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Item
#11
Need
To Improve Prevention Of Diabetic Foot Complications
Foot
complications more than rose from 98 to 285 per 100 000 people
aged over 15 years in Australia.
United States is also not doing well.
Primary
health care systems should use evidence-based care to prevent foot
complications among people with diabetes.
Prevention of diabetic foot complications must be improved, say
investigators at the Australian National University, Canberra,
Australia and at the Centre for Remote Health, Alice Springs,
Australia.
They point to a marked increase during the 1990s in central
Australia in the burden of hospital care for diabetes and diabetic
foot complications.
"It is very unlikely that these conditions are being
over-diagnosed or that the hospitals are over-utilized."
Rather, the investigators suggest, changes in prevalence, primary
care utilization, detection and rates of hospital access or
re-admission might be responsible.
They conducted a study to guide service provision for the
prevention of diabetic foot complications. They analyzed data on
hospital separations (end of hospital stay due to discharge or
death) among adults known to be diabetic and those with diabetic
foot complications in central Australia from 1992 to 1997.
Separations with diabetes more than doubled, from 352 in 1992 to
796 in 1997. That represented a rise from 1,232 to 2,521
separations per 100 000 people aged over 15 years.
Separations with foot complications more than trebled, from 28 in
1992 to 90 in 1997. That represented a rise from 98 to 285 per 100
000 people aged over 15 years.
Foot complications were almost all of the more acute type. They
were thus amenable to early intervention.
Australian Journal of
Rural Health 2002;9(6):275-279
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Did
You Know:
Diabetes
Care November 1999
–“The
immediate feedback of HbA1c results at the time of patient
encounters resulted in a significant improvement of glycemic
control at 6-month follow-up and persisted for the 12-month study
–“Availability
of rapid HbA1c determinations appears to facilitate diabetes
management. The more favorable HbA1c profile in the rapid HbA1c
group occurs independently of the decision to intensify therapy,
suggesting the involvement of other factors such as enhanced
provider and/or patient motivation.”
Now
you can an instant A1c test, Click here
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