The impact of planned care and the DEMS on metabolic outcomes
Metabolic outcomes . | Mean change (95% CI) . | . | . | ||
---|---|---|---|---|---|
. | Baseline . | Difference between index years (effect of planned care) . | Difference at index year 2 between users and nonusers of DEMS (effect of DEMS) . | ||
Glycemic control | |||||
Last HbA1c | 7.3 (4.2–16) | −0.5 (−0.8 to −0.3) | 0.01 (−0.3 to 0.4) | ||
Lipids (mmol/l) | |||||
Total cholesterol | 5.3 (2.3–8.5) | −0.3 (−5.0 to 1.7) | −0.1 (−3.5 to 1.8) | ||
LDL cholesterol | 3.2 (0.9–6.5) | −0.4 (−0.6 to −0.3) | −0.1 (−3.0 to 1.8) | ||
Triglycerides | 2.1 (0.4–19) | −0.2 (−0.5 to −0.01) | 0.1 (−1.7 to 3.5) | ||
Blood pressure (mmHg) | |||||
Systolic blood pressure | 140 (92–220) | −0.1 (−3 to 2.6) | −0.8 (−5.0 to 3.4) | ||
Diastolic blood pressure | 75 (40–110) | 0.2 (−1.2 to 1.7) | −0.6 (−2.4 to 1.1) | ||
Calculated coronary disease risk | |||||
Framingham coronary risk score | 12 (−8 to 21) | −1.0 (−2.0 to 0.0) | −0.3 (−1.4 to 0.9) | ||
10-year coronary risk (%) | 23.3 (0.4–75.6) | −4.8 (−7.9 to −1.8) | −2.1 (−1.1 to 5.3) |
Metabolic outcomes . | Mean change (95% CI) . | . | . | ||
---|---|---|---|---|---|
. | Baseline . | Difference between index years (effect of planned care) . | Difference at index year 2 between users and nonusers of DEMS (effect of DEMS) . | ||
Glycemic control | |||||
Last HbA1c | 7.3 (4.2–16) | −0.5 (−0.8 to −0.3) | 0.01 (−0.3 to 0.4) | ||
Lipids (mmol/l) | |||||
Total cholesterol | 5.3 (2.3–8.5) | −0.3 (−5.0 to 1.7) | −0.1 (−3.5 to 1.8) | ||
LDL cholesterol | 3.2 (0.9–6.5) | −0.4 (−0.6 to −0.3) | −0.1 (−3.0 to 1.8) | ||
Triglycerides | 2.1 (0.4–19) | −0.2 (−0.5 to −0.01) | 0.1 (−1.7 to 3.5) | ||
Blood pressure (mmHg) | |||||
Systolic blood pressure | 140 (92–220) | −0.1 (−3 to 2.6) | −0.8 (−5.0 to 3.4) | ||
Diastolic blood pressure | 75 (40–110) | 0.2 (−1.2 to 1.7) | −0.6 (−2.4 to 1.1) | ||
Calculated coronary disease risk | |||||
Framingham coronary risk score | 12 (−8 to 21) | −1.0 (−2.0 to 0.0) | −0.3 (−1.4 to 0.9) | ||
10-year coronary risk (%) | 23.3 (0.4–75.6) | −4.8 (−7.9 to −1.8) | −2.1 (−1.1 to 5.3) |
Data are median (range), unless otherwise indicated.