Abstract
We evaluated the effectiveness of diabetes mellitus disease management, implemented in Modena province since ten years, on the prevention of complications and early diagnoses at a population level. Time trends show that diabetic patients had significantly decreasing values over time of age, diabetes duration, and glycated haemoglobin; and increasing percentage over time of new-onset diabetes and optimal glycaemic control. That indicates an improved ability of early diagnosis and care of diabetes mellitus. It indicates at a population level that the Local Health Unit, as health system, promoted diabetes prevention and its complications.
MeSH terms
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Aged
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Aged, 80 and over
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Biomarkers / blood
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Diabetes Complications / prevention & control*
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Diabetes Mellitus, Type 1 / blood
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Diabetes Mellitus, Type 1 / complications
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Diabetes Mellitus, Type 1 / diagnosis*
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Diabetes Mellitus, Type 1 / drug therapy*
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Diabetes Mellitus, Type 2 / blood
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Diabetes Mellitus, Type 2 / complications
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Diabetes Mellitus, Type 2 / diagnosis*
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Diabetes Mellitus, Type 2 / drug therapy*
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Early Diagnosis
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Female
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Glycated Hemoglobin / metabolism
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Humans
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Hypoglycemic Agents / therapeutic use*
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Italy
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Male
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Middle Aged
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Retrospective Studies
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Treatment Outcome
Substances
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Biomarkers
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Glycated Hemoglobin A
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Hypoglycemic Agents