title: Disease management of type 2 diabetes: a follow-up analysis in a sanitary district of Sicily.
abstract: OBJECTIVE
  The aim of this paper was to analyze the Disease management of type 2 diabetes in a sanitary district of the Sicily Region (Italy).
  
  
  METHODS
  In a population of 9 698 subjects, we selected patients with known type 2 diabetes: a cohort of 385 subjects, (206 women and 179 men) following up for one year. Prevalence of type 2 diabetes in the analyzed population was 3.97%. A great lot of cohort was on a diet.
  
  
  RESULTS
  After one year, a per cent reduction of obese and overweight subjects was observed. No differences were observed for Body Mass Index (BMI) at the beginning and at the end of the study. After one year, through educational meetings with the doctor, a significant increase of knowledge on the patient's conditions and on the diabetes complications was verified, but our data showed persistent poor attention by doctors. The poor knowledge of patients led to a difficult disease management. After one year, a great lot of cohort used antistroke and cardiovascular disease therapy, reducing significantly the cardiovascular disease risk. However, our study also highlights a gap between the therapeutic guidelines and the actual treatment, with wide variability in the delivery of secondary prevention. CONCLUSION. Our study showed that a persevering warning and a constant adjournment of doctors improves the disease management, reducing complications risk in type 2 diabetes patients.
authors.affiliation: Assessorato Regionale della Sanità, Palermo, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Colucci
authors.forename: A
authors.initials: A
authors.lastname: Bianco
authors.forename: F
authors.initials: F
authors.lastname: Pomara
authors.forename: M
authors.initials: M
authors.lastname: Petrucci
authors.forename: F
authors.initials: F
authors.lastname: Grosso
authors.forename: A
authors.initials: A
authors.lastname: De Vita
authors.forename: V
authors.initials: V
authors.lastname: Adamo
authors.forename: A
authors.initials: A
authors.lastname: Palma
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015992:Body Mass Index; D002318:Cardiovascular Diseases / Q000517:prevention & control; D015331:Cohort Studies; D048909:Diabetes Complications / Q000453:epidemiology / Q000517:prevention & control*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000178:diet therapy* / Q000188:drug therapy* / Q000453:epidemiology; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications; D050177:Overweight / Q000150:complications; D010353:Patient Education as Topic; D015995:Prevalence; D018570:Risk Assessment; D012307:Risk Factors; D012802:Sicily / Q000453:epidemiology; D020521:Stroke / Q000517:prevention & control; D016896:Treatment Outcome
chemical_list: D007004:Hypoglycemic Agents