AMCP 2017 DIABETES HIGHLIGHTS

Challenges and Opportunities in Managing Type 2 Diabetes By Laura Morgan

The following summaries represent a sample of diabetes-related real-world, evidence-based studies presented at the 29th Annual Meeting of the Academy of Managed Care Pharmacy (AMCP), March 27-30, 2017, in Denver, CO.

Medication Adherence a Continuing Challenge in Sustaining Glycemic Control for Patients with Type 2 Diabetes Diabetes continues to present a significant clinical and economic burden on the US healthcare system: the incidence of diabetes continues to rise in the United States and is projected to reach 15 per 1000 people by 2050. Despite the introduction of new medications for the treatment of type 2 diabetes, sustaining glycemic control remains a challenge. Maintaining glycemic control, as measured by hemoglobin (Hb)A1c levels, in patients with type 2 diabetes is crucial for reducing the serious clinical complications and subsequent economic costs associated with this chronic disease. However, according to real-world data in the 2007-2010 National Health and Nutrition Examination Survey, the proportion of patients reaching an HbA1c goal of 30% of patients were not. In another meta-analysis of 27 studies between 2004 and 2013, adherence rates to diabetes drugs ranged from 38.5% to 93.1%. Not surprisingly, suboptimal adherence to diabetes therapy is associated with increased healthcare utilization and costs, in part because of high hospitalization rates. In their study, Fitch and colleagues divided the patients into 3 cohorts to identify trends in medication adherence and HbA1c levels. Cohort 1 included 4600 patients who had coverage eligibility for the 3-year period and at least 1 HbA1c test

in each year. In this cohort, glycemic control was suboptimal and difficult to sustain over time; the proportion of patients achieving HbA1c levels

Challenges and Opportunities in Managing Type 2 Diabetes.

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