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People with Diabetes on Diet Only Are Poorly Monitored
People with Diabetes on Diet Only Are Poorly Monitored -- Posted by Gumbo on 10-30-04 06:40
People with Diabetes on Diet Only Are Poorly Monitored
Originally Published:20040908.
People with type 2 diabetes managed by diet alone have significant rates of
complications and are less likely than those on medication to be monitored
adequately.
Tight glycaemic control reduces microvascular complications in patients with
diabetes. Researchers from Nottingham investigated diabetes-related
complications in 7,870 people with type 2 diabetes from 42 general
practices.
Of the group, 31.3 per cent had their diabetes managed through diet alone.
This group is much less likely to have HbA1c measurements, blood pressure,
cholesterol, smoking, microalbuminuria testing, or screening for foot
problems recorded. Of those on medication, 38.4 per cent had an HbA1C above
7.5 per cent, compared with 17.3 per cent of those on diet alone. Compared
with those treated by diet only, those on medication were less likely to
have high blood pressure (odds ratio 1.17) and were less likely to be on
antihypertensive agents (odds ratio 1.65).
Those on diet only were more likely to have raised cholesterol (odds ratio
1.45) and less likely to be prescribed a statin (odds ratio 0.47). Although
fewer of those treated by diet have diabetes-related complications (68 per
cent) compared with those on medication (80 per cent), the rate is much
higher than for the population without diabetes.
Hippisley-Cox J, Pringle M (2004) Prevalence, care and outcomes for patients
with diet-controlled diabetes in general practice: cross sectional survey.
The Lancet. 364, 9432, 423-428.
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