[Quality indicators of type 2-diabetes monitoring during 2000-2005]

Ugeskr Laeger. 2009 Jan 12;171(3):130-4.
[Article in Danish]

Abstract

Introduction: Considerable attention has been given to the screening and optimization of treatment of people with type 2-diabetes in the period 2000-2005. The aim of this paper is to evaluate the prevalence of people with type 2-diabetes and the quality of diabetes care provided in the period 2000 to 2005.

Material and methods: Using a previously evaluated method, all patients with type 2-diabetes were identified and described on the basis of register data in what was then the County of Aarhus.

Results: A total of 11,436 people with type 2-diabetes were identified in the age group 40-70 years, corresponding to a prevalence of 4.61%. In 2005 58% were in antidiabetic pharmacological treatment, 68% of whom received oral antidiabetic treatment, 15% were on insulin alone and 16% received a combination treatment including insulin and oral treatment. Furthermore, a total of 50% of the included patients were on lipid-lowering treatment of whom 99% were in statin-therapy. One or more measurements of HbA1c were taken in 87% of the patients in 2001 compared with 81% in 2005 (p < 0.000). A total of 60% had an HbA1c < 8 in 2001 compared with 67% in 2005 (p < 0.000). In 2001 72% had a cholesterol measurement compared with 77% in 2005 (p < 0.000). A total of 23% had a cholesterol value < 4.5. mmol/l in 2001 compared with 42% in 2005 (p < 0.000).

Conclusion: During a period of five years the prevalence of people with type 2-diabetes increased. In the same period, improvement was seen in the quality indicators of HbA1c and cholesterol level. There is, however, still room for improvement.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Anticholesteremic Agents / administration & dosage
  • Denmark / epidemiology
  • Diabetes Mellitus, Type 2* / blood
  • Diabetes Mellitus, Type 2* / drug therapy
  • Diabetes Mellitus, Type 2* / epidemiology
  • Drug Therapy, Combination
  • Female
  • Glycated Hemoglobin / analysis
  • Humans
  • Hypoglycemic Agents / administration & dosage
  • Insulin / administration & dosage
  • Male
  • Middle Aged
  • Prevalence
  • Quality Indicators, Health Care*
  • Treatment Outcome

Substances

  • Anticholesteremic Agents
  • Glycated Hemoglobin A
  • Hypoglycemic Agents
  • Insulin