Diabetes Mellitus in German Primary Care: Quality of Glycaemic Control and Subpopulations not well Controlled – Results of the DETECT Study

Huppertz, E.; Pieper, Lars; Stridde, E.; Pittrow, David; Böhler, Steffen; Lehnert, Hendrik

doi:10.1055/s-2008-1073127

Cited by 44 publications

(26 citation statements)

References 19 publications

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“…The mean HbA1 C % for the overall data was 9.1% and this is comparable with earlier study reports from the same clinic, 7.6 -8.5% [26,27], and with 7.8% report (Northwest Ethiopia) [36], but somewhat lower than other reports; 12% from Gondar Ethiopia [37] and 11% from Mekele [10]. Furthermore, the mean HbA1 C of 9.1% obtained in this study was slightly higher than similar reports around the world; 7.2% from china [38], 7.4% from Germany [39], 7.2% from European cohort of 2023 [19], and 8.2% from the Diabcare Africa study [40]. Various diabetes care bodies around the world are currently working to achieve a glycemic goal of HbA1 C <10% in 90% of the diabetic patients [41,42].…”

Section: Discussioncontrasting

confidence: 54%

Major Micro vascular Complications and Associated Risk Factors among Diabetic Outpatients in Southwest Ethiopia

AN¹,

Waktola²,

GM³

et al. 2017

Endocrinol Metab Syndr

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Background: Diabetic complications and comorbidities, mainly due to poorly controlled diabetes, are the common causes of hospital admissions and mortalities among diabetic populations. Although studies from Ethiopia show high incidence of complications, data on associated risk factors is scarce. The current study was aimed to assess the potential risk factors contributing to microvascular diabetic complications in the study area.

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Section: Discussioncontrasting

confidence: 54%

Major Micro vascular Complications and Associated Risk Factors among Diabetic Outpatients in Southwest Ethiopia

AN¹,

Waktola²,

GM³

et al. 2017

Endocrinol Metab Syndr

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“…Um die Vielfalt von Patienten-und Settingmerkmalen sowie die Entwicklung unterschiedlicher Programme und Versorgungsmodelle zu berück-sichtigen, ist es dabei wichtig, das Versorgungsgeschehen bezogen auf die Gesamtpopulation und im Zeitverlauf zu bewerten [1,4,5,6].…”

Section: Hintergrund Und Zielsetzungunclassified

Verbesserungen in der Versorgung von Patienten mit Typ-2-Diabetes?

Schunk

Stark

Reitmeir

et al. 2011

Bundesgesundheitsbl.

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To evaluate the quality of diabetes care, processes and outcomes of health care for type 2 diabetes were compared across three population-based surveys in Germany with cross-sectional and longitudinal perspectives. The surveys were conducted in the Augsburg region, southern Germany, in 1999-2001, 2003-2005, and 2006-2008 and included physical examinations, an interview, self-administered diabetes questionnaires, and laboratory tests. Quality indicators derived from guidelines for type 2 diabetes managed care programs in Germany served as the evaluation framework. Multiple regression models were used for analysis, adjusting for age, sex, education, diabetes duration, and cardiovascular comorbidity. Results show that medical examinations of eyes (61-71%) and feet (38-55%) and the use of antihypertensives, antiplatelet drugs, and lipid-lowering medications were reported more frequently over time. There was no increase in patient self-care behaviors or diabetes education. Blood pressure and cholesterol outcome targets were achieved more frequently over time. In conclusion, medical care and drug therapy of type 2 diabetes have improved; however clinical practice has failed to intensify patient participation and health behavior.

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“…In 2003, El-Kebbi et al studied the relationship of age to glycemic control in an African American population and showed a high prevalence of obesity and poor glycemic control in young adults compared to older patients [14]. A German study in 2009 also reported that the highest percentage of patients with inadequate glycemic control in the T2DM population is not found among the old but the 45 -54 and 55 -64 age groups [15].…”

Section: Introductionmentioning

confidence: 99%

Association of Younger Age With Poor Glycemic and Cholesterol Control in Asians With Type 2 Diabetes Mellitus in Singapore

Toh

2011

J Endocrinol Metab

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Background: The prevalence of type 2 diabetes mellitus (T2DM) in children and adolescents is increasing in both poor and rich countries. Epidemiologic studies have reported significant and continuous associations between HbA1c level and diabetes-related vascular complications. Younger adults with early exposure to hyperglycemia are at high risk for end-organ damage. Few studies have reported the relationship of age to glycemic control in patients with T2DM world-wide and little comparison among young adults and elderly patients especially in the Asian population. This study investigates the relationship of age and glycemic control in Asian patients with T2DM attending primary care clinics in Singapore.

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Diabetes Mellitus in German Primary Care: Quality of Glycaemic Control and Subpopulations not well Controlled – Results of the DETECT Study

Cited by 44 publications

References 19 publications

Major Micro vascular Complications and Associated Risk Factors among Diabetic Outpatients in Southwest Ethiopia

Major Micro vascular Complications and Associated Risk Factors among Diabetic Outpatients in Southwest Ethiopia

Verbesserungen in der Versorgung von Patienten mit Typ-2-Diabetes?

Association of Younger Age With Poor Glycemic and Cholesterol Control in Asians With Type 2 Diabetes Mellitus in Singapore

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