ISSN:1357-8170    

DOI:10.1002/pdi.1960160816

出版商:John Wiley&Sons, Ltd.    

年代:1999

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960160802

出版商:John Wiley&Sons, Ltd.    

年代:1999

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960160803

出版商:John Wiley&Sons, Ltd.    

年代:1999

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960160804

出版商:John Wiley&Sons, Ltd.    

年代:1999

数据来源: WILEY

摘要:

AbstractComputerised diabetes clinic databases are considered to be vital for properly organised care, but setting up such systems may be impeded by financial and manpower shortages. During a recent 12 month period, a research nurse in our Diabetes Centre abstracted demographic, medical and risk factor data onto a standard pro forma, before each clinic. The data were entered onto a public domain computer database. Data were obtained on a total of 3132 patients, 46% female, mean (SD) age 57±15 years, and mean (SD) duration of diabetes 9.2 (9.1) years. Eighty‐five per cent had type 2 and 15% had type 1 diabetes; 33% were on insulin treatment, 25% diet and 42% tablets. Data extraction took a mean of 3.2 minutes, and entry 2.0 minutes per case. The total manpower cost was £0.85 per patient, estimated costs for setting up the whole database were £3900, and annual maintenance costs are £1200. An effective and useful clinic computer database can be set up cheaply and e

ISSN:1357-8170    

DOI:10.1002/pdi.1960160805

出版商:John Wiley&Sons, Ltd.    

年代:1999

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960160806

出版商:John Wiley&Sons, Ltd.    

年代:1999

数据来源: WILEY

摘要:

AbstractEducation is widely regarded as fundamental to good diabetes care yet, in the UK, it is often low in the practical priorities of clinicians running a busy clinic. In addition, many clinicians are not trained in the production or delivery of educational packages for adults. In this pilot project we employed a person trained in adult education to develop a structured educational programme on foot care, management and natural history of diabetes. The programme ran concurrently using three different methods in three practices. The education was provided in one practice by the clinicians, in the second by video and the clinicians and in the third by the adult educator and clinicians. Patient knowledge, HbA1c, weight and smoking status were assessed before and after the programme. There were baseline differences in the practices with patients in the video practice scoring higher for knowledge. Post‐programme assessment showed that there had been improvement in knowledge levels in the practice with the in situ adult educator and an increase in incorrect answers in the traditional practice. There had been no change in HbA1c, weight or comfort with diabetes but 41.2% of smokers stated they had ceased over the period of the stud

ISSN:1357-8170    

DOI:10.1002/pdi.1960160807

出版商:John Wiley&Sons, Ltd.    

年代:1999

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960160808

出版商:John Wiley&Sons, Ltd.    

年代:1999

数据来源: WILEY

摘要:

AbstractIn a retrospective survey of 24 consecutive referrals to a hospital diabetic clinic of patients with type 2 diabetes and HbA1c>7.5%, HbA1cat 6–12 months improved in those maintained on oral hypoglycaemics (initial 9.5% ± 1.1%, finl 8.0% ± 1.5%, n=10, p=0.02) and in those who were changed to insulin (initial 9.7% ± 1.4%, final 8.0% ± 1.5%, n=14 p=<0.01). Patients maintained on oral hypoglycaemics were significantly more overweight than those changed to insulin (BMI 35.0 ± 8.2 kg/m2versus 27.3 ± 5.8 kg/m2, p<0.025). If patients who missed more than 30% of appointments (n=7) are excluded from the analysis, the outcome in HbA1cwas similar to that achieved in the intensive arm of the UKP

ISSN:1357-8170    

DOI:10.1002/pdi.1960160809

出版商:John Wiley&Sons, Ltd.    

年代:1999

数据来源: WILEY

摘要:

AbstractWe have determined factors associated with the control of diabetes mellitus, a leading and emerging public health problem in the United Arab Emirates (UAE). Diabetic patients from the Abu Dhabi Emirate responded to interviewer‐administered questionnaires, including socio‐demographic factors. UAE citizens (49% of patients) showed a female preference for hospital‐based treatment, and had a fasting blood glucose level that was a mean 1.2 mmol/L higher than in South Asian patients (p=0.024). Health centre‐managed patients had over twice the odds of poor diabetic control compared to those treated at hospital (OR 2.47, p=0.001). A positive family history of diabetes was significantly associated with good control (OR 0.39, p=0.001), suggesting that diabetes in the family encourages better care. The findings suggest that hospitals are overburdened with routine management, and that improvements are needed in primary care and in the community‐based approach to diabetes control, especially among the indigenous p

ISSN:1357-8170    

DOI:10.1002/pdi.1960160810

出版商:John Wiley&Sons, Ltd.    

年代:1999

数据来源: WILEY