Diabetes registers: a grassroots approach.

Abstract:

OBJECTIVES:To compile a register of diabetic patients within the catchment area of a district general hospital and evaluate the characteristics of the population using aggregated data from a general practice audit. DESIGN:Cross sectional study. Practices identified all known diabetics and completed a questionnaire from information in each patient's medical record. SETTING:Practices affiliated to a district audit group in south east England. MAIN OUTCOME MEASURES:Number of participating practices; prevalence of diabetes and its complications; and sex distribution of patients, age at diagnosis and review, treatment, and metabolic control. Comparisons with similar data from other studies. RESULTS:41 out of 43 practices participated, and 2574 diabetic patients were identified (prevalence 1.18%). 52.4% of patients were male. The mean age was 61.6 years. 32% of patients were treated with insulin, 51.5% with oral hypoglycaemic agents, 16.5% with diet alone. The mean random blood glucose concentration was 10.4 mmol/l and glycosylated haemoglobin 10.1%. 8% had proteinuria, 7% a history of myocardial infarction, 5% a history of stroke, and 2% a diabetes related amputation. These proportions were not significantly different from those found in studies performed by different methods in Poole, Islington, Powys, Trowbridge, and Southall. CONCLUSION:It is feasible to compile a register of diabetic patients in a district and evaluate their characteristics by using only general practice sources.

journal_name

BMJ

authors

Howitt AJ,Cheales NA

doi

10.1136/bmj.307.6911.1046

subject

Has Abstract

pub_date

1993-10-23 00:00:00

pages

1046-8

issue

6911

eissn

0959-8138

issn

1756-1833

journal_volume

307

pub_type

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