Title

Retrospective Cross-Sectional Study Evaluating Follow-Up Care Visits and Pharmacological Therapy of Individuals with Type II Diabetes and Hypertension in an Urban Community Health Center

Date of Award

4-2012

Degree Name

Master of Science

Department

Biological Sciences

First Advisor

Dr. Susan Stapleton

Second Advisor

Dr. Amy Curtis

Third Advisor

Dr. John Spitsbergen

Access Setting

Masters Thesis-Campus Only

Restricted to Campus until

4-15-2032

Abstract

Type II diabetes (T2DM) is a chronic illness that affects more than 23.2 million people in the United States, including 750,000 residents in Michigan. Hypertension is a co-morbidity of T2DM. Those with both T2DM and hypertension have increased health risks. African-Americans face health disparities compared to whites and are more likely to have life-threatening illnesses from both diseases. This study used a retrospective analysis of medical records to assess followup care visits, including the pharmacological therapy of T2DM and hypertension, in an urban health care center of both white and African-American patients using the American Diabetes Association (ADA) guidelines as a template. The majority of patients did not exhibit glycemic and hypertensive control at the end of the study period (A1c = 8.13% and 77.1% ≥130/≥80, 54.3% ≥140/≥90). Inconsistent with national norms, 58% of African-Americans had A1c levels

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