title: Diabetes wellness care: a successful employer-endorsed program for employees.
abstract: OBJECTIVE
  A 12-month wellness program was provided for employees of a major employer in the Orlando area.
  
  
  METHODS
  The program involved screening and measurement of baseline indices, educational sessions, telephonic support, quarterly laboratory monitoring, and provision of glucometers and test strips.
  
  
  RESULTS
  For the 73 enrolled employees with prediabetes, serum hemoglobin A1c levels-mean (standard deviation)-decreased from 6.10% (0.53%) to 5.42% (0.51%) (P < 0.0001). For the 151 enrolled employees with diabetes, mean serum hemoglobin A1c levels-mean (standard deviation)-decreased from 8.03% (1.91%) to 7.48% (1.52%) (P < 0.0001). In the 12 months before, during, and after the program, 27, 15, and 27 diabetic employees required hospitalization, respectively. Health insurance per member per month claims costs for employees with diabetes rose only 1.2% over the prior 12 months, and self-reported presenteeism increased (P < 0.0001).
  
  
  CONCLUSIONS
  This employer-endorsed program achieved favorable outcomes for employees with prediabetes and diabetes.
authors.affiliation: From the Department of Pathology and Laboratory Medicine (Ms Bevis and Dr Crawford), North Shore-Long Island Jewish Health System, Hofstra North Shore-LIJ School of Medicine, Manhasset, NY; Institute for Child Health Policy (Drs Nogle and Forges), University of Florida, Gainesville; Cognoscenti Health Institute (Dr Chen), Orlando, and University of Miami Miller School of Medicine; Florida Hospital Diabetes Institute (Ms Sievers); Florida Health Care Coalition (Ms Lucas and Dr Mahoney), Orlando.
authors.forename: Cynthia C
authors.initials: CC
authors.lastname: Bevis
authors.forename: June M
authors.initials: JM
authors.lastname: Nogle
authors.forename: Barbara
authors.initials: B
authors.lastname: Forges
authors.forename: Philip C
authors.initials: PC
authors.lastname: Chen
authors.forename: Deborah
authors.initials: D
authors.lastname: Sievers
authors.forename: Karlene Ranghell
authors.initials: KR
authors.lastname: Lucas
authors.forename: John J
authors.initials: JJ
authors.lastname: Mahoney
authors.forename: James M
authors.initials: JM
authors.lastname: Crawford
mesh_terms: D000328:Adult; D001786:Blood Glucose / Q000032:analysis; D003920:Diabetes Mellitus / Q000517:prevention & control*; D005260:Female; D005431:Florida; D006442:Glycated Hemoglobin / Q000032:analysis; D006264:Health Benefit Plans, Employee; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016272:Occupational Health; D010353:Patient Education as Topic; D013689:Telephone; D016896:Treatment Outcome
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin