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Glycemic Relapse After an Intensive Outpatient Intervention for Type 2 Diabetes

  1. Tom A. Elasy, MD, MPH1,
  2. Alan L. Graber, MD1,
  3. Kathleen Wolff, RN, MSN2,
  4. Anne Brown, RN, MSN2 and
  5. Ayumi Shintani, PHD1
  1. 1Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee
  2. 2Vanderbilt University School of Nursing, Nashville, Tennessee

    The effectiveness of interventions that reduce hyperglycemia in patients with diabetes (1,2) is limited by the tendency for glycemic relapse after the intervention ends. We sought to characterize the occurrence of glycemic relapse after initial improvement and to describe predictors of relapse.

    Glycemic relapse was evaluated in 265 consecutive patients with type 2 diabetes who participated in a 3-month intensive outpatient intervention and were followed at least 1 year after completion of the intervention. Details of the intervention have been previously described (3). All had HbA1c …

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