Consensus Guidelines: Reality or Dream?
نویسندگان
چکیده
Aim of Study: Assess quality of diabetes care defined by consensus guidelines of ISPAD in our area; develop appropriate strategies to improve care. Design: Retrospective chart review of all individuals with IDDM diagnosis before spring 1997 followed regularly by us (either outpatient clinic or office). Method: Comparison of number of patients having had: (1) eye exam by ophthalmologist; (2) determination of MAU, and (3) lipids within 1 year among 4 subgroups defined by duration of IDDM !/1 2 years and having entered puberty or not. HbA1c (monoclonal AB n = 3–6%) was used nearest to June 1997. Results are expressed as mean B SD; t test used to confirm significance. Results: Group A (prepub. !2 years IDDM), n = 14 (5 females, 9 males), age 7.3 B 3 years (range 2.8–11.9). Group B (prepub. 12 years IDDM), n = 10 (1 female, 9 males), age 8.4 + 2.9 years (range 3.8–11.5). Group C (pubertal, !2 years IDDM), n = 10 (6 females, 4 males), age 13.1 + 1.5 years (range 10.9–15.5). Group D (pubertal, 12 years IDDM), n = 26 (15 females, 11 males), age 13.9 + 2.8 years (range 10.4–20.8).
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