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Diabetes Care. 2019 Sep;42(9):1833-1836. doi: 10.2337/dc19-0629. Epub 2019 Aug 1.

Lifestyle Counseling and Long-term Clinical Outcomes in Patients With Diabetes.

Author information

1
Department of Endocrinology, Key Laboratory of Endocrinology, Ministry of Health, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.
2
Brigham and Women's Hospital, Boston, MA.
3
Massachusetts General Hospital, Boston, MA.
4
Harvard Medical School, Boston, MA.
5
Harvard T.H. Chan School of Public Health, Boston, MA.
6
Brigham and Women's Hospital, Boston, MA aturchin@bwh.harvard.edu.
7
Baim Institute for Clinical Research, Boston, MA.

Abstract

OBJECTIVE:

To investigate the relationship between lifestyle counseling in primary care settings and clinical outcomes in patients with diabetes.

RESEARCH DESIGN AND METHODS:

We retrospectively studied hyperglycemic adults with diabetes treated at primary care practices between 2000 and 2014. We analyzed the relationship between frequency of lifestyle counseling (identified using natural language processing of electronic notes) and a composite outcome of death and cardiovascular events during subsequent follow-up.

RESULTS:

Among patients with monthly counseling or more, 10-year cumulative incidence of the primary outcome was 33.0% compared with 38.1% for less than monthly counseling (P = 0.0005). In multivariable analysis, higher frequency of lifestyle counseling was associated with lower incidence of the primary outcome (hazard ratio 0.88 [95% CI 0.82-0.94]; P < 0.001).

CONCLUSIONS:

More frequent lifestyle counseling was associated with a lower incidence of cardiovascular events and death among patients with diabetes.

PMID:
31371430
DOI:
10.2337/dc19-0629

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