SCREENING-PROGRAM FOR MICROVASCULAR COMPLICATIONS AND HYPERTENSION IN A COMMUNITY DIABETIC POPULATION

被引:13
作者
HIGGS, ER
KELLEHER, A
SIMPSON, HCR
RECKLESS, JPD
机构
[1] Royal United Hospital, Bath
[2] Royal Berks Hospital, Reading
关键词
DIABETES-MELLITUS; DIABETES PREVALENCE; SCREENING FOR COMPLICATIONS; COMMUNITY;
D O I
10.1111/j.1464-5491.1992.tb01837.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The role of a community-based screening programme for microvascular complications of diabetes and hypertension was evaluated in the semi-rural town of Trowbridge (population 31 000). Of 405 diabetic patients identified (prevalence 1.31 %), 358 (88 %) attended for screening, 94 (26 %) of whom were under hospital review for diabetes. In only 136 patients (38 %) were all aspects of diabetes care found to be satisfactory. The remaining 222 patients included 162 patients with poor metabolic control (HbA1 greater-than-or-equal-to 12 %), 118 who were hypertensive at screening, 13 with previously undiagnosed diabetic nephropathy, and 29 with undiagnosed potentially sight-threatening retinopathy. Overall standards of diabetes care in this community population appear inadequate, and might be improved by introduction of a simple screening programme for diabetic complications.
引用
收藏
页码:550 / 556
页数:7
相关论文
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