HealthDay News — An individualized approach to glycemic control in type 2 diabetes is likely to reduce costs and improve quality of life, according to a study published online in the Annals of Internal Medicine.

Neda Laiteerapong, MD, from the University of Chicago, and colleagues estimated the cost-effectiveness of individualized versus uniform intensive control for the US population with type 2 diabetes. Data were obtained from the National Health and Nutrition Examination Survey 2011 to 2012.

The researchers found that, compared with uniform intensive control, individualized control saved $13,547 per patient ($105,307 versus $118,854), mainly due to reduced medication costs ($34,521 versus $48,763). Decreased life expectancy was seen with individualized control (20.63 versus 20.73 years) due to an increase in complications; however, there was an increase in quality-adjusted life-years (QALYs: 16.68 versus 16.58) resulting from fewer hypoglycemic events and fewer medications.

In sensitivity analyses, individualized control was found to be cost-saving and generated more QALYs vsintensive control, except in analysis in which there was at least a 60% reduction in disutility associated with receiving diabetes medication.

“Health policies and clinical programs that encourage an individualized approach to glycemic control for US adults with type 2 diabetes reduce costs and increase quality of life compared with uniform intensive control,” the authors write.

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Laiteerapong N, Cooper JM, Skandari MR, et al. Individualized glycemic control for US adults with type 2 diabetes: a cost-effectiveness analysis [published online December 12, 2017]. Ann Intern Med. doi: 10.7326/M17-0537