title: [Therapeutic inertia in the management of type 2 diabetic patients in Primary Health Care].
abstract: OBJECTIVE
  To assess therapeutic inertia (TI) in the management of type 2 diabetic patients (DM2), as regards glycemic and lipid control.
  
  
  METHODS
  Two groups of patients were studied. Group 1: All the patients were older than 14 years, diagnosed with DM2 up to 28th February 2013, and their last determination of HbA1c was ≥ 8.5%. Group 2: All patients, under 60 years old, diagnosed with DM2 between the 1st January 2011 and the 31st December 2012, with no chronic complications and their last determination of HbA1c was ≥ 6.5%.
  
  
  RESULTS
  Group 1: 253 patients were included (13% of DM2 diagnosed). TI was 43% for DM2, 83% for LDL cholesterol, and 80% for triglycerides. TI was lower (P=.037) in patients with HbA1c ≥ 10%. There was no difference in TI as regards the management of lipid profile depending on the HbA1c levels. Group 2: All DM2 patients (n=53) who met inclusion criteria were assessed (2.7% of DM2 diagnosed). Percentage of visits of those patients that had TI: 55% for DM2, 63% for LDL cholesterol and 64% for triglycerides. A more intense therapy was observed in patients with HbA1c>7.5% in 3 of the 5 visits made.
  
  
  CONCLUSIONS
  TI in both groups was high and there is a lack of recording the reasons for this. It is important to improve the attitude of the professionals who care for the diabetic population.
authors.affiliation: Medicina de Familia y Comunitaria, Centro de Atención Primaria Terrassa Nord, Consorci Sanitari de Terrassa, Terrassa, Barcelona, España. Electronic address: mvernet@cst.cat.
authors.forename: M
authors.initials: M
authors.lastname: Vernet Vernet
authors.affiliation: Medicina de Familia y Comunitaria, Centro de Atención Primaria Terrassa Nord, Consorci Sanitari de Terrassa, Terrassa, Barcelona, España.
authors.forename: M J
authors.initials: MJ
authors.lastname: Sender Palacios
authors.affiliation: Medicina de Familia y Comunitaria, Centro de Atención Primaria Terrassa Nord, Consorci Sanitari de Terrassa, Terrassa, Barcelona, España.
authors.forename: L
authors.initials: L
authors.lastname: Bautista Galí
authors.affiliation: Medicina de Familia y Comunitaria, Centro de Atención Primaria Terrassa Nord, Consorci Sanitari de Terrassa, Terrassa, Barcelona, España.
authors.forename: P
authors.initials: P
authors.lastname: Larrosa Sàez
authors.affiliation: Medicina de Familia y Comunitaria, Centro de Atención Primaria Terrassa Nord, Consorci Sanitari de Terrassa, Terrassa, Barcelona, España.
authors.forename: J
authors.initials: J
authors.lastname: Vargas Sánchez
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D001786:Blood Glucose / Q000378:metabolism; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D008055:Lipids / Q000097:blood*; D008297:Male; D008875:Middle Aged; D010818:Practice Patterns, Physicians' / Q000592:standards*; D011320:Primary Health Care / Q000592:standards*
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin; D008055:Lipids
keywords: Atención Primaria; Diabetes mellitus tipo 2; Inercia terapéutica; Primary Health Care; Therapeutic inertia; Type 2 diabetes