Quality of diabetes care in the middle- and high-income group populace: the Delhi Diabetes Community (DEDICOM) survey.
OBJECTIVE
We sought to evaluate the quality of care in known diabetic patients from the middle- and high-income group populace of Delhi.


METHODS
A cross-sectional survey was conducted using a probability proportionate to size (systematic), two-stage cluster design. Thirty areas were selected for a house-to-house survey to recruit a minimum of 25 subjects (known diabetes >/= 1 year; aged 35-65 years) per area. Data were collected by interview, by blood sampling, and from medical records.


RESULTS
A total of 819 subjects (of 1,153 eligible) were enrolled from 20,666 houses. In total, 13.0% (95% CI 9.6-17.3) of the patients had an HbA(1c) (A1C) estimation and 16.2% (13.5-19.4) had a dilated eye examination in the last year, 32.1% (27.5-36.6) had serum cholesterol estimation in the last year, and 17.5% (14.2-21.5) were taking aspirin. An estimated 42.0% (37.7-46.2) had an A1C value >8%, 40.6% (36.5-44.7) had an LDL cholesterol level >130 mg/dl, and 63.2% (59.6-66.6) had blood pressure levels >140/90 mmHg.


CONCLUSIONS
A wide gap exists between practice recommendations and delivery of diabetes care in Delhi.
Nagpal
Jitender
J
Qutab Institutional Area, New Delhi 110016, USA. abhishek.bhartia@sitarambhartia.org
Bhartia
Abhishek
A
D000328:Adult; D000368:Aged; D001786:Blood Glucose; D001794:Blood Pressure; D008076:Cholesterol, HDL / Q000097:blood; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000191:economics* / Q000628:therapy*; D004632:Emergency Medical Services / Q000706:statistics & numerical data; D005260:Female; D006442:Glycated Hemoglobin; D006801:Humans; D007182:Income; D007194:India; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D011787:Quality of Health Care / Q000191:economics* / Q000706:statistics & numerical data*; D014280:Triglycerides / Q000097:blood
D001786:Blood Glucose; D008076:Cholesterol, HDL; D006442:Glycated Hemoglobin; D014280:Triglycerides