title: Profile of adults with type 2 diabetes and uptake of clinical care best practices: results from the 2011 Survey on Living with Chronic Diseases in Canada - Diabetes component.
abstract: OBJECTIVE
  This study aimed to (1) describe the profile of adults with type 2 diabetes (T2D) in Canada and (2) assess the uptake of clinical care best practices, as defined by the Canadian Diabetes Association (CDA) Clinical Practice Guidelines (CPGs).
  
  
  METHODS
  We used data from the 2011 Survey on Living with Chronic Diseases in Canada - Diabetes component. Participants were aged 20 years and older, living in the 10 Canadian provinces, with self-reported T2D. Descriptive analyses present the prevalence of complications and comorbidities, as well as the level of clinical monitoring and self-monitoring/lifestyle management recommendations participants received.
  
  
  RESULTS
  We included 2335 participants with T2D, a mean age of 62.9 years, and high prevalence of complications/comorbidities and prescription medication use. Most participants reported being monitored as recommended for eye disease (73.9%), weight (81.0%), blood pressure (89.0%) and blood cholesterol levels (94.3%), but only 65.5% reported having at least two HbA1c tests during the last year and 46.5% reported an annual foot examination by a health professional. About two-thirds of the participants reported having received recommendations on weight management (59.9%) and physical activity (64.7%) from a health professional in the previous year; only 47.8% of the participants reported having received diet counseling to improve diabetes control.
  
  
  CONCLUSIONS
  Although the uptake of CDA CPGs for clinical and self-monitoring was high, with the majority of the participants reporting meeting most indicators, it was lower for HbA1c measurement and foot examination. Uptake of lifestyle management recommendations provided by health professionals was also significantly lower.
authors.affiliation: Étienne-LeBel Clinical Research Center of the Centre Hospitalier Universitaire de Sherbrooke, Department of Medicine, Division of Endocrinology, University of Sherbrooke, Canada.
authors.forename: Aurélie
authors.initials: A
authors.lastname: Baillot
authors.affiliation: Public Health Agency of Canada, Ottawa, Ontario, Canada.
authors.forename: Catherine
authors.initials: C
authors.lastname: Pelletier
authors.affiliation: Diabetes Care Program of Nova Scotia, Halifax, Nova Scotia, Canada.
authors.forename: Peggy
authors.initials: P
authors.lastname: Dunbar
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, GA, United States.
authors.forename: Linda
authors.initials: L
authors.lastname: Geiss
authors.affiliation: School of Public Health, University of Alberta, Edmonton, Alberta, Canada.
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Johnson
authors.affiliation: Division of Endocrinology & Metabolism, Keenan Research Centre in the Li KaShing Knowledge Institute of St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Lawrence A
authors.initials: LA
authors.lastname: Leiter
authors.affiliation: Étienne-LeBel Clinical Research Center of the Centre Hospitalier Universitaire de Sherbrooke, Department of Medicine, Division of Endocrinology, University of Sherbrooke, Canada. Electronic address: Marie-France.Langlois@USherbrooke.ca.
authors.forename: Marie-France
authors.initials: MF
authors.lastname: Langlois
mesh_terms: D000328:Adult; D000368:Aged; D001795:Blood Pressure Determination; D002170:Canada / Q000453:epidemiology; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology* / Q000523:psychology; D019468:Disease Management; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D015438:Health Behavior; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D015995:Prevalence; D012648:Self Care; D057566:Self Report
chemical_list: D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human
keywords: Clinical monitoring; Diabetes; Health care; Lifestyle management