diabetes mellitus is the most common endocrine disorders in children. there is a close association between diabetes and other autoimmune disease especially thyroid disorders. as many as 20 percent of insulin dependent diabetic patients may have thyroid antibodies in their serum. the prevalence is 2-20 times greater than observed in normal populations. in this study, 122 patients with diabetes m...

OBJECTIVES This study evaluated the quality of diabetes care for older American Indians and Alaska Natives. METHODS We analyzed the Indian Health Service Diabetes Care and Outcomes Audit to determine whether completion of indicators of diabetes care differed as a function of age and whether additional patient and program factors were also associated with completion of the majority of the indi...

OBJECTIVES To field test the reliability, validity, and acceptability of review criteria for angina, asthma, and type 2 diabetes which had been developed by expert panels using a systematic process to combine evidence with expert opinion. DESIGN Statistical analysis of data derived from a clinical audit, and postal questionnaire and semi-structured interviews with general practitioners and pr...

Diabetes is now the biggest cause of amputation, stroke, blindness and end stage renal failure. It causes many deaths from cardiovascular disease. Foot ulcers and amputations reduce the quality of life, increase mortality and involve lengthy stay in hospital. Many people who have an ulcer eventually require surgery. The economic cost to the nation is spiralling out of control with estimates of ...

Background. Different methods have been used to determine the prevalence and treatment of diabetes. Despite the large number of studies, previous estimations of prevalence and treatment have been carried out on relatively small numbers of patients, and then in only a few practices in single geographical regions. Aim. To investigate the feasibility of collating data from multi-practice audits or...

OBJECTIVE Type 2 diabetes is a major public health problem among many American Indian/Alaska Native communities. Elevated levels of HbA(1c) have been observed in younger American Indian/Alaska Native adults. The objectives of this study were: 1) to determine whether HbA(1c) levels were elevated among younger American Indian/Alaska Native adults nationally and, if so, 2) to determine the relatio...