Vol 4, No 2 (2003): Practical Diabetology
Research paper
Published online: 2003-04-28
DINAMIC 2 study: results of comparison among various regions of Poland (III)
Diabetologia Praktyczna 2003;4(2):111-124.
Abstract
INTRODUCTION. Diabetes is a social disease. Only
a very good metabolic control can protect diabetes
patients against development of late complications.
The complications of diabetes significantly decrease
the quality of life and increase mortality.
AIM. The aim of the performed study was to answer the following questions:
1. How are the diabetic patients treated by the general practitioner in various regions of Poland?
2. Are there any differences among various regions of Poland as far as metabolic control of diabetic patients is concerned?
3. Are there any differences among various regions of Poland in the treatment of diabetes?
To answer the questions 2636 patients with diabetes in various regions of Poland were examined.
RESULTS. General practitioners take care mainly of type 2 diabetes patients with the duration of disease shorter than 10 years. In the kujawsko-pomorskie and lubuskie provinces it is above 90%. 60% of patients with type 2 diabetes are educated (with the highest rate in lubuskie province > 80% and the lowest rate in zachodniopomorskie province 35.71%). The self-control is performed by one third of patients (the highest rate in malopolskie province 44.07% and the lowest rate in lubuskie province 15.5%). 11.83% patients are treated with a diet (the highest rate in lubuskie province 21.89% and the lowest rate in swietokrzyskie province 2.0%). The most frequent treatment used by general practitioners is the diet combined with one oral agent. The most frequent oral agent is gliclazide (26.94%). The highest rate of the diabetes treatment based on the diet combined with gliclazide was observed in swietokrzyskie province. The hypertension was observed in 66.20% of analysed patients, the highest rate in podkarpackie province 79.60%. The lipid disorders were observed in 20.71% of analysed patients, the highest rate in podkarpackie province 26.13%. Hypertension and lipid disorders if present were treated in almost every patient. HbA1c was 7.37% in the analysed group. The lowest HbA1c was observed in podlaskie (6.63%) and warminsko- mazurskie province (6.96%), and the highest HbA1c in wielkopolskie (7.86%) and lubuskie province (7.80%).
CONCLUSIONS
1. The general practitioners treat mainly type 2 diabetes patients with short duration of diabetes.
2. There are large differences as far as metabolic control of diabetes is concerned among different provinces.
3. Type 2 diabetes patients analysed in DINAMIC study significantly differ according to the diabetes treatment among various regions of Poland.
AIM. The aim of the performed study was to answer the following questions:
1. How are the diabetic patients treated by the general practitioner in various regions of Poland?
2. Are there any differences among various regions of Poland as far as metabolic control of diabetic patients is concerned?
3. Are there any differences among various regions of Poland in the treatment of diabetes?
To answer the questions 2636 patients with diabetes in various regions of Poland were examined.
RESULTS. General practitioners take care mainly of type 2 diabetes patients with the duration of disease shorter than 10 years. In the kujawsko-pomorskie and lubuskie provinces it is above 90%. 60% of patients with type 2 diabetes are educated (with the highest rate in lubuskie province > 80% and the lowest rate in zachodniopomorskie province 35.71%). The self-control is performed by one third of patients (the highest rate in malopolskie province 44.07% and the lowest rate in lubuskie province 15.5%). 11.83% patients are treated with a diet (the highest rate in lubuskie province 21.89% and the lowest rate in swietokrzyskie province 2.0%). The most frequent treatment used by general practitioners is the diet combined with one oral agent. The most frequent oral agent is gliclazide (26.94%). The highest rate of the diabetes treatment based on the diet combined with gliclazide was observed in swietokrzyskie province. The hypertension was observed in 66.20% of analysed patients, the highest rate in podkarpackie province 79.60%. The lipid disorders were observed in 20.71% of analysed patients, the highest rate in podkarpackie province 26.13%. Hypertension and lipid disorders if present were treated in almost every patient. HbA1c was 7.37% in the analysed group. The lowest HbA1c was observed in podlaskie (6.63%) and warminsko- mazurskie province (6.96%), and the highest HbA1c in wielkopolskie (7.86%) and lubuskie province (7.80%).
CONCLUSIONS
1. The general practitioners treat mainly type 2 diabetes patients with short duration of diabetes.
2. There are large differences as far as metabolic control of diabetes is concerned among different provinces.
3. Type 2 diabetes patients analysed in DINAMIC study significantly differ according to the diabetes treatment among various regions of Poland.
Keywords: DINAMIC 2regions of Polandcomparison