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• W1997103090 abstract "WHO estimates that more than 346 million people worldwide have diabetes, and the number is likely to more than double by 2030 without interventions [ [1] WHO Media Centre. Diabetes Factsheets 2011 [Internet]; 2011. Available from: http://www.who.int/mediacentre/factsheets/fs312/en/index.html [last updated August 2011, cited 31.12.11]. Google Scholar ]. Over 90% of all people with diabetes have type 2 diabetes (T2DM) which in most cases is managed in Primary Care [ 2 Donker G.A. Fleming D.M. Schellevis F.G. Spreeuwenberg P. Differences in treatment regimes, consultation frequency and referral patterns of diabetes mellitus in General Practices in five European countries. Fam Pract. 2004; : 364-369 Crossref PubMed Scopus (34) Google Scholar , 3 Khunti K. Ganguli S. Who looks after people with diabetes: primary or secondary care?. J R Soc Med. 2000; 93: 183-186 PubMed Google Scholar ]. T2DM is chronic disease that is associated with an increased risk of macro and micro-vascular complications and 70% will die of premature cardiovascular disease. The landmark UKPDS study of patients with newly diagnosed T2DM showed that in order for us to reduce the complications of type T2DM, it is necessary to control the HbA1c and blood pressure levels [ [4] Stratton I.M. Adler A.I. Neil H.A. Matthews D.R. Manley S.E. Cull C.A. et al. Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS 35): prospective observational study. Brit J Med. 2000; : 405-412 Crossref PubMed Scopus (6818) Google Scholar ]. Early tight glycaemic control, certainly in the first 10 years after diagnosis, results in improvement in micro-vascular complications. In addition to this, there is a legacy effect of this early tight control in that, patients who came out of the trial 10 years later, that is 20 years after diagnosis, showed profound benefits from the point of view of mortality and cardiovascular events. Despite this, there are still wide variations of care, not just from region to region, but between primary care and secondary care even in the same region [ 3 Khunti K. Ganguli S. Who looks after people with diabetes: primary or secondary care?. J R Soc Med. 2000; 93: 183-186 PubMed Google Scholar , 5 McGinn J. Davis C. Geographical variation, physician characteristics and diabetes care disparities in the a metropolitan area, 2003–2004. Diabetes Res Clin Pract. 2006; 72: 162-169 Abstract Full Text Full Text PDF PubMed Scopus (16) Google Scholar ]." @default.
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• W1997103090 date "2012-03-01" @default.
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• W1997103090 title "Non-adherence to diabetes guidelines in primary care – The enemy of evidence-based practice" @default.
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• W1997103090 doi "https://doi.org/10.1016/j.diabres.2012.01.015" @default.
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