OBJECTIVES: The aim of this retrospective study was to explore the quality of ambulatory management provided to patients with type 2 diabetes. METHODS: Five hundred ninety-three patients with type 2 diabetes attended our outpatient department in 2002. Clinical and biological data were collected from the medical records of these patients. RESULTS: The mean age was 61.7 +/- 10.5 years; 60.5% were women and known duration of diabetes was 11.8 +/- 7.5 years. Eighty-five percent of patients had 2 or more visits and 58% were on insulin. Glycaemic control was assessed using fasting blood glucose in 97.3%, post-prandial blood glucose in 28.3% and glycated haemoglobin in 50.6% of cases. HbA1c was over 8% in 60.7% of patients. Weight was measured at least once in 86.5% of cases, blood pressure in 91.2% and lipids levels estimated in 58%. BMI was less than 25 kg/m2 in 16.2% of patients and blood pressure less than 140/90 mmHg in 40.1% of cases. Foot examination was recorded only in 5% of patients, ECG was performed in 23.8% of cases and fundoscopy in 19.2% of patients. Proteinuria was documented in 19.1% of cases and renal function assessed in 54.4% of patients. CONCLUSIONS: These findings suggest that the management of type 2 diabetes is still inadequately performed in our centre and more progress is needed to prevent micro and macrovascular complications.
OBJECTIVES: The aim of this retrospective study was to explore the quality of ambulatory management provided to patients with type 2 diabetes. METHODS: Five hundred ninety-three patients with type 2 diabetes attended our outpatient department in 2002. Clinical and biological data were collected from the medical records of these patients. RESULTS: The mean age was 61.7 +/- 10.5 years; 60.5% were women and known duration of diabetes was 11.8 +/- 7.5 years. Eighty-five percent of patients had 2 or more visits and 58% were on insulin. Glycaemic control was assessed using fasting blood glucose in 97.3%, post-prandial blood glucose in 28.3% and glycated haemoglobin in 50.6% of cases. HbA1c was over 8% in 60.7% of patients. Weight was measured at least once in 86.5% of cases, blood pressure in 91.2% and lipids levels estimated in 58%. BMI was less than 25 kg/m2 in 16.2% of patients and blood pressure less than 140/90 mmHg in 40.1% of cases. Foot examination was recorded only in 5% of patients, ECG was performed in 23.8% of cases and fundoscopy in 19.2% of patients. Proteinuria was documented in 19.1% of cases and renal function assessed in 54.4% of patients. CONCLUSIONS: These findings suggest that the management of type 2 diabetes is still inadequately performed in our centre and more progress is needed to prevent micro and macrovascular complications.