Alphabet Strategy for diabetes care: A multi-professional, evidence-based, outcome-directed approach to management

Table 4 Percentage of practice of evidence-based medicine cohort attaining trial standards compared to original study treatment arms

	Intensive arm	POEM 1 post implementation	POEM 2	P value (intensive vs POEM 2)
Steno-2
SBP ≤ 130 mmHg	45%	34%	36%	0.07
DBP ≤ 80 mmHg	70%	67%	67%	0.51
TC ≤ 4.5 mmol/L	72%	36%	54%	< 0.001
HbA1c ≤ 6.5%	15%	13%	15%	1.000
Aspirin	73%	83%	88%	< 0.001
Statin	71%	52%	69%	0.66
ACEI	66%	66%	58%	0.09
ARB	39%	10%	20%	< 0.001
Either ACEI/ARB	58%	73%	74%	0.001
UKPDS
SBP ≤ 144 mmHg	50%	58%	73%	< 0.001
DBP ≤ 82 mmHg	50%	73%	74%	< 0.001
HbA1c ≤ 7%	50%	22%	29%	< 0.001

POEM: Practice of evidence-based medicine; SBP: Systolic blood pressure; DBP: Diastolic blood pressure; UKPDS: United Kingdom Prospective Diabetes Study.