Patient age, ethnicity, medical history, and risk factor profile, but not drug insurance coverage, predict successful attainment of glycemic targets: Time 2 Do More Quality Enhancement Research Initiative (T2DM QUERI).

Objective — To identify factors in patients with type 2 diabetes and A1C 7.0% associated with attainment of A1C 7.0%. Research Design and Methods — We used a prospective registry of 5,280 Canadian patients in primary care settings enrolled in a 12-month glycemic pharmacotherapy optimization strategy based on national guidelines. Results — At close out, median A1C was 7.1% (vs. 7.8% at baseline) with 48% of subjects achieving A1C 7.0% (P 0.0001). Older patients of Asian or black origin, those with longer diabetes duration, those with lower baseline A1C, BMI, LDL cholesterol, and blood pressure, and those on angiotensin receptor blockers and a lower number of antihyperglycemic agents, were more likely to achieve A1C 7.0% at some point during the study (all P 0.0235). Access to private versus public drug coverage did not impact glycemic target realization. Conclusions — Patient demography, cardiometabolic health, and ongoing pharmacotherapy, but not access to private drug insurance coverage, contribute to the care gap in type 2 diabetes.