Northerner
Admin (Retired)
- Relationship to Diabetes
- Type 1
New findings suggest that simply using HbA1c levels to assess the performance of individual physicians or healthcare systems in diabetes management may be misleading or inaccurate.
Endocrinologists typically see more complex patients who require more time to improve their glycemic control, which makes their performance look worse when judged solely by HbA1c levels.
But new data reported here at the American Diabetes Association 2013 Scientific Sessions show that when diabetes patients are grouped by medication use ? a proxy for complexity and stage of disease ? HbA1c levels for patients cared for by endocrinologists are the same as or better than those for individuals seen by general internists.
http://www.medscape.com/viewarticle/807211
(free registration required)
Endocrinologists typically see more complex patients who require more time to improve their glycemic control, which makes their performance look worse when judged solely by HbA1c levels.
But new data reported here at the American Diabetes Association 2013 Scientific Sessions show that when diabetes patients are grouped by medication use ? a proxy for complexity and stage of disease ? HbA1c levels for patients cared for by endocrinologists are the same as or better than those for individuals seen by general internists.
http://www.medscape.com/viewarticle/807211
(free registration required)