Trends in diabetes management practices of patients from an Australian insulin‐treated diabetes register

Sale, Michèle M.; Hazelwood, K.; Zimmet, Paul; Shaw, J. Ewart H.; Stankovich, Jim; Greenaway, TM; Dwyer, Terry

doi:10.1111/j.1464-5491.2004.01099.x

Cited by 8 publications

(5 citation statements)

References 18 publications

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“…While the survey design aimed to address previous methodological limitations (16), we also acknowledge limitations. Our response rate was comparable to a large UK survey (5) and other mail-based surveys in Australia (40)(41)(42). Greater response by females is consistent with general research participation trends (43) and trends relating to the genetics context (44).…”

Section: Discussionsupporting

confidence: 81%

Investigating genetic discrimination in Australia: a large‐scale survey of clinical genetics clients

et al. 2008

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We report first results from the Australian Genetic Discrimination Project of clinical genetics services clients' perceptions and experiences regarding alleged differential treatment associated with having genetic information. Adults (n = 2667) who had presented from 1998 to 2003 regarding predictive or presymptomatic testing for designated mature-onset conditions were surveyed; 951/1185 respondents met inclusion criteria for current asymptomatic status. Neurological conditions and familial cancers were primary relevant conditions for 87% of asymptomatic respondents. Specific incidents of alleged negative treatment, reported by 10% (n = 93) of respondents, occurred in life insurance (42%), employment (5%), family (22%), social (11%) and health (20%) domains. Respondents where neuro-degenerative conditions were relevant were more likely overall to report incidents and significantly more likely to report incidents in the social domain. Most incidents in the post-test period occurred in the first year after testing. Only 15% of respondents knew where to complain officially if treated negatively because of genetics issues. Recommendations include the need for increased community and clinical education regarding genetic discrimination, for extended clinical genetics sector engagement and for co-ordinated monitoring, research and policy development at national levels in order for the full benefits of genetic testing technology to be realised.

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Section: Discussionsupporting

confidence: 81%

Investigating genetic discrimination in Australia: a large‐scale survey of clinical genetics clients

et al. 2008

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“…Despite this apparently GP‐centric care, patients had significantly fewer annual GP visits (5.6 visits) than both previously calculated urban NSW and rural NSW averages for people with diabetes (10.9 and 8.0 visits, respectively) . In contrast, allied health service utilisation in the last year was similar to or slightly higher than rates found in previous general population studies . However, despite this pleasing comparison to urban and general population data, there is still a significant subset of patients for whom utilisation of allied health services since diagnosis is well below the level recommended by the Royal Australian College of General Practitioners (RACGP) (as noted in Table ) and also provided for by Medicare.…”

Section: Discussioncontrasting

confidence: 52%

“…There is limited data regarding the use of allied health services by people with diabetes in general and only one study specifically examining utilisation of these services by rural patients, which was hindered by a small and biased sample…”

Section: Introductionmentioning

confidence: 99%

Utilisation of multidisciplinary services for diabetes care in the rural setting

Madden

Barnard

Owen

2013

Australian J Rural Health

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Rates of allied health service utilisation were not significantly lower than urban rates; however, there is room for increased uptake of multidisciplinary services. Patients who do not access these services may expect their GP to fulfil multiple roles within a limited number of visits and may not understand the role of other practitioners. Where allied health services are available locally, utilisation may be improved by increasing use of management plans and fostering awareness of the role of allied health practitioners in diabetes management.

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“…There are only limited data on the use of allied health services by individuals with diabetes in general[ 10 11 ] and none from Saudi Arabia, although one historical study from the Qassim region of Saudi Arabia reported that there were no diabetes dietitian or educator services in 2004. [ 12 ] Only 20% of patients reported seeing a dietitian in the current study, which compares favorably with a US sample of over 18,000 patients, only 9.1% of whom reported seeing a dietitian at least once after diagnosis.…”

Section: Discussionmentioning

confidence: 99%

How does the utilization of diabetes dietitian and educator service in Saudi Arabia affect glycemic outcomes?

AlShareef

AlKhathlan

Alwabel

et al. 2018

J Fam Community Med

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BACKGROUND:Despite the acknowledgment that the services of diabetes educator and dietician affect outcome, the level of utilization of these services in the Saudi Arabian public health-care system is not known. The aims of the study were to establish the percentage of patients with diabetes mellitus (DM) followed up by a diabetic educator and a dietician in a tertiary center in Saudi Arabia and associations between follow-up by a diabetic educator and a dietician and glycemic control.MATERIALS AND METHODS:This was a cross-sectional study of 490 diabetic patients who attended the diabetic outpatient clinic consecutively at a public health-care institution in Riyadh. Patients answered interview questions on clinicodemographic variables and diabetic educator or dietitian follow-up during their care. Hemoglobin A1C (HbA1C [%, mmol/mol]) and fasting blood glucose (mg/dL, mmol/L) levels were recorded.RESULTS:The majority of patients were male (68.8%), Saudi (71%), married (91.6%), high school or college educated (55.5%), had type 2 DM (85.5%), and were taking oral hypoglycemics (57.3%). 69.0% and 19.8% of the patients had had at least some follow-up with a diabetic educator and dietician, respectively. HbA1C levels were significantly lower in patients who had had a follow-up with a dietitian (9.1 ± 4.5% [76 ± 26 mmol/mol] vs. 7.8 ± 2.2% [62 ± 13 mmol/mol]; unadjusted odds ratio [OR]: 0.80, 95% confidence intervals [CIs]: 0.71–0.89, P < 0.0001), including in multivariable analysis (adjusted OR: 0.84, 95% CIs: 0.72–0.99, P = 0.04). Follow-up with a diabetic educator was not associated with glycemic control.CONCLUSIONS:Follow-up with a diabetic dietitian had the greatest impact on glycemic control in type 1 and type 2 DM patients. A review of the national standards of best practice of diabetes education and nutrition in Saudi Arabia is required to optimize the outcomes.

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Trends in diabetes management practices of patients from an Australian insulin‐treated diabetes register

Cited by 8 publications

References 18 publications

Investigating genetic discrimination in Australia: a large‐scale survey of clinical genetics clients

Investigating genetic discrimination in Australia: a large‐scale survey of clinical genetics clients

Utilisation of multidisciplinary services for diabetes care in the rural setting

How does the utilization of diabetes dietitian and educator service in Saudi Arabia affect glycemic outcomes?

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