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Table 5 Estimated direct medical cost savings from the program using the Gilmer approach

From: Effectiveness and economic impact of a diabetes education program among adults with type 2 diabetes in South Texas

A1c change from baseline in Type 2 diabetes patients at 12 months

  

Baseline A1c levels

A1c < 7%

7% ≤ A1c < 8%

8% ≤ A1c < 9%

9% ≤ A1c < 10%

A1c ≥ 10%

 

No. of Type 2 diabetes participants with 12-mo follow-up

133

78

47

27

53

 

Average A1c change at 12-month follow-up (std. dev.)

0.15(±0.73)

−0.24(±0.90)

−0.45(±1.68)

−1.37(±1.55)

−2.9(±2.56)

 

Number of A1c decreasers

58

50

32

22

45

 

Number of A1c increasers

64

24

14

5

8

 

Number with no A1c change

11

4

1

0

0

 

Cost savings for 1% reduction

−514

373

1303

1374

1374

 

Average cost savings per person by initial A1c level

−58

− 220

−130

1057

3406

 

Program participants initial A1c distribution

28.9%

20.5%

14.9%

11.6%

24.0%

 
 

2002 USD

2018 USD

average cost savings per person (weighted) program saving in 3 years based on 12 m follow-up

Estimated current program total cost saving in 3 years

$859

$1501

$178,073

$311,299

$3,314,186

$5,793,715