Less frequently reported were quality of life , patient satisfaction , self-care , and healthcare utilization .
Most care management modalities were carved out from primary care .
Conclusions Most care management programs for patients with type 2 diabetes are ' carved-out ' , accomplish limited effects on metabolic outcomes , and have unknown effects on patient important outcomes .
Background This systematic review and meta- analysis aims at assessing the composition and performance of care management models evaluated in the last decade and their impact on patient important outcomes .
Mobile diabetes intervention study: testing a personalized treatment/behavioral communication intervention for blood glucose control.
BACKGROUND National data find glycemic control is within target ( A1c<7.0 % ) for 37 % of patients with diabetes , and only 7 % meet recommended glycemic , lipid , and blood pressure goals . OBJECTIVES To compare active interventions and usual care for  glucose control  in a r and omized clinical trial ( RCT ) among persons with diabetes cared for by primary care physicians ( PCPs ) over the course of 1 year . METHODS Physician practice s ( n=36 ) in 4 geographic areas are r and omly assigned to 1 of 4 study groups . The intervention is a diabetes communication system , using mobile phones and patient/physician portals to allow patient-specific treatment and communication . All physicians receive American Diabetes Association ( ADA ) Guidelines for diabetes care . Patients with poor diabetes control ( A1c > or = 7.5 % ) at baseline ( n=260 ) are enrolled in study groups based on PCP r and omization . All study patients receive blood glucose ( BG ) meters and a year 's supply of testing material s. Patients in three treatment groups select one of two mobile phone models , receive one-year unlimited mobile phone data and service plan , register on the web-based individual patient portal and receive study treatment phone software based on study assignment . Control group patients  receive usual care from their PCP . The primary outcome is mean change in A1c over a 12-month intervention period . CONCLUSION Traditional methods of disease management have not achieved adequate control for BG and other conditions important to persons with diabetes . Tools to improve communication between patients and PCPs may improve patient outcomes and be satisfactory to patients and physicians . This RCT is ongoing
Less frequently reported were quality of life , patient satisfaction , self-care , and healthcare utilization .
Most care management modalities were carved out from primary care .
Conclusions Most care management programs for patients with type 2 diabetes are ' carved-out ' , accomplish limited effects on metabolic outcomes , and have unknown effects on patient important outcomes .
Background This systematic review and meta- analysis aims at assessing the composition and performance of care management models evaluated in the last decade and their impact on patient important outcomes .