title: Use of Diabetes Registry Data for Comparing Indices of Diabetes Management: A Comparison of 2 Urban Sites in Canada and Colombia.
abstract: OBJECTIVE
  To demonstrate the use of a multinational diabetes registry for comparing indices of diabetes management among countries with differing levels of income, healthcare systems and ethnic backgrounds.
  
  
  METHODS
  A cross-sectional study was conducted among 1742 people with type 2 diabetes attending diabetes clinics in London, Ontario, Canada, and Bogota, Colombia. The data were extracted from the Global Registry and Surveillance System for Diabetes (GRAND).
  
  
  RESULTS
  Canadian patients were diagnosed with diabetes at significantly younger ages than Colombian patients (49 years and 53 years, respectively) and were heavier (body mass indices of 33 and 28, respectively). The Colombian patient population had significantly higher mean glycated hemoglobin (A1C) levels (9.4% vs. 8.6%) and fewer patients (22% vs. 26%) at the glycemic target (A1C <7.0%) than Canadian patients. In Colombia, 1 or more diabetes-related complications were present in 51% of the study population compared with 37% in Canada. Newly diagnosed Colombians had higher mean A1C levels (9.1% vs. 8.7%) and low-density lipoprotein-C levels (3.3 mmol/L vs. 2.5 mmol/L) than did newly diagnosed Canadians.
  
  
  CONCLUSIONS
  A multination diabetes registry collecting standardized data facilitates transnational comparison of diabetes clinical parameters for the purpose of identifying potential gaps in care.
authors.affiliation: Centre for Studies in Family Medicine, Department of Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada. Electronic address: Stewart.Harris@schulich.uwo.ca.
authors.forename: Stewart
authors.initials: S
authors.lastname: Harris
authors.affiliation: Department of Internal Medicine, Javeriana University School of Medicine, San Ignacio University Hospital, and Colombian Diabetes Association, Bogotá, Colombia.
authors.forename: Pablo
authors.initials: P
authors.lastname: Aschner
authors.affiliation: Centre for Studies in Family Medicine, Department of Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
authors.forename: Selam
authors.initials: S
authors.lastname: Mequanint
authors.affiliation: Centre for Studies in Family Medicine, Department of Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
authors.forename: Jim
authors.initials: J
authors.lastname: Esler
mesh_terms: D001786:Blood Glucose / Q000032:analysis; D015992:Body Mass Index; D003105:Colombia / Q000453:epidemiology; D003430:Cross-Sectional Studies; D003627:Data Interpretation, Statistical; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000188:drug therapy* / Q000453:epidemiology; D019468:Disease Management; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D008297:Male; D008875:Middle Aged; D009864:Ontario / Q000453:epidemiology; D012042:Registries / Q000706:statistics & numerical data*
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin
keywords: Diabète au Canada; Diabète en Colombie; Registre du diabète; complications liées au diabète; diabetes in Canada; diabetes in Colombia; diabetes registry; diabetes-related complications; diabète sucré de type 2; type 2 diabetes mellitus