Currently submitted to: JMIR Preprints
Date Submitted: Dec 11, 2024
Open Peer Review Period: Dec 11, 2024 - Nov 26, 2025
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Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Primary Care Services use as a Factor in Glycemic and Cholesterol Management in Type 2 Diabetes: A Retrospective Study
ABSTRACT
Background:
The early detection of pre-symptomatic individuals and the proactive implementation of health guidance through regular primary care visits are essential strategies for the secondary and tertiary prevention of diabetic complications. An interdisciplinary team approach significantly enhances the care of patients with diabetes, integrating the expertise of physicians, dietitians, clinical navigators, pharmacists, and mental health professionals. Central to this collaborative model is the active participation of patients, who play a vital role in managing their health outcomes. This integrated approach facilitates comprehensive care, promoting better health management and improved quality of life for individuals with diabetes.
Objective:
We aimed to evaluate the association among regular primary care visits, hemoglobin A1C (HbA1C) and low-density lipoprotein (LDL) levels in patients with type 2 diabetes mellitus.
Methods:
We randomly sampled data from 200 patients’ electronic medical records. Mann–Whitney and chi-square tests were used to investigate the association between glycemic control lipid profile and the number of patient visits.
Results:
The mean age of the participants was 61.78 years and the average body mass index was 34.5 kg/m2. Females constituted 61.79% of participants. The predominant race seen at the clinic was Black (43.8%), followed by White (42.69%). Patient adherence to scheduled visits was not statistically significantly associated with either HbA1C or LDL (chi-square = 1.1, p-value = 0.29 for HbA1c and chi-square = 1.12, p-value = 0.99 for LDL).
Conclusions:
In the sample studied, no statistically significant association existed between adherence to primary care visits and either HbA1C or LDL levels. This data can guide physicians to invest on favoring high-quality primary care contact rather than high frequency of visits. Clinical Trial: IRB approved
Citation
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© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.