Coronary microvascular disease caused by either diabetes or hypertension may result in chronic kidney disease (CKD) or renal failure. Strict glycemic control and blood pressure management in diabetic patients is recommended. A pilot study was conducted with pertinent information on 20 diabetes patients from a local free clinic who were sampled. Data collection included initial HbA1C & BP readings upon beginning treatment at WFMC and then one year post treatment. Findings indicated that while patients did not show a statistically significant reduction in HbA1C, BP values were significantly reduced after one year. These findings signify the importance and successes of primary care monitoring in a preventive-care community based clinic setting.
Hagemann, Joseli S.; Dushman, Claudia; and Jung, Lorena
"Diabetic Management of Glycemic Control and Hypertension for Prevention of Chronic Kidney Disease in a Community-Based Free Clinic,"
VA Engage Journal: Vol. 3
, Article 6.
Available at: http://scholarship.richmond.edu/vaej/vol3/iss1/6