Screening programme for microvascular complications and hypertension in a community diabetic population

Diabet Med. 1992 Jul;9(6):550-6. doi: 10.1111/j.1464-5491.1992.tb01837.x.

Abstract

The role of a community-based screening programme for microvascular complications of diabetes and hypertension was evaluated in the semi-rural town of Trowbridge (population 31,000). Of 405 diabetic patients identified (prevalence 1.31%), 358 (88%) attended for screening, 94 (26%) of whom were under hospital review for diabetes. In only 136 patients (38%) were all aspects of diabetes care found to be satisfactory. The remaining 222 patients included 162 patients with poor metabolic control (HbA1 greater than or equal to 12%), 118 who were hypertensive at screening, 13 with previously undiagnosed diabetic nephropathy, and 29 with undiagnosed potentially sight-threatening retinopathy. Overall standards of diabetes care in this community population appear inadequate, and might be improved by introduction of a simple screening programme for diabetic complications.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Blood Pressure
  • Community Health Services
  • Demography
  • Diabetes Mellitus / physiopathology*
  • Diabetic Angiopathies / diagnosis*
  • Diabetic Angiopathies / epidemiology
  • Diabetic Angiopathies / prevention & control
  • England
  • Female
  • Glycated Hemoglobin A / analysis
  • Humans
  • Hypertension / diagnosis*
  • Hypertension / epidemiology
  • Hypertension / prevention & control
  • Male
  • Mass Screening
  • Middle Aged
  • Prevalence

Substances

  • Glycated Hemoglobin A