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J. Simon, A. Gray, P. Clarke, Alisha Wade, A. Neil, A. Farmer (2008)
Cost effectiveness of self monitoring of blood glucose in patients with non-insulin treated type 2 diabetes: economic evaluation of data from the DiGEM trialBMJ : British Medical Journal, 336
A. Ginde, P. Blanc, R. Lieberman, C. Camargo (2008)
Validation of ICD-9-CM coding algorithm for improved identification of hypoglycemia visitsBMC Endocrine Disorders, 8
T Gomes, D Martins, M Tadrous (2016)
Self-monitoring of blood glucose: evaluating the impact of a policy of quantity limits on test strip utilization and costs
James Moss, Delawter De (1986)
Self-Monitoring of Blood GlucoseDiabetes Care, 15
D. Power (2006)
Standards of Medical Care in Diabetes: Response to position statement of the American Diabetes AssociationDiabetes Care, 29
(2014)
American College of Endocrinology (ACE) Consensus Conference on GlucoseMonitoring
C. Cameron, Adil Virani, H. Dean, M. Evans, L. Dolovich, M. Dahl (2010)
Utilization and Expenditure on Blood Glucose Test Strips in CanadaCanadian Journal of Diabetes, 34
C. Clar, K. Barnard, E. Cummins, P. Royle, N. Waugh (2010)
Self-monitoring of blood glucose in type 2 diabetes: systematic review.Health technology assessment, 14 12
A. Cheng (2013)
Canadian Diabetes Association 2013 clinical practice guidelines for the prevention and management of diabetes in Canada. Introduction.Canadian journal of diabetes, 37 Suppl 1
J. Hux, F. Ivis, V. Flintoft, A. Bica (2002)
Diabetes in Ontario: determination of prevalence and incidence using a validated administrative data algorithm.Diabetes care, 25 3
A. Towfigh, M. Romanova, J. Weinreb, B. Munjas, M. Suttorp, Annie Zhou, P. Shekelle (2008)
Self-monitoring of blood glucose levels in patients with type 2 diabetes mellitus not taking insulin: a meta-analysis.The American journal of managed care, 14 7
Jennifer Hahamian (2014)
Blood Glucose Test Strip Utilization Within MedicareJournal of Diabetes Science and Technology, 8
(2016)
Standards of medical care in diabetes - 2016, 39
U. Malanda, L. Welschen, I. Riphagen, J. Dekker, G. Nijpels, S. Bot (2012)
Self-monitoring of blood glucose in patients with type 2 diabetes mellitus who are not using insulin.The Cochrane database of systematic reviews, 1
A. Farmer, R. Perera, A. Ward, C. Heneghan, J. Oke, A. Barnett, M. Davidson, B. Guerci, V. Coates, U. Schwedes, S. O’malley (2012)
Meta-analysis of individual patient data in randomised trials of self monitoring of blood glucose in people with non-insulin treated type 2 diabetesBMJ : British Medical Journal, 344
U. Malanda, S. Bot, G. Nijpels, Acknowledgments—u M (2012)
Self-Monitoring of Blood Glucose in Noninsulin-Using Type 2 Diabetic PatientsDiabetes Care, 36
J. Speight, J. Browne, J. Furler (2013)
Challenging evidence and assumptions: is there a role for self-monitoring of blood glucose in people with type 2 diabetes not using insulin?Current Medical Research and Opinion, 29
(2013)
Self - monitoring of blood glucose in noninsulin - using type 2 diabetic patients : it is time to face the evidence
J. Simon (2009)
Diabetes Glycaemic Education and Monitoring Trial Group
T. Gomes, D. Juurlink, Ian Moore, J. Maguire, M. Mamdani (2012)
The impact of federal warnings on publically funded desmopressin utilization among children in Ontario.Journal of pediatric urology, 8 3
J. Tu, A. Chu, L. Donovan, D. Ko, G. Booth, K. Tu, L. Maclagan, Helen Guo, P. Austin, W. Hogg, Moira Kapral, H. Wijeysundera, C. Atzema, A. Gershon, D. Alter, Douglas Lee, C. Jackevicius, R. Bhatia, J. Udell, M. Rezai, T. Stukel (2015)
The Cardiovascular Health in Ambulatory Care Research Team (CANHEART): Using Big Data to Measure and Improve Cardiovascular Health and Healthcare ServicesCirculation: Cardiovascular Quality and Outcomes, 8
T. Gomes, D. Juurlink, Z. Yao, X. Camacho, J. Paterson, Samantha Singh, I. Dhalla, B. Sproule, M. Mamdani (2014)
Impact of legislation and a prescription monitoring program on the prevalence of potentially inappropriate prescriptions for monitored drugs in Ontario: a time series analysis.CMAJ open, 2 4
T. Gomes, Diana Martins, Lucy Cheng, J. Kratzer, David Juurlink, Baiju Shah, M. Mamdani, J. Paterson, Michael Law (2015)
The impact of policies to reduce blood glucose test strip utilization and costs in CanadaCanadian Journal of Public Health, 106
C. Weber, S. Kocher, K. Neeser, D. Bartášková (2010)
Impact of self-measurement of blood glucose on complications of type 2 diabetes: economic analysis from a Czech perspectiveCurrent Medical Research and Opinion, 26
K. Neeser, C. Weber (2009)
Cost impact of self-measurement of blood glucose on complications of type 2 diabetes: the Spanish perspective.Diabetes technology & therapeutics, 11 8
(2010)
Aberdeen Health Technology Assessment Group. Self-monitoring of blood glucose in type 2 diabetes: systematic review.Health
ImportanceGiven their high costs, payers have considered implementing quantity limits for reimbursement of blood glucose test strips. The effect of these limits on patient outcomes is unknown. ObjectiveTo determine whether the introduction of quantity limits for blood glucose test strips in August 2013 was associated with changes in clinical outcomes. Design, Setting, and ParticipantsCross-sectional time series analysis from April 2008 to March 2015 of residents of Ontario, Canada, aged 19 years and older with diabetes who were eligible for public drug coverage. In a sensitivity analysis, we studied high-volume users of test strips, who were most likely to be affected by the quantity limits. ExposuresEligible patients were stratified into 4 mutually exclusive groups based on diabetes therapy: insulin, hypoglycemia-inducing oral diabetes agents, nonhypoglycemia-inducing oral diabetes agents, and no drug therapy. Main Outcomes and MeasuresThe primary outcome was emergency department visits for hypoglycemia or hyperglycemia, and the secondary outcome was mean hemoglobin A1c (HbA1c) levels. Outcomes were measured for all patients in each quarter, stratified by age group (<65 vs ≥65 years) and diabetes therapy. ResultsBy the end of the study period, 834 309 people met inclusion criteria. Among those younger than 65 years, the rate of hypoglycemia and hyperglycemia declined over the study period (from 4.9 to 3.0 visits per 1000 Ontario drug benefit [ODB]-eligible patients and from 4.2 to 3.6 visits per 1000 ODB-eligible patients, respectively) and was not significantly associated with the introduction of quantity limits (P = .67 and P = .37, respectively). Similarly, among those aged 65 years and older, rates of hypoglycemia and hyperglycemia declined over the study period (from 2.9 to 1.3 visits per 1000 eligible patients and from 0.8 to 0.5 visits per 1000 eligible patients, respectively) and was not significantly associated with the introduction of quantity limits (P = .12 and P = .24, respectively). Results were consistent for the secondary outcome of mean HbA1c levels and in the sensitivity analysis of high-volume test strip users. Conclusions and RelevanceThe imposition of quantity limits for blood glucose test strips was not associated with worsening short-term outcomes, suggesting that these policies can reduce costs associated with test strips without causing patient harm.
JAMA Internal Medicine – American Medical Association
Published: Jan 7, 2017
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