HbA1c overtesting and overtreatment among US adults with controlled type 2 diabetes, 2001-13: observational population based study
McCoy RG, Van Houten HK, Ross JS, Montori VM, Shah ND. HbA1c overtesting and overtreatment among US adults with controlled type 2 diabetes, 2001-13: observational population based study. The BMJ 2015, 351: h6138. PMID: 26646052, PMCID: PMC4673101, DOI: 10.1136/bmj.h6138.Peer-Reviewed Original ResearchConceptsType 2 diabetesGlycemic controlControlled type 2 diabetesNational administrative claims databaseExcessive testingAdministrative claims databaseGood glycemic controlStable glycemic controlStudy patientsTreatment intensificationSevere hypoglycemiaTreatment regimenStudy cohortUS patientsClaims databasePotential overtreatmentUS cohortHypoglycemic drugsInsulin treatmentPatient burdenRetrospective analysisStudy populationUS adultsDiabetes managementObservational populationPotential Overtreatment of Diabetes Mellitus in Older Adults With Tight Glycemic Control
Lipska KJ, Ross JS, Miao Y, Shah ND, Lee SJ, Steinman MA. Potential Overtreatment of Diabetes Mellitus in Older Adults With Tight Glycemic Control. JAMA Internal Medicine 2015, 175: 356-362. PMID: 25581565, PMCID: PMC4426991, DOI: 10.1001/jamainternmed.2014.7345.Peer-Reviewed Original ResearchConceptsTight glycemic controlHealth status categoriesGlycemic controlPoor healthOlder adultsDiabetes mellitusPotential overtreatmentIntermediate healthDaily livingHealth statusGlycemic control levelsMultiple serious comorbiditiesTight glycemic targetsIntensive glycemic controlMore chronic conditionsNutrition Examination SurveyPoor health statusStatus categoriesMore instrumental activitiesCross-sectional analysisComplex survey designDialysis dependenceSerious comorbiditiesDiabetes medicationsGlycemic targets