| Nonmydriatic Retinal Image Review at Time of Endocrinology Visit Results in Short-Term HbA1c Reduction in Poorly Controlled Patients with Diabetic Retinopathy. | |
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MedLine Citation:
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PMID: 21675867 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Abstract Objectives: The objective of this study was to evaluate the effect of discussing retinal findings following nonmydriatic retinal imaging during an endocrinology visit on subsequent HbA1c in poorly controlled diabetic patients with diabetic retinopathy (DR). Materials and Methods: During a visit to an endocrinologist, patients with DR and documented HbA1c ≥8.0% within the preceding month were assigned to either addition of nonmydriatic imaging and discussion of retinal findings or standard endocrinology evaluation alone. Ophthalmology care was otherwise the same in both groups. Changes in HbA1c were evaluated 3 months later. Results: One hundred thirteen (94%) of the original 120 subjects completed the study. The mean HbA1c change in the retinal imaging group was a decline of 1.35%, whereas the control group had a 0.26% increase. Controlling for gender, age, duration of diabetes, presence of hypertension, and use of insulin, the difference between groups was significant (p<0.0003). Conclusions: Nonmydriatic imaging and discussion of retinal findings during an endocrinologist visit may contribute, at least in the short term, to improved glycemic control in patients with DR and elevated HbA1c. |
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Authors:
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Haytham Salti; Jerry D Cavallerano; Nisreen Salti; Dalida Jaafar Jawhari; Sandra Haddad; Jennifer K Sun; Ibrahim Salti; Lloyd Paul Aiello |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-6-15 |
Journal Detail:
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Title: Telemedicine journal and e-health : the official journal of the American Telemedicine Association Volume: - ISSN: 1556-3669 ISO Abbreviation: - Publication Date: 2011 Jun |
Date Detail:
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Created Date: 2011-6-16 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100959949 Medline TA: Telemed J E Health Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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1 Department of Ophthalmology, American University of Beirut Medical Center , Beirut, Lebanon . |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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