title: Can the metabolic control targets established for patients with type 1 diabetes be achieved in clinical practice?
abstract: OBJECTIVE
  To evaluate the quality of healthcare in patients with type 1 diabetes attended in the Endocrinology and Clinical Nutrition Unit of the Hospital Puerta del Mar in Cadiz (Spain).
  
  
  METHODS
  : The database included in the computer application HP-Doctor used for all patients attended in our unit (admissions, consultations and peripheral centers) was analyzed. All patients with a principal or secondary diagnosis of type 1 diabetes were included. The quality indicators analyzed were selected from the main clinical practice guidelines for these patients.
  
  
  RESULTS
  A large cohort of patients with type 1 diabetes (n=489) followed-up from 2005 to 2007 was analyzed. During the study period, the mean glycated hemoglobin level (HbA(1c)) decreased from 7.78% to 7.36%, the percentage of patients with HbA(1c) lower than 7% increased from 24.6% to 27.1% and the percentage patients with a mean HbA(1c) of more than 8% decreased from 42.6% to 38.7%. In 2007, only 35.5% of patients maintained low-density lipoprotein concentrations of less than 100 mg/dl.
  
  
  CONCLUSIONS
  Despite the improvement obtained in metabolic control parameters, most of the patients with type 1 diabetes studied showed inadequate glycemic and lipid control.
authors.affiliation: Unidad de Gestión Clínica (UGC) de Endocrinología y Nutrición. Hospital Universitario Puerta del Mar. Cádiz. España.
authors.forename: Gloria
authors.initials: G
authors.lastname: Baena
authors.forename: Florentino
authors.initials: F
authors.lastname: Carral
authors.forename: María
authors.initials: M
authors.lastname: Del Mar Roca
authors.forename: Manuel
authors.initials: M
authors.lastname: Cayón
authors.forename: José
authors.initials: J
authors.lastname: Ortego
authors.forename: Luis
authors.initials: L
authors.lastname: Escobar
authors.forename: Isabel
authors.initials: I
authors.lastname: Torres
authors.forename: Inmaculada
authors.initials: I
authors.lastname: Gavilán
authors.forename: Inmaculada
authors.initials: I
authors.lastname: Doménech
authors.forename: Amor
authors.initials: A
authors.lastname: García
authors.forename: Cristina
authors.initials: C
authors.lastname: Coserria
authors.forename: Cristina
authors.initials: C
authors.lastname: López
authors.forename: Manuel
authors.initials: M
authors.lastname: Aguilar-Diosdado