부산대학교 도서관

Objective - To study differences in diabetes-related parameters in type 2 diabetic patients treated with the support of a Diabetes Service compared to conventional general practice care. Design - Parallel clinical trial with randomisation at practice level. Setting - Fifteen general practices. Patients - Type 2 diabetic patients, aged < 76 years, treated by a GP. Main outcome measures - Level of glycated haemoglobin (HbA1c). Results - 246 patients entered the study. Final mean HbA1c of all evaluable patients allocated to the intervention (n =84) was 7.1 ± 1.2%, vs 7.5 ± 1.8% in the controls (n = 140) (p = 0.06). Patients who were initially poorly controlled (Fasting Blood Glucose > 10 mmol/l) had a significantly lower final HbA1c if they were in an intervention practice (p =0.001). Fewer patients in intervention practices were referred to hospital specialists (1 vs 14). Conclusions – Support by the Dutch Diabetes Service did not significantly influence glycated haemoglobin. The subgroup of initially poorly controlled patients developed a significantly lower HbA1c in intervention practices (supported by a Diabetes Service) than in control practices. [ABSTRACT FROM AUTHOR]