title: [Prevention of diabetes mellitus complications and improvement of early diagnosis at a population level, through the implementation of integrated disease management in the Modena region].
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.
authors.affiliation: Progetto Diabete, Direttore Generale Azienda USL, Modena.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Caroli
authors.forename: Angela
authors.initials: A
authors.lastname: Paganelli
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Fattori
authors.forename: Maria Monica
authors.initials: MM
authors.lastname: Daghio
authors.forename: Patrizia
authors.initials: P
authors.lastname: Guidetti
authors.forename: Silvana
authors.initials: S
authors.lastname: Borsari
authors.forename: Andrea
authors.initials: A
authors.lastname: Guerzoni
authors.forename: Kyriakoula
authors.initials: K
authors.lastname: Petropulacos
authors.forename: Ghassan
authors.initials: G
authors.lastname: Daya
authors.forename: Anna Vittoria
authors.initials: AV
authors.lastname: Ciardullo
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015415:Biomarkers / Q000097:blood; D048909:Diabetes Complications / Q000517:prevention & control*; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy*; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy*; D042241:Early Diagnosis; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D007558:Italy; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome
chemical_list: D015415:Biomarkers; D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents