ArticleJournal of general internal medicine2022
Clinical Care Among Individuals with Prediabetes in Primary Care: a Retrospective Cohort Study.
Article in Journal of general internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- An Evaluation of the Effects of the Ruthenium (II)-Uracil Schiff Base Complex on Selected Markers of Glucose Homeostasis in Diet-Induced Prediabetic Male Rats.Pharmaceutics · 2026Article
- Factors Associated with Non-Adherence to Blood Glucose Testing Among Non-Hispanic Black and Hispanic Men with a History of Prediabetes in the United States.Patient preference and adherence · 2026Article
- Metformin Prescription Orders among Patients with Prediabetes in a National Network of Federally Qualified Health Centers.Journal of general internal medicine · 2026Article
- Should I Take Prediabetes Seriously or Not: A Qualitative Study on People's Perceptions of Prediabetes.Journal of diabetes research · 2025Article
- Using the Translating Research into Practice framework to develop a diabetes prevention intervention in primary care: a mixed-methods study.BMJ open quality · 2024Article
- A Primary Care-Based Weight Navigation Program.JAMA network open · 2024Article
- Making prediabetes visible in primary health care: a qualitative study of health care professionals' perspectives.BMC primary care · 2023Article
- Cumulative BMI and incident prediabetes over 30 years of follow-up: The CARDIA study.Obesity (Silver Spring, Md.) · 2023Observational
- Prediabetes prevalence and awareness by race, ethnicity, and educational attainment among U.S. adults.Frontiers in public health · 2023Article
- Progression from prediabetes to type 2 diabetes mellitus in adolescents: a real world experience.Frontiers in clinical diabetes and healthcare · 2023Article
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Authors and funding
6 authors.
Funding
Abstract
backgroundThe incidence of diabetes in the general US population (6.7 per 1000 adults in 2018) has not changed significantly since 2000, suggesting that individuals with prediabetes are not connecting to evidence-based interventions.
objectiveWe sought to describe the clinical care of individuals with prediabetes, determine patient factors associated with this care, and evaluate risk for diabetes development.
designRetrospective cohort study using linked claims and electronic health record data.
participantsWe created a cohort of adults with prediabetes based on laboratory measures. We excluded patients with a prior history of diabetes, pregnancy in prior 6 months, or recent steroid use. MAIN MEASURES: We measured ordering and completion of clinical services targeting prediabetes management and diabetes incidence within 12 months following cohort entry. We tested the strength of the association between individuals' characteristics and outcomes of interest using bivariate and multiple logistic regression.
resultsOur cohort included 3888 patients with a laboratory diagnosis of prediabetes (incident or prevalent prediabetes). Within 12 months, 63.4% had repeat glycemic testing, yet only 10.4% had coded diagnoses of prediabetes, 1.0% were referred for nutrition services, and 5.4% were prescribed metformin. Most patients completed labs and nutrition visits when referred and filled metformin when prescribed. Individuals with a higher glycemic level or BMI were more likely to receive prediabetes clinical care. Six percent of individuals developed diabetes within 12 months of cohort entry and had higher glycemic levels and BMI ≥ 30 kg/m
conclusionsRates of prediabetes clinical care activities are low and have not improved. Strategies are urgently needed to improve prediabetes care delivery thereby preventing or delaying incident diabetes.
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