ED Alert Boosts A1c Testing, Not Glycemic Control

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TOPLINE: 

An emergency department (ED)–based alert led to a higher rate of A1c testing among patients with diabetes overdue for routine monitoring but did not significantly improve long-term glycemic control.

METHODOLOGY:

  • In this retrospective study, the researchers analyzed 348,490 ED visits by patients with diabetes from January 2017 to September 2023.
  • In November 2017, an alert was added to the ED Information System for 13,609 patients with diabetes within the health system who were noncompliant with routine biannual A1c testing. The intervention targeted patients already undergoing blood tests.
  • The primary outcome was the ordering of an A1c test, and the secondary outcome was the change in A1c levels on follow-up testing (> 30 days after the index…

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