Cynthia C Bevis1, June M Nogle, Barbara Forges, Philip C Chen, Deborah Sievers, Karlene Ranghell Lucas, John J Mahoney, James M Crawford. 1. From the Department of Pathology and Laboratory Medicine (Ms Bevis and Dr Crawford), North Shore-Long Island Jewish Health System, Hofstra North Shore-LIJ School of Medicine, Manhasset, NY; Institute for Child Health Policy (Drs Nogle and Forges), University of Florida, Gainesville; Cognoscenti Health Institute (Dr Chen), Orlando, and University of Miami Miller School of Medicine; Florida Hospital Diabetes Institute (Ms Sievers); Florida Health Care Coalition (Ms Lucas and Dr Mahoney), Orlando.
Abstract
OBJECTIVE: A 12-month wellness program was provided for employees of a major employer in the Orlando area. METHODS: The program involved screening and measurement of baseline indices, educational sessions, telephonic support, quarterly laboratory monitoring, and provision of glucometers and test strips. RESULTS: For the 73 enrolled employees with prediabetes, serum hemoglobin A1c levels-mean (standard deviation)-decreased from 6.10% (0.53%) to 5.42% (0.51%) (P < 0.0001). For the 151 enrolled employees with diabetes, mean serum hemoglobin A1c levels-mean (standard deviation)-decreased from 8.03% (1.91%) to 7.48% (1.52%) (P < 0.0001). In the 12 months before, during, and after the program, 27, 15, and 27 diabetic employees required hospitalization, respectively. Health insurance per member per month claims costs for employees with diabetes rose only 1.2% over the prior 12 months, and self-reported presenteeism increased (P < 0.0001). CONCLUSIONS: This employer-endorsed program achieved favorable outcomes for employees with prediabetes and diabetes.
OBJECTIVE: A 12-month wellness program was provided for employees of a major employer in the Orlando area. METHODS: The program involved screening and measurement of baseline indices, educational sessions, telephonic support, quarterly laboratory monitoring, and provision of glucometers and test strips. RESULTS: For the 73 enrolled employees with prediabetes, serum hemoglobin A1c levels-mean (standard deviation)-decreased from 6.10% (0.53%) to 5.42% (0.51%) (P < 0.0001). For the 151 enrolled employees with diabetes, mean serum hemoglobin A1c levels-mean (standard deviation)-decreased from 8.03% (1.91%) to 7.48% (1.52%) (P < 0.0001). In the 12 months before, during, and after the program, 27, 15, and 27 diabetic employees required hospitalization, respectively. Health insurance per member per month claims costs for employees with diabetes rose only 1.2% over the prior 12 months, and self-reported presenteeism increased (P < 0.0001). CONCLUSIONS: This employer-endorsed program achieved favorable outcomes for employees with prediabetes and diabetes.
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