Diabetes mellitus is a growing problem in the United States. Long-term management is essential in order to prevent and prolong serious complications. This study investigated how well providers followed clinical practice guidelines set by the American Diabetes Association in the management of their diabetic patients, looking specifically at HbA1c testing, microalbuminuria testing, foot and eye exam. The QAMUR model was the framework used for this study. This was a descriptive study in which 152 charts were randomly sampled equally between ten physicians, four nurse practitioners, and two physician assistants. It was found that 29.8% to 46.8% of the patients in the study had HbA1c testing, 60.1% to 75.5% of the patients had microalbuminuria testing, 52.7% to 68.8% of the patients had retinal examinations, and 57.4% to 73.1% of the patients had foot examinations according to the guidelines.Justice, J. E. (2004). Management of cholesterol in the diabetic patient. Unpublished masters thesis, Highland Heights, KY: Northern Kentucky University . Kreyling, N. (2005). Practitioner adherence to guidelines and the diabetic Patient.
|Title||:||How Well Providers Follow Clinical Practice Guidelines in the Management of Their Diabetic Patients|
|Publisher||:||ProQuest - 2008|