Time and cost involved in the care of newly registered patients with diabetes mellitus and other lifestyle diseases at diabetes clinics in Japan (JDDM 4).

Time and cost involved in the care of newly registered patients with diabetes mellitus and other lifestyle diseases at diabetes clinics in Japan (JDDM 4). Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Time and cost involved in the care of newly registered patients with diabetes mellitus and other lifestyle diseases at diabetes clinics in Japan (JDDM 4). Abstract Text:

M Oishi,H Yokoyama,N Abe,K Iwasaki,F Okuguchi,K Kawai,H Sugimoto,H Takamura,H Takeda,K Doi,K Hirao,S Ikeda,M Oishi,H Yokoyama,N Abe,K Iwasaki,F Okuguchi,K Kawai,H Sugimoto,H Takamura,H Takeda,K Doi,K Hirao,S Ikeda,

AIMS: To study the time and cost involved in the care of newly registered outpatients with Type 2 diabetes mellitus (DM), compared with patients with hypertension and/or hyperlipidaemia (HTL). METHODS: A total of 313 patients with DM and 58 patients with HTL without diabetes were registered on their first visits to 11 diabetes clinics across Japan. The time and cost involved in their care was recorded over the following 5 months. RESULTS: In the first 3 months, there was an extensive time commitment to both groups. The time spent by physicians was 1.5 times longer for DM than for HTL. The total care time spent by all the care providers for DM was twice that for HTL. The cost of DM care was twice that for HTL, with the cost of medicines excluded. However, half of the cost for DM was for laboratory tests. When these were excluded, and the remaining cost divided by the time spent, the amount for DM was half of that for HTL. Over the 5 months, mean glycated haemoglobin (HbA(1c)) in DM patients improved from 8.0% to 6.5%, and 72% of DM patients achieved the glycaemic target of HbA(1c) < or = 6.5%. CONCLUSIONS: DM care in a diabetes clinic requires a great deal more time and resources than HTL to achieve the best outcome. An educational system for self care, presently lacking in the primary care setting in Japan, would improve glycaemic control for DM patients in the community.

Time and cost involved in the care of newly registered patients with diabetes mellitus and other lifestyle diseases at diabetes clinics in Japan (JDDM 4). Publishing Authors By Initials

M Oishi,H Yokoyama,N Abe,K Iwasaki,F Okuguchi,K Kawai,H Sugimoto,H Takamura,H Takeda,K Doi,K Hirao,S Ikeda,M Oishi,H Yokoyama,N Abe,K Iwasaki,F Okuguchi,K Kawai,H Sugimoto,H Takamura,H Takeda,K Doi,K Hirao,S Ikeda,

For similar abstracts research abstracts see: abstracts research

PUBMED ID PMID:

MEDLINE DATE:

Time and cost involved in the care of newly registered patients with diabetes mellitus and other lifestyle diseases at diabetes clinics in Japan (JDDM 4). Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Diabetic medicine : a journal of the British Diabe

VOLUME: 24

Page Numbers: 1149-55

Journal Abbreviation: Diabet. Med.

ISSN: 0742-3071

DAY: 24

MONTH: Oct

YEAR: 2007

Time and cost involved in the care of newly registered patients with diabetes mellitus and other lifestyle diseases at diabetes clinics in Japan (JDDM 4). Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 8500858

Time and cost involved in the care of newly registered patients with diabetes mellitus and other lifestyle diseases at diabetes clinics in Japan (JDDM 4). Keywords Mesh Terms:

KEYWORDS:

MESH TERMS:

Chemical & Substance for Abstract: Time and cost involved in the care of newly registered patients with diabetes mellitus and other lifestyle diseases at diabetes clinics in Japan (JDDM 4). Information

Substance Name:

Registry Number:

Grant and Affiliation Information for Time and cost involved in the care of newly registered patients with diabetes mellitus and other lifestyle diseases at diabetes clinics in Japan (JDDM 4).

AFFILIATION: Oishi Clinic, Kyoto, Japan. oishi108@mbox.kyoto-inet.or.jp

Country: England

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: Diabet Med

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Time and cost involved in the care of newly registered patients with diabetes mellitus and other lifestyle diseases at diabetes clinics in Japan JDDM 4 Related Publications

• A novel sphingosine-1-phosphate receptor agonist KRP-203 attenuates rat autoimmune myocarditis.
• Adenovirus-mediated expression of BMP-7 suppresses the development of liver fibrosis in rats.
• Bone morphogenetic protein (BMP)-2 induces apoptosis in human myeloma cells.
• Bone morphogenetic protein-2 induces apoptosis in human myeloma cells with modulation of STAT3.
• Carbonic anhydrase related protein 8 mutation results in aberrant synaptic morphology and excitatory synaptic function in the cerebellum.
• Compact superconducting ring at ritsumeikan university.
• Comparative evaluation of biomarkers of occupational exposure to toluene.
• Cytochrome P450-dependent metabolism of vitamin E isoforms is a critical determinant of their tissue concentrations in rats.
• Different effects of vitamin E on the growth and morphological differentiation of 4 murine neuroblastoma cell lines in vitro.
• Diflunisal stabilizes familial amyloid polyneuropathy-associated transthyretin variant tetramers in serum against dissociation required for amyloidogenesis.
• Dyke-Davidoff-Masson syndrome manifested by seizure in late childhood: a case report.
• Early gene expression analyzed by cDNA microarray and RT-PCR in osteoblasts cultured with water-soluble and low molecular chitooligosaccharide.
• Effect of overexpression of PPARgamma on the healing process of corneal alkali burn in mice.
• En bloc resection of the temporal bone by the lateral approach in carcinoma of the middle ear associated with skull base infiltration with reference to the resection of the petrous apex.
• Erythropoietin attenuates the development of experimental autoimmune myocarditis.
• Fluoxetine as a potential pharmacotherapy for methamphetamine dependence: studies in mice.
• Inhomogeneity of local temperature in small clusters in microcanonical equilibrium.
• Interactivating feedback loops within the mammalian clock: BMAL1 is negatively autoregulated and upregulated by CRY1, CRY2, and PER2.
• Lineage-specific expression of granulocyte colony-stimulating factor and thrombopoietin receptors in terminally differentiated hematopoietic cells.
• Mainstream breast cancer radiology perspective.
• Metabolic derangements in deficiency of citrin, a liver-type mitochondrial aspartate-glutamate carrier.
• Plasma endothelin-1 levels depress optic nerve head circulation detected during the glucose tolerance test.
• Possible involvement of bone morphogenetic protein 2 in heterotopic ossification in metastatic lesion from urothelial carcinoma of bladder.
• Promising techniques for breast cancer detection, diagnosis, and staging using non-ionizing radiation imaging techniques.
• Reduced synaptic vesicle density and aberrant synaptic localization caused by a splice site mutation in the Rs1h gene.
• Release and recycling of the readily releasable vesicle population in a synapse possessing no reserve population.
• Slow absorption of conjugated linoleic acid in rat intestines, and similar absorption rates of 9c,11t-conjugated linoleic acid and 10t,12c-conjugated linoleic acid.
• Targeted ablation of osteocytes induces osteoporosis with defective mechanotransduction.
• Targeted and regulable expression of transgenes in hepatic stellate cells and myofibroblasts in culture and in vivo using an adenoviral Cre/loxP system to antagonise hepatic fibrosis.
• mPer2 antisense oligonucleotides inhibit mPER2 expression but not circadian rhythms of physiological activity in cultured suprachiasmatic nucleus neurons.