Improving T2DM Outcomes in Primary Care

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Francisco, Isabel
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Research Subject Categories::INTERDISCIPLINARY RESEARCH AREAS::Caring sciences::Nursing , Diabetes Mellitus, Type 2 , Quality of Life , Electronic Health Records , Diabetes Complications , Primary Health Care
Background: In the United States (US), over 34 million Americans have diabetes mellitus and 90% -95% of these individuals have Type 2 diabetes mellitus (T2DM) (Centers for Disease Control and Prevention [CDC], 2021). In March 2018 the American Diabetes Association (ADA) estimated the annual costs of diabetes in the US had risen from $245 billion in 2012 to $327 billion in 2018 – a 26% increase in five years (ADA, 2018). To help reduce these healthcare expenditures and improve the health of individuals with T2DM, participation in Diabetes Self-Management Education and Support (DSMES) programs is fundamental due to its potential to help individuals reduce their hemoglobin A1C up to 1%, reduce diabetes complications, reduce hospital admissions and improve their quality of life (CDC, 2018). Objective: To increase primary care provider participation in the establishment of diabetes selfmanagement goals for patients diagnosed with T2DM. Methods: Participating providers completed the Assessment of Primary Care Resources and Supports for Chronic Disease Self-Management (PCRS) survey before and after project implementation to assess for gaps in the provision of care regarding T2DM management. The Diabetes Self-Management Questionnaire (DSMQ) was used to assist providers in establishment of self-management goals for patients diagnosed with T2DM for a three-month period. Results: All participating providers completed the PCRS prior to and following implementation of project. During implementation, 86 patients were seen for follow-up of T2DM and the DSMQ was initiated with all 86 patients. Discussion: The DSMQ served as a valuable tool to assess patients' self-care behaviors and eased the establishment of diabetes self-management goals. The providers will continue to implement the DSMQ for all patients diagnosed with T2DM. A future goal of the practice is to include a smart phrase link in the electronic medical record platform for review of the DSMQ at every visit for patients diagnosed with T2DM.