Table 3 Processes of care
Glycaemia and Complication Risk Factor Screening | This study | ANDA(12, 13) | UKNDA(18, 19) | Target(10, 22) |
|---|---|---|---|---|
Proportion of people with information recorded/assessed in the last 12 months | 100% | |||
Frequency of SBGM | 51 (45.9) | |||
HbA1c | 110 (99.1) | 84.8% | ||
Rate of hypoglycaemia | 88 (79.3) | |||
Blood pressure | 97 (87.4) | 90.6% | ||
Total cholesterol | 94 (84.7) | 80.2% | ||
BMI | 56 (50.4) | 81.7% | ||
Microvascular Complication Screening | ||||
UACR recorded in last 12 months | 91 (82.0) | 51.3% | ||
Duration of diabetes ≥ 2 years (n = 93) | 81 (87.1) | 100% | ||
Retinal screening in last 24 months | 94 (84.7) | |||
Duration of diabetes ≥ 2 years (n = 93) | 82 (88.2) | 100% | ||
Retinal screening in the last 12 months (n = 111) | 84 (75.7) | 74.0%i | ||
Foot Complication Screening | ||||
Feet examined in past 12 months | 88 (79.3) | 74.1% | 100% | |
Saw a podiatrist in past 12 months (n = 66) | 18 (27.3) | 48.2% | ||
Macrovascular Complication Screening | ||||
Screening (presence/absence recorded in notes) | ||||
IHD | 95 (85.6) | 100% | ||
MI | 93 (83.8) | 100% | ||
CVA | 91 (82.0) | 100% | ||
Complication Prevalence | ||||
UACR (mg/mmol creatinine) categorisation (n = 91) | ||||
Normoalbuminuria (F: < 3.5, M: < 2.5) | 68 (74.7) | |||
Microalbuminuria (F: 3.5–35, M: 2.5–25) | 12 (13.2) | |||
Macroalbuminuria (F: > 35, M: > 25) | 11 (12.1) | |||
Nephropathy reported (n = 98) | 20 (20.4) | |||
Retinopathy reported (n = 95) | 26 (27.4) | 23.3% | ||
Peripheral neuropathy reported (n = 93) | 28 (30.1) | 14.7% | ||
Macrovascular complications | ||||
IHD (n = 95) | 10 (10.5) | 1.3% | ||
MI (n = 93) | 6 (6.4) | 0.5% | ||
CVA (n = 91) | 3 (3.3) | 0.5% | ||
Education | ||||
Sick day plan discussed | 79 (71.2) | 100% | ||
Ketone monitoring discussed | 82 (73.9) | 100% | ||
“5 to drive” discussed (n = 107 as 4 people were not driving) | 83 (77.6) | 100% | ||
Hypoglycaemia management plan discussed | 107 (96.4) | 100% | ||
Taught how to carbohydrate count | 86 (77.5) | |||
Basal bolus insulin (n = 90) | 67 (74.4) | 100% | ||
Insulin pump (n = 18) | 18 (100) | |||
Attended diabetes educator in last 12 months | 89 (80.2) | 82.5% | 100% | |
Attended dietitian in last 12 months | 81 (73.0) | 49.2% | 100% | |
Attended OzDAFNE course | 8 (7.2) | |||
Psychological wellbeing & support | ||||
Depression | 16 (14.4) | 27.7% | ||
Attended psychologist/psychiatrist in last 12 months | 4 (3.6) | 19.5%ii | ||