Abstract
To evaluate the clinical management of type 2 diabetes in the Eeyou Istchee communities of northern Quebec. Retrospective quality assurance audit. Patients with diabetes were identified using the Cree Diabetes Information System. Charts of eligible patients were audited for healthcare visits, glycemic control, blood pressure, lipid profile, pharmacological treatment and complications for the 2006 calendar year. Analyses were performed to assess the association of disease duration, age, target glycemic and blood pressure control with diabetes complications. Half of the patients (49.7%) achieved target HbA1c, 53.6% had a blood pressure of ≤130/80 and 58.7% had an LDL of ≤2.5 mmol/L. The proportion of patients meeting all 3 targets was low at 17.1%. The mean number of diabetes-related clinic visits was high, with an average of 3.9 visits to a physician and an average of 8.7 visits to a registered nurse. Of patients with a documented diabetic complication, 39.4% of patients were not being managed with an ACE/ARB and 48.2% of patients were not prescribed a statin. These findings suggest a possible treatment gap for risk factors and complications management. To circumvent further increases in diabetes-related complications, emphasis ...Continue Reading
References
Sep 30, 1993·The New England Journal of Medicine·UNKNOWN Diabetes Control and Complications Trial Research GroupC Siebert
Jun 29, 2000·Archives of Internal Medicine·B R ShahB Zinman
Sep 22, 2001·Medical Care·L S MeredithK B Wells
Oct 13, 2001·Lancet·S S AnandE Lonn
Jul 2, 2003·Diabetes Care·Chris GreenJane Griffith
Sep 27, 2003·Diabetic Medicine : a Journal of the British Diabetic Association·C M RendersG van der Wal
Apr 2, 2005·Journal of Interprofessional Care·Bruce MinoreStephen Birch
May 14, 2005·Diabetes Research and Clinical Practice·Stewart B HarrisSusan Webster-Bogaert
Jul 29, 2005·The Australian Journal of Rural Health·Sylvia S BartonHarvey V Thommasen
Feb 14, 2006·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·K A StraussD H Morton
Apr 6, 2006·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Sheldon W TobeJacqueline Hoppe
Sep 5, 2008·Diabetes Research and Clinical Practice·Mariam NaqshbandiFred Antwi-Nsiah
Sep 12, 2008·The New England Journal of Medicine·Rury R HolmanH Andrew W Neil
Sep 12, 2008·The New England Journal of Medicine·Rury R HolmanDavid R Matthews
Feb 25, 2009·Hypertension·Ross D FeldmanBrian G Feagan
Jan 19, 2010·Diabetes/metabolism Research and Reviews·Damin SiTarun Weeramanthri
Apr 2, 2010·Heart, Lung & Circulation·Patricia M DavidsonMichelle Digiacomo
Mar 8, 2011·Diabetes Research and Clinical Practice·Stewart B HarrisUNKNOWN CIRCLE Study Group
Citations
Mar 30, 2013·Applied Physiology, Nutrition, and Metabolism = Physiologie Appliquée, Nutrition Et Métabolisme·Louise M Johnson-Down, Grace M Egeland
Apr 17, 2012·Journal of Ethnopharmacology·Despina HarbilasPierre S Haddad
Aug 2, 2014·Qualitative Health Research·Richard T OsterEllen L Toth