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Research ArticleResearch Letter

Evaluation of an Ongoing Diabetes Group Medical Visit in a Family Medicine Practice

Amy T. Cunningham, David J. Delgado, Joseph D. Jackson, Albert G. Crawford, Serge Jabbour, Robert D. Lieberthal, Victor Diaz and Marianna LaNoue
The Journal of the American Board of Family Medicine March 2018, 31 (2) 279-281; DOI: https://doi.org/10.3122/jabfm.2018.02.170373
Amy T. Cunningham
From the Jefferson College of Population Health, Philadelphia, PA (DJD, JDJ, AGC); the Department of Medicine, Division of Endocrinology, Diabetes & Metabolic Diseases (SJ), and the Department of Family and Community Medicine (ATC, VD, ML), Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia; and the Department of Public Health, University of Tennessee, Knoxville (RDL).
PhD, MPH
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David J. Delgado
From the Jefferson College of Population Health, Philadelphia, PA (DJD, JDJ, AGC); the Department of Medicine, Division of Endocrinology, Diabetes & Metabolic Diseases (SJ), and the Department of Family and Community Medicine (ATC, VD, ML), Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia; and the Department of Public Health, University of Tennessee, Knoxville (RDL).
PhD
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Joseph D. Jackson
From the Jefferson College of Population Health, Philadelphia, PA (DJD, JDJ, AGC); the Department of Medicine, Division of Endocrinology, Diabetes & Metabolic Diseases (SJ), and the Department of Family and Community Medicine (ATC, VD, ML), Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia; and the Department of Public Health, University of Tennessee, Knoxville (RDL).
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Albert G. Crawford
From the Jefferson College of Population Health, Philadelphia, PA (DJD, JDJ, AGC); the Department of Medicine, Division of Endocrinology, Diabetes & Metabolic Diseases (SJ), and the Department of Family and Community Medicine (ATC, VD, ML), Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia; and the Department of Public Health, University of Tennessee, Knoxville (RDL).
PhD, MBA
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Serge Jabbour
From the Jefferson College of Population Health, Philadelphia, PA (DJD, JDJ, AGC); the Department of Medicine, Division of Endocrinology, Diabetes & Metabolic Diseases (SJ), and the Department of Family and Community Medicine (ATC, VD, ML), Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia; and the Department of Public Health, University of Tennessee, Knoxville (RDL).
MD
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Robert D. Lieberthal
From the Jefferson College of Population Health, Philadelphia, PA (DJD, JDJ, AGC); the Department of Medicine, Division of Endocrinology, Diabetes & Metabolic Diseases (SJ), and the Department of Family and Community Medicine (ATC, VD, ML), Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia; and the Department of Public Health, University of Tennessee, Knoxville (RDL).
PhD
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Victor Diaz
From the Jefferson College of Population Health, Philadelphia, PA (DJD, JDJ, AGC); the Department of Medicine, Division of Endocrinology, Diabetes & Metabolic Diseases (SJ), and the Department of Family and Community Medicine (ATC, VD, ML), Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia; and the Department of Public Health, University of Tennessee, Knoxville (RDL).
MD
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Marianna LaNoue
From the Jefferson College of Population Health, Philadelphia, PA (DJD, JDJ, AGC); the Department of Medicine, Division of Endocrinology, Diabetes & Metabolic Diseases (SJ), and the Department of Family and Community Medicine (ATC, VD, ML), Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia; and the Department of Public Health, University of Tennessee, Knoxville (RDL).
PhD
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Article Figures & Data

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    Table 1.

    Demographics and Baseline Values for Participants in the Diabetes Information and Support for Your Health Group Medical Visit Program and Matched Nonparticipants with Type 2 Diabetes

    CharacteristicsDISH Participants (n = 230)Matched Nonparticipants (n = 230)
    Age (years)
        18–447.07.0
        45–5428.728.7
        55–6430.730.7
        65–7421.321.3
        ≥756.16.1
    Race/ethnicity
        African American87.087.0
        Caucasian8.38.3
        Other4.84.8
    Sex
        Female69.169.1
        Male30.930.9
    ADI quintile
        0–2018.414.8
        21–4020.221.7
        41–6020.619.6
        61–8021.721.7
        81–10019.722.2
    Insurance provider
        Public81.079.3
        Private19.819.0
        Self-pay0.90.0
    Employed55.058.2
    Comorbidities
        Coronary artery disease17.013.5
        Depression18.321.3
        Hyperlipidemia85.776.5*
        Hypertension83.087.0
        Current smoking19.121.7
    Diabetes mellitus treatment
        No medication5.817.4†
        Oral medication only46.442.9
        Insulin only15.217.4
        Insulin and oral medication32.622.3
    Microalbuminuria screening in prior year8759.7†
    ED visit in prior year3530
    Hospital admissions in prior year14.811.7
    Clinical measures (mean ± SD)
        A1C (%)9.37 ± 2.378.24 ± 2.21†
        SBP (mmHg)133.23 ± 15.14135.04 ± 16.03†
        LDL (mg/dL)117.84 ± 44.92109.45 ± 49.58†
        BMI (kg/m2)35.33 ± 7.6434.56 ± 6.93
    • Data are percentages unless otherwise indicated.

    • ↵* P < .01.

    • ↵† P < .001.

    • A1C, hemoglobin A1c; ADI, Area Deprivation Index; BMI, body mass index; DISH, Diabetes Information and Support for Your Health; ED, emergency department; LDL, low-density lipoprotein; SD, standard deviation; SBP, systolic blood pressure.

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The Journal of the American Board of Family     Medicine: 31 (2)
The Journal of the American Board of Family Medicine
Vol. 31, Issue 2
March-April 2018
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Evaluation of an Ongoing Diabetes Group Medical Visit in a Family Medicine Practice
Amy T. Cunningham, David J. Delgado, Joseph D. Jackson, Albert G. Crawford, Serge Jabbour, Robert D. Lieberthal, Victor Diaz, Marianna LaNoue
The Journal of the American Board of Family Medicine Mar 2018, 31 (2) 279-281; DOI: 10.3122/jabfm.2018.02.170373

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Evaluation of an Ongoing Diabetes Group Medical Visit in a Family Medicine Practice
Amy T. Cunningham, David J. Delgado, Joseph D. Jackson, Albert G. Crawford, Serge Jabbour, Robert D. Lieberthal, Victor Diaz, Marianna LaNoue
The Journal of the American Board of Family Medicine Mar 2018, 31 (2) 279-281; DOI: 10.3122/jabfm.2018.02.170373
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