Team-based Care for Managing T2D

Team-based efforts have proven effective in the management of chronic diseases, and a meta-analysis published in the American Journal of Preventative Medicine found that this approach may benefit type 2 diabetes (T2D) patients as well. The study assessed randomized controlled trials (RCTs) that compared 11 quality improvement strategies for diabetes management. Two searches were conducted using the same search strategy: one for studies from inception through July 2010 and another from July 2010 through October 2015. The search yielded 35 RCTs, most of which specifically evaluated T2D patients. Team members included patients, primary care providers, and one or two other healthcare professionals such as nurses or pharmacists. Compared with control patients, those receiving team-based care had greater decreases in blood glucose levels and greater improvements in blood pressure and lipid levels. Team-based care was also associated with a greater proportion of patients achieving target blood glucose, blood pressure, and lipid levels.


Source: Levengood TW, Peng Y, Xiong KZ, et al. Am J Prev Med. 2019;doi: 10.1016/j.amepre.2019.02.005