{"id":"https://openalex.org/W2809554111","doi":"https://doi.org/10.2337/db18-1652-p","title":"High-Risk Medication Use to Achieve Tight Glycemic Control among U.S. Adults with Serious Chronic Conditions","display_name":"High-Risk Medication Use to Achieve Tight Glycemic Control among U.S. Adults with Serious Chronic Conditions","publication_year":2018,"publication_date":"2018-06-22","ids":{"openalex":"https://openalex.org/W2809554111","doi":"https://doi.org/10.2337/db18-1652-p","mag":"2809554111"},"language":"en","primary_location":{"id":"doi:10.2337/db18-1652-p","doi":"https://doi.org/10.2337/db18-1652-p","is_oa":true,"landing_page_url":"https://doi.org/10.2337/db18-1652-p","pdf_url":null,"source":{"id":"https://openalex.org/S129060628","display_name":"Diabetes","issn_l":"0012-1797","issn":["0012-1797","1939-327X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320274","host_organization_name":"American Diabetes Association","host_organization_lineage":["https://openalex.org/P4310320274"],"host_organization_lineage_names":["American Diabetes Association"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diabetes","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.2337/db18-1652-p","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5001881870","display_name":"Rozalina G. McCoy","orcid":"https://orcid.org/0000-0002-2289-3183","observed_orcids":["https://orcid.org/0000-0002-2289-3183"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"ROZALINA G. MCCOY","raw_affiliation_strings":["Rochester, MN, New Haven, CT"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rochester, MN, New Haven, CT","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112372681","display_name":"Holly Van Houten","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"HOLLY VAN HOUTEN","raw_affiliation_strings":["Rochester, MN, New Haven, CT"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rochester, MN, New Haven, CT","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5030005555","display_name":"Kasia J. Lipska","orcid":"https://orcid.org/0000-0002-0348-742X","observed_orcids":["https://orcid.org/0000-0002-0348-742X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"KASIA J. LIPSKA","raw_affiliation_strings":["Rochester, MN, New Haven, CT"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rochester, MN, New Haven, CT","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5041424888","display_name":"Nilay D. Shah","orcid":"https://orcid.org/0000-0002-8597-3447","observed_orcids":["https://orcid.org/0000-0002-8597-3447"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"NILAY SHAH","raw_affiliation_strings":["Rochester, MN, New Haven, CT"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rochester, MN, New Haven, CT","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.09441531,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"67","issue":"Supplement_1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10401","display_name":"Diabetes Treatment and Management","score":0.8525000214576721,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10401","display_name":"Diabetes Treatment and Management","score":0.8525000214576721,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10560","display_name":"Diabetes Management and Research","score":0.10760000348091125,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10496","display_name":"Pharmaceutical Practices and Patient Outcomes","score":0.00800000037997961,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/glycemic-control","display_name":"glycemic control","score":0.9639999866485596},{"id":"https://openalex.org/keywords/hba1c","display_name":"HbA1c","score":0.8190000057220459},{"id":"https://openalex.org/keywords/insulin","display_name":"insulin","score":0.48100000619888306},{"id":"https://openalex.org/keywords/sulfonylureas","display_name":"sulfonylureas","score":0.9959999918937683},{"id":"https://openalex.org/keywords/hypoglycemia","display_name":"hypoglycemia","score":0.8560000061988831},{"id":"https://openalex.org/keywords/comorbidity","display_name":"comorbidities","score":0.7459999918937683},{"id":"https://openalex.org/keywords/chronic-kidney-disease","display_name":"chronic kidney disease","score":0.593999981880188},{"id":"https://openalex.org/keywords/end-stage-renal-disease","display_name":"end-stage renal disease","score":0.9599999785423279},{"id":"https://openalex.org/keywords/dementia","display_name":"dementia","score":0.6840000152587891},{"id":"https://openalex.org/keywords/heart-failure","display_name":"heart failure","score":0.5730000138282776},{"id":"https://openalex.org/keywords/medicare-advantage","display_name":"Medicare Advantage","score":0.41999998688697815},{"id":"https://openalex.org/keywords/commercially-insured-adults","display_name":"commercially insured adults","score":0.8970000147819519},{"id":"https://openalex.org/keywords/personalized-treatment","display_name":"personalized treatment","score":0.47200000286102295},{"id":"https://openalex.org/keywords/retinopathy","display_name":"retinopathy","score":0.578000009059906},{"id":"https://openalex.org/keywords/neuropathy","display_name":"neuropathy","score":0.8429999947547913},{"id":"https://openalex.org/keywords/liver-cirrhosis","display_name":"liver cirrhosis","score":0.7200000286102295},{"id":"https://openalex.org/keywords/myocardial-infarction","display_name":"myocardial infarction","score":0.8709999918937683}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9364016652107239},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.7099422216415405},{"id":"https://openalex.org/C2780668416","wikidata":"https://www.wikidata.org/wiki/Q202758","display_name":"Hypoglycemia","level":3,"score":0.6422006487846375},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.6086487770080566},{"id":"https://openalex.org/C2780473172","wikidata":"https://www.wikidata.org/wiki/Q5572518","display_name":"Glycemic","level":3,"score":0.574993371963501},{"id":"https://openalex.org/C2779483572","wikidata":"https://www.wikidata.org/wiki/Q83030","display_name":"Dementia","level":3,"score":0.5682445764541626},{"id":"https://openalex.org/C2778653478","wikidata":"https://www.wikidata.org/wiki/Q1054718","display_name":"Kidney disease","level":2,"score":0.509865403175354},{"id":"https://openalex.org/C2779159551","wikidata":"https://www.wikidata.org/wiki/Q1414874","display_name":"Comorbidity","level":2,"score":0.505331814289093},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.47461310029029846},{"id":"https://openalex.org/C2776780178","wikidata":"https://www.wikidata.org/wiki/Q199804","display_name":"COPD","level":2,"score":0.43765872716903687},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.42799362540245056},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.25855886936187744},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.20535224676132202}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.2337/db18-1652-p","doi":"https://doi.org/10.2337/db18-1652-p","is_oa":true,"landing_page_url":"https://doi.org/10.2337/db18-1652-p","pdf_url":null,"source":{"id":"https://openalex.org/S129060628","display_name":"Diabetes","issn_l":"0012-1797","issn":["0012-1797","1939-327X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320274","host_organization_name":"American Diabetes Association","host_organization_lineage":["https://openalex.org/P4310320274"],"host_organization_lineage_names":["American Diabetes Association"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diabetes","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.2337/db18-1652-p","doi":"https://doi.org/10.2337/db18-1652-p","is_oa":true,"landing_page_url":"https://doi.org/10.2337/db18-1652-p","pdf_url":null,"source":{"id":"https://openalex.org/S129060628","display_name":"Diabetes","issn_l":"0012-1797","issn":["0012-1797","1939-327X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320274","host_organization_name":"American Diabetes Association","host_organization_lineage":["https://openalex.org/P4310320274"],"host_organization_lineage_names":["American Diabetes Association"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diabetes","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[{"score":0.6800000071525574,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W3007546177","https://openalex.org/W2971662225","https://openalex.org/W2424346781","https://openalex.org/W2909091625","https://openalex.org/W7160119063","https://openalex.org/W2808984060","https://openalex.org/W2325274353","https://openalex.org/W2797967435","https://openalex.org/W4244381796","https://openalex.org/W2036901318"],"abstract_inverted_index":{"For":[0],"patients":[1,160,167,180,191,203,216,249,264],"with":[2,46,58,151,161,168,181,192,217,220,223,226,229,232,236,243,250,265],"serious":[3,47],"comorbidities,":[4],"diabetes":[5,59,152],"management":[6],"guidelines":[7],"recommend":[8],"more":[9],"relaxed":[10],"glycemic":[11,31],"targets":[12],"(glycosylated":[13],"hemoglobin":[14],"[HbA1c]":[15],"<8-8.5%":[16],"rather":[17],"than":[18],"<7%)":[19],"and":[20,33,42,60,111,129,173,188,234,253,271,296],"cautious":[21],"use":[22,34],"of":[23,35,62,136,159,190,202,215,248,263,304],"agents":[24],"known":[25],"to":[26,258],"cause":[27],"hypoglycemia.":[28,119],"We":[29,120],"examined":[30],"control":[32],"insulin":[36,210,244],"and/or":[37,211],"sulfonylureas":[38],"among":[39,166,179],"commercially":[40],"insured":[41],"Medicare":[43,295],"Advantage":[44],"beneficiaries":[45],"comorbidities.":[48],"Using":[49],"OptumLabs":[50],"Data":[51],"Warehouse,":[52],"we":[53],"identified":[54,67,122],"adults":[55,142],"\u226518":[56],"years":[57],"\u22651":[61],"the":[63,69,130,155,193,261,272],"following":[64],"conditions":[65,195,267],"(all":[66],"by":[68,245],"guidelines)":[70],"in":[71,127,154,204,241],"2014:":[72],"dementia,":[73],"end":[74],"stage":[75],"renal":[76],"disease":[77,83,92,97,206],"(ESRD),":[78],"stages":[79],"3-4":[80],"chronic":[81,94,266],"kidney":[82],"(CKD),":[84],"myocardial":[85],"infarction":[86],"(MI),":[87],"heart":[88],"failure":[89],"(HF),":[90],"cerebrovascular":[91],"(CVD),":[93],"obstructive":[95],"pulmonary":[96],"(COPD),":[98],"cancer,":[99],"arthritis,":[100],"urinary":[101],"incontinence,":[102],"falls,":[103],"depression,":[104],"hypertension,":[105],"cirrhosis,":[106,227],"proliferative":[107],"retinopathy,":[108],"peripheral":[109],"neuropathy,":[110],"recent":[112],"emergency":[113],"department":[114],"or":[115],"hospital":[116],"visit":[117],"for":[118,294],"then":[121],"their":[123],"last":[124],"available":[125],"HbA1c":[126,162,198,269],"2015":[128],"medications":[131],"filled":[132],"within":[133],"100":[134],"days":[135],"this":[137],"HbA1c.":[138],"There":[139],"were":[140,239],"216,839":[141],"(mean":[143],"age":[144],"65.5":[145],"years,":[146],"50.5%":[147],"women,":[148],"58.6%":[149],"white)":[150],"included":[153],"study.":[156],"The":[157,184,200],"proportion":[158],"<7%":[163,270],"was":[164,177,208],"lowest":[165],"retinopathy":[169],"(28.9%),":[170],"hypoglycemia":[171],"(33.4%),":[172],"neuropathy":[174],"(48.4%);":[175],"it":[176],"highest":[178],"dementia":[182],"(59.1%).":[183],"majority":[185,262],"(between":[186],"51.5%":[187],"58.6%)":[189],"remaining":[194],"also":[196],"had":[197],"<7%.":[199],"plurality":[201,273],"each":[205],"cohort":[207],"treated":[209],"sulfonylurea,":[212],"including":[213],"66.9%":[214],"hypoglycemia,":[218],"54.4%":[219],"ESRD,":[221,251],"51.9%":[222],"CKD,":[224,252],"51.1%":[225],"46.8%":[228],"MI,":[230],"48%":[231],"HF,":[233],"43%":[235],"dementia.":[237],"Sulfonylureas":[238],"used":[240],"combination":[242],"nearly":[246],"6%":[247],"cirrhosis.":[254],"Thus,":[255],"despite":[256],"efforts":[257],"individualize":[259],"therapy,":[260],"achieve":[268],"do":[274],"so":[275],"using":[276],"high":[277],"risk":[278],"drugs.":[279],"Disclosure":[280],"R.G.":[281],"McCoy:":[282],"None.":[283,287,308],"H.":[284],"Van":[285],"Houten:":[286],"K.J.":[288],"Lipska:":[289],"Other":[290],"Relationship;":[291],"Self;":[292,301],"Centers":[293],"Medicaid":[297],"Services.":[298],"Research":[299],"Support;":[300],"National":[302],"Institutes":[303],"Health.":[305],"N.":[306],"Shah:":[307]},"counts_by_year":[],"updated_date":"2026-10-17T09:40:24.721904","created_date":"2018-06-29T00:00:00"}
