title: Care of type 2 diabetes in unresourced general practice: current practice in the Mid-West.
abstract: It is estimated that 4.5% of the Irish population have type 2 diabetes. The HSE intends to move the care of uncomplicated type 2 diabetes to General Practice (GP). The study reviewed current General Practice diabetes care in the Irish Mid-West. The files of randomly selected patients from 12 GP teaching practices attached to the University of Limerick were audited. 842 patients were identified (62% male, 38% female). The mean age was 66 years. 75% were GMS patients. A practice protocol was used in 71% of patients. Average Cholesterol (4.3 mmol/l), creatinine (85.3 mmol/l), HbA1c (56.7 mmol/mol) and systolic blood pressure (SBP) (134 mmHg) measurements were well documented and controlled. However the rates of and mean intervals for foot review (60.2%), BMI measurement (52.3%), retinopathy screening (62.0%) and influenza vaccination (63.0%) were unacceptably low. Current management of type 2 diabetes in unresourced general practices is suboptimal although some biochemical parameters are well controlled.
authors.forename: R
authors.initials: R
authors.lastname: O'Connor
authors.forename: M
authors.initials: M
authors.lastname: Mannix
authors.forename: W
authors.initials: W
authors.lastname: Cullen
authors.forename: J
authors.initials: J
authors.lastname: Mullen
authors.forename: M
authors.initials: M
authors.lastname: Healy
authors.forename: J
authors.initials: J
authors.lastname: Saunders
authors.forename: M
authors.initials: M
authors.lastname: Griffin
authors.forename: G
authors.initials: G
authors.lastname: O'Sullivan
mesh_terms: D000368:Aged; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000175:diagnosis / Q000628:therapy*; D019468:Disease Management; D005194:Family Practice / Q000458:organization & administration*; D005260:Female; D058006:General Practice / Q000458:organization & administration*; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D007494:Ireland; D008297:Male; D011787:Quality of Health Care; D012189:Retrospective Studies; D012424:Rural Population
chemical_list: D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents