Treating to Target: Implementing an Effective Diabetes Care Paradigm for Managed Care

Author Affiliations: From Division of Endocrinology, Diabetes, and Clinical Nutrition, Oregon Health and Science University, Portland (AJA); Sharp Rees-Stealy Medical Group, San Diego, CA (DC B); Outpatient Services, Monarch Healthcare, Irvine, CA (RB); Health Intelligence Partners, Chicago, IL (JEB); Division of Endocrinology, Cedars-Sinai Medical Center, Los Angeles, CA (MAB); Department of Family Medicine, Boston University School of Medicine, Boston (LC); Pharmacy Service, Arcadian Health Plan, San Dimas, CA (GSO); Brush, CO (MR ); Beth Israel Deaconess Medical Center, Boston, MA (FKW).

Funding Source: Financial support for this work was provided by Novo Nordisk.

Author Disclosures: Dr Ahmann reports being a consultant/advisory board member for Biodel, MannKind, and Novo Nordisk, grants from Amylin, Lilly, MannKind, and Medtronic, and receiving honoraria from and paid lectureship for Amylin, Lilly, Merck, and Sanofi. Dr Balfour reports being an advisory board member for GlaxoSmithKline, Lilly, Merck, Novartis, Novo Nordisk, Ortho-McNeil, Sanofi, Takeda, and Teva. Dr Bush reports being a consultant/advisory board member for Novo Nordisk and on the speakers' bureau for Lilly, Merck, and Novo Nordisk. Dr Culpepper served on the advisory board for AstraZeneca, Lilly, Pfizer, Sanofi, Takeda, and Wyeth. Drs Beltran, Berger, Ringel, and Welty and Ms Owens report no relationship or financial interest with any entity that would pose a conflict of interest with the subject matter of this supplement.

Authorship Information: Concept and design (DCB, MAB, LC, GSO, FKW); acquisition of data (DCB); analysis and interpretation of data (AJA, RB, MAB, LC); drafting of the manuscript (AJA, DCB, RB, MAB, LC, GSO, FKW); critical revision of the manuscript for important intellectual content (AJA, RB, MAB, LC, MR , GSO, FKW); and administrative, technical, or logistic support (JEB, GSO).

Address correspondence to: Jan E. Berger, MD, President & CEO, Health Intelligence Partners, 3842 Monticello Ave, Chicago, IL 60618. E-mail: janberger@comcast.net.

Section 1

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Section 2

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2. American Diabetes Association. Standards of medical care in diabetes-2010. Diabetes Care. 2010;33(suppl 1):S11-S61.

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Section 3

1. American Diabetes Association. Standards of medical care in diabetes-2009. Diabetes Care. 2009;32(suppl 1):S13-S61.

2. Ford ES, Li C, Little RR, Mokdad AH. Trends in A1C concentrations among U.S. adults with diagnosed diabetes from 1999 to 2004. Diabetes Care. 2008;31:102-104.

3. Spann SJ, Nutting PA, Galliher JM, et al. Management of type 2 diabetes in the primary care setting: a practice-based research network study. Ann Fam Med. 2006;4:23-31.

4. Massi-Benedetti M, Orsini-Federici M. Treatment of type 2 diabetes with combined therapy: what are the pros and cons? Diabetes Care. 2008;31(suppl 2):S131-S135.

6. Rodbard HW, Blonde L, Braithwaite SS, et al. American Association of Clinical Endocrinologists medical guidelines for clinical practice for the management of diabetes mellitus. Endocr Pract. 2007;13(suppl 1):1-68.

7. Jellinger PS, Davidson JA, Blonde L, et al. Road maps to achieve glycemic control in type 2 diabetes mellitus: ACE/AACE Diabetes Road Map Task Force. Endocr Pract. 2007;13:260-268.

8. Grant RW, Wexler DJ, Watson AJ, et al. How doctors choose medications to treat type 2 diabetes: a national survey of specialists and academic generalists. Diabetes Care. 2007;30:1448-1453.

9. Peyrot M, Rubin RR, Lauritzen T, et al. Resistance to insulin therapy among patients and providers: results of the cross-national Diabetes Attitudes, Wishes, and Needs (DAWN) study. Diabetes Care. 2005;28:2673-2679.

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