title: Heart failure and diabetes: collateral benefit of chronic disease management.
abstract: To test the hypothesis that a focus on heart failure (HF) care may be associated with inadequate diabetes care, the authors screened 78 patients (aged 64+/-11 years; 69% male) with diabetes enrolled in an HF disease management program for diabetes care as recommended by the American Diabetes Association (ADA). Ninety-five percent of patients had hemoglobin A1c levels measured within 12 months, and 71% monitored their glucose at least once daily. Most patients received counseling regarding diabetic diet and exercise, and approximately 80% reported receiving regular eye and foot examinations. Mean hemoglobin A1c level was 7.8+/-1.9%. There was no relationship between hemoglobin A1c levels and New York Heart Association class or history of HF hospitalizations. Contrary to the authors' hypothesis, patients in an HF disease management program demonstrated levels of diabetic care close to ADA goals. "Collateral benefit" of HF disease management may contribute to improved patient outcomes in diabetic patients with HF.
authors.affiliation: Department of Medicine, Cardiovascular Division, Advanced Heart Disease Program, Brigham and Women's Hospital, Boston, MA 02115, USA.
authors.forename: Molly G
authors.initials: MG
authors.lastname: Ware
authors.forename: Carol M
authors.initials: CM
authors.lastname: Flavell
authors.forename: Eldrin F
authors.initials: EF
authors.lastname: Lewis
authors.forename: Anju
authors.initials: A
authors.lastname: Nohria
authors.forename: Lynne
authors.initials: L
authors.lastname: Warner-Stevenson
authors.forename: Michael M
authors.initials: MM
authors.lastname: Givertz
mesh_terms: D000368:Aged; D002908:Chronic Disease; D015897:Comorbidity; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000628:therapy*; D019468:Disease Management; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006333:Heart Failure / Q000150:complications / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012648:Self Care; D016896:Treatment Outcome
chemical_list: D006442:Glycated Hemoglobin