https://scholars.lib.ntu.edu.tw/handle/123456789/189536
標題: | Treatment of Type 2 Diabetes in a Primary Care Setting in Taiwan: Comparison with Secondary/Tertiary Care | 作者: | TAI, TONG-YUAN CHUANG, LEE-MING TSAI, SHIH-TZER HUANG, BI-YI |
關鍵字: | Blood pressure control;Diabetes management;Glycemic cont | 公開日期: | 2006 | 卷: | v.105 | 期: | n.2 | 起(迄)頁: | 105-117 | 來源出版物: | JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION | 摘要: | Background: This study investigated the status of diabetes control and management in patients treated in a primary healthcare setting and compared the results with data previously obtained for secondary/tertiary care patients in Taiwan. Methods: This study was conducted at 51 primary healthcare stations randomly selected island-wide in Taiwan in 2001. A total of 1302 type 2 diabetes patients who had been followed-up for more than 1 year were included. Blood was collected for centralized HbA1c assay . The remaining data and information were collected by review of medical records and patient interview. Results: Compared with the results of a previous study on patients treated in a secondary/tertiary care setting, a significantly smaller percentage of primary care patients were receiving insulin therapy. Primary care patients also had a shorter duration of diabetes, a higher HbA1c level, better blood pressure control and a lower prevalence of complications. The proportion of patients achieving optimal control of glycemia and blood pressure was low. Patients aged < 65 years had a significantly shorter duration of diabetes, poorer diabetes control and better blood pressure control than elderly patients aged ≥65 years. Primary care patients aged#8805;65 years had a significantly higher frequency of stroke than those aged < 65 years. The elderly group of secondary/tertiary care patients had a significantly higher frequency of coronary heart disease and stroke. Duration of diabetes and hypertension were the leading risk factors for complications in diabetes patients treated in both primary and secondary/tertiary care settings. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/93127 |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。