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Does Personalized Diabetes Management Improve Outcomes?

Diabetes Care; ePub 2016 Dec 5; Bertsimas, et al

Substantial improvements in HbA1c outcomes were observed in patients treated with a personalized approach to diabetes management via a data-driven algorithm, a recent study found. Outcomes were modeled under 13 pharmacological therapies based on electronic medical records from 1999 to 2014 for 10,806 patients with type 2 diabetes from Boston Medical Center. Researchers found:

  • Among the 48,140 patient visits in the test set, the algorithm’s recommendation mirrored the observed standard of care in 68.2% of visits.
  • When recommendations differed, the mean posttreatment glycated HbA1c under the algorithm was lower than standard of care by 0.44 ± 0.03%, from 8.37% under the standard of care to 7.93% under the algorithm.

The authors suggest that the prototyped dashboard visualizing the recommendation algorithm can be used by providers to inform diabetes care and improve outcomes.

Citation:

Bertsimas D, Kallus N, Weinstein AM, Zhuo YD. Personalized diabetes management using electronic medical records. [Published online ahead of print December 5, 2016]. Diabetes Care. doi:10.2337/dc16-0826.