Medication Possession and Glycemic Control Among Uninsured Type 2 Diabetics

Diabetes is a complex disease, and patients face barriers to reaching glycosylated hemoglobin (HgbA1c) goals. A retrospective cohort chart review evaluated if the cost of diabetes medications is a barrier to glycemic goals in uninsured patients receiving reduced-cost medications. Thirty-five patient...

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Bibliographic Details
Published in:Journal for nurse practitioners 2012-07, Vol.8 (7), p.528-533
Main Authors: Ward, Wesley, Armbrecht, Eric S., Lavin, Mary A.
Format: Article
Language:English
Subjects:
Chart reviews
Costs
Diabetes
glycemic control
Goals
Haemoglobin
Medicaid
medication possession
Patients
Poverty
Statistical methods
Type 2 diabetes mellitus
type 2 diabetes uninsured
Uninsured patients
Uninsured people
Values
Variables
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Summary:Diabetes is a complex disease, and patients face barriers to reaching glycosylated hemoglobin (HgbA1c) goals. A retrospective cohort chart review evaluated if the cost of diabetes medications is a barrier to glycemic goals in uninsured patients receiving reduced-cost medications. Thirty-five patients were followed over 6 months to determine the association between HgbA1c and medication possession, monthly income, drug costs/month/patient, and poverty level. Higher HgbA1c was associated with higher drug cost/month (P = 0.005), but better medication possession was not associated with lower HgbA1c levels. Providers should tailor care to address factors (other than cost) known to influence HgbA1c.
ISSN:1555-4155
1878-058X
DOI:10.1016/j.nurpra.2012.02.001