The Effect of a Structured Behavioral Intervention on Poorly Controlled Diabetes

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Abstract
Despite the availability of new medications and treatment devices and the emphasis placed on diabetes treatment adherence over the last decade, National Health and Nutrition Examination Survey (NHANES) data show that 45% of patients with diabetes have not achieved glycemic targets of lower than 7%.1,2 While some patients may not receive optimal treatment (eg, need higher targets, have severe comorbidities, undergo inappropriate treatment), an important reason for poor glycemic control is patients' difficulty in following treatment prescriptions and self-management and lifestyle recommendations.3 Although nonspecific behavioral and/or psychological approaches may be effective in addressing these problems,4 whether clinicians are able to incorporate these techniques into their clinical practice is not clear.5-7

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