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Although most adults with insulin-treated diabetes usually follow their prescribed insulin regimen, experiencing A1Cs higher than 7% suggests that an individual’s insulin use, regimen or both are inadequate to achieve optimal blood glucose control.
Utilizing the Department of Veterans Affairs regional database, New England researchers evaluated 6,222 diabetics on chronic insulin therapy to predict compliance with insulin regimens.
The study evaluated demographic variables, intensity of diabetes management, A1C levels and pharmacy utilization records.
Insulin use was 77 percent of prescribed amounts, with A1C levels averaging 8%. Oral hypoglycemic agent use was higher than insulin use, but it correlated with insulin use. Race, A1C levels and intensity of diabetes management were significant predictors of insulin use. Age, race and insulin use were significant predictors of A1C levels.
—Diabetes Care, January 2005
Diabetes Health is the essential resource for people living with diabetes- both newly diagnosed and experienced as well as the professionals who care for them. We provide balanced expert news and information on living healthfully with diabetes. Each issue includes cutting-edge editorial coverage of new products, research, treatment options, and meaningful lifestyle issues.