Clinical Conversations

December 10th, 2015

Podcast 192: Are we too sweet on HbA1c testing?

Over half the patients with Type 2 diabetes have their HbA1c measured too frequently — i.e., at least three times a year. Why is that a bad thing? Dr. Rozalina McCoy, the lead author of a paper in The BMJ explains. Using claims data, her group followed over 30,000 patients with stable HbA1c levels and found […]

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November 1st, 2015

Podcast 188: Should “deintensification” be a quality-of-care measure?

The ACCORD trial found dangers in too-strict control of blood pressure and glucose in diabetes. Our guest has just published a study in JAMA Internal Medicine measuring the scope of the problem. Using Veterans Affairs data, his group found that “deintensification” of therapy after targets were met or exceeded was disappointingly rare. JAMA Internal Medicine study […]

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