Læknablaðið - 01.04.2018, Blaðsíða 16

176 LÆKNAblaðið 2018/104
R A N N S Ó K N
ENGLISH SUMMARY
Introduction: Diabetes is a chronic disease often with serious and costly
complications. Therefore well organised diabetes care is needed. The
purpose was to research outcome of treatment on biological parameters
in people with type one and two diabetes in one primary care over ten
years and compare with international guidelines.
Material and methods: Retrospective cohort study, information was
gathered from medical records at Sudurnes Health Center, in the years
2005, 2010 and 2015. The sample was persons listed in diabetes unit in
beginning of 2005. One measurement for every participant each of the
three years was used (n=113). Biological parameters were analysed and
compared to international guidelines and attendance to clinic examined.
Results: HbA1c level was 7.22% in 2005 but increased significantly to
7.56% in 2015. Diastolic blood pressure decreased significantly to 2015.
Most achieved international guidelines in HbA1c goals in 2005 (51%),
HDL in 2010 (43.8%), LDL in 2015 (41.9%) TG, in 2010 (79.8%), BMI in
2015 (44.2%), systolic blood pressure in 2010 (63.4%) and diastolic blood
pressure in 2015 (74.2%). BMI was around 32 kg/m² in all three years. In
2015, association was found between neuropathic symptoms and higher
HbA1c level. Documentation regarding diabetes complications became
much better in 2015 when a new form for electronic documentation was
launched.
Conclusion: Tighter blood glucose control is needed to lessen risk of
complications, as well as to reduce lipid and bloodpressure leves closer
to international guidelines. Improving documentation is important.
Diabetes is a challenge: A ten year follow up of people with diabetes
Hafdís Lilja Guðlaugsdóttir¹,², Árún Kristín Sigurðardóttir³,4
¹Sudurnes Hospital and Health Center, Iceland, 2Landspitali University Hospital, 3School of Health Sciences, University of Akureyri, Iceland, 4Akureyri Hospital, Iceland.
Key words: diabetes, longitudinal design, complications, international guidelines, health service.
Correspondence: Hafdís Lilja Guðlaugsdóttir, hafdis@hss.is