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[Quality of diabetes education and shared care between family practice and the diabetes clinic].

AIM
To evaluate the quality of diabetes group-based education followed by shared care. The diabetes education program includes screening for diabetic complications and a scheme for follow-up is planned. Patients with microvascular complications visit the diabetes clinic four times a year. Patients without microvascular complications visit their general practitioner every third month and the diabetes clinic once a year.


MATERIALS AND METHODS
Retrospective data of 100 newly-referred patients with Type 2 diabetes with quality standards given in parenthesis.


RESULTS
86% (>80%) of the patients visited our diabetes clinic 2 years after diabetes education and 73% (>80%) visited their general practitioner. After 2 years HbA1c and blood pressure were assessed in 100% of the patients (>95%), while urinary albumin was measured in 99% (>90%) and eye examinations performed in 95% (>90%) of the patients. HbA1C <7% was found in 55% (60%) 2 years after the diabetes education. HbA1C <8% was found in 83% (>80%) after 2 years after diabetes education. Blood pressure < or =130/80 mmHg was found in 40% 2 years after diabetes education. Blood pressure < or =140/90 mmHg was found in 62% (>80%) 2 years after diabetes education. Permanent micro- and macroalbuminuria was shown in 7% at diabetes education and 3% 2 years later. Total cholesterol <4.5 mmol/l in 57% (>80%) 2 years after diabetes education.


CONCLUSION
The quality of the organization of diabetes care and glycemic control was good. The goals for management of hyperlipidaemia and blood pressure were not accomplished. By means of screening 7% of patients were diagnosed with micro- or macroalbuminuria.