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Diabetes management in an Australian primary care population

Citation

Krass, I and Hebing, R and Mitchell, B and Hughes, J and Peterson, G and Song, YJC and Stewart, K and Armour, CL, Diabetes management in an Australian primary care population, Journal of Clinical Pharmacy and Therapeutics, 36, (6) pp. 664-672. ISSN 0269-4727 (2011) [Refereed Article]


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Copyright Statement

Copyright 2011 Blackwell Publishing Ltd

DOI: doi:10.1111/j.1365-2710.2010.01221.x

Abstract

What is known and objective: Worldwide studies have shown that significant proportions of patients with type 2 diabetes (T2DM) do not meet targets for glycaemic control, blood pressure (BP) and lipids, putting them at higher risk of developing complications. However, little is known about medicines management in Australian primary care populations with T2DM. The aim of this study was to (i) describe the management of a large group of patients in primary care, (ii) identify areas for improvement in management and (iii) determine any relationship between adherence and glycaemic, BP and lipid control.

Methods: This was a retrospective, epidemiological study of primary care patients with T2DM diabetes, with HbA1c of >7%, recruited in 90 Australian community pharmacies. Data collected included demographic details, diabetes history, current medication regimen, height, weight, BP, physical activity and smoking status.

Results and discussion: Of the 430 patients, 98% used antidiabetics, 80% antihypertensives, 73% lipid lowering drugs and 38% aspirin. BP and all lipid targets were met by only 21% and 14% of the treated patients and 21% and 12% of the untreated patients respectively. Medication adherence was related to better glycaemic control (P = 0.04).

What is new and conclusions: An evidence-base prescribing practice gap was seen in this Australian primary care population of T2DM patients. Patients were undertreated with antihypertensive and lipid lowering medication, and several subgroups with co-morbidities were not receiving the recommended pharmacotherapy. Interventions are required to redress the current evidence-base prescribing practice gap in disease management in primary care.

Item Details

Item Type:Refereed Article
Keywords:management, pharmacotherapy, primary care, therapy, type 2 diabetes mellitus
Research Division:Medical and Health Sciences
Research Group:Medical Biochemistry and Metabolomics
Research Field:Medical Biochemistry: Carbohydrates
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Diabetes
Author:Peterson, G (Professor Gregory Peterson)
ID Code:78070
Year Published:2011
Web of Science® Times Cited:9
Deposited By:Pharmacy
Deposited On:2012-06-13
Last Modified:2012-10-31
Downloads:0

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