabetes-among-overweight-and-obese-adults/1.

To see what else is trending, visit www.Nurse.com/Diabetes.

By | 2014-07-18T00:00:00-04:00 July 18th, 2014|Categories: National|0 Comments

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