Format

Send to

Choose Destination
Prim Care Diabetes. 2019 Jan 7. pii: S1751-9918(18)30234-1. doi: 10.1016/j.pcd.2018.12.006. [Epub ahead of print]

Prevalence of diabetes and frequency of glycated haemoglobin monitoring in Extremadura (Spain) during 2012, 2013 and 2014: An observational study.

Author information

1
Centro de Salud de Trujillo, Servicio Extremeño de Salud, Cáceres, Spain. Electronic address: alfonso.barquilla@gmail.com.
2
Centro de Salud de Losar de la Vera, Servicio Extremeño de Salud, Cáceres, Spain. Electronic address: jsvega@unex.es.
3
Área de Salud de Don Benito-Villanueva de la Serena, Servicio Extremeño de Salud, Badajoz, Spain. Electronic address: jcromerovigara@hotmail.com.
4
Centro de Salud de Zafra, Servicio Extremeño de Salud, Badajoz, Spain. Electronic address: leferfer@gmail.com.
5
Centro de Salud San Fernando, Servicio Extremeño de Salud, Badajoz, Spain. Electronic address: maria.gamero.samino@gmail.com.
6
Centro de Salud Universitario "La Paz", Unidad Docente de Medicina Familiar y Comunitaria, Servicio Extremeño de Salud, Badajoz, Spain. Electronic address: fbuitragor@gmail.com.

Abstract

AIMS:

To analyze the prevalence of diabetes and the frequency of haemoglobin A1C (HbA1C) monitoring in the population with diabetes in Extremadura (Spain).

METHODS:

Observational, longitudinal retrospective study in the population attended in the Extremadura Health System in 2012-2014. A total of 403,644 glycated haemoglobin determinations in 189,466 subjects (52.4% female) were studied. All patients with a prescription of antidiabetic drugs and those who, despite not having treatment, had any determination of HbA1C ≥6.5% were considered as people with diabetes. All patients without treatment but with HbA1C ≥5.7% and <6.5% were considered prediabetes patients.

RESULTS:

The prevalence rate of diabetes was 8.3% and the frequency of HbA1C monitoring was 0.9/patient/year in the diabetic population. 48.2% of the patients with monitoring of HbA1C had diabetes, 21.2% had prediabetes, and 30.6% did not meet the criteria for diabetes or prediabetes. 12.7% of people with diabetes did not have determinations of HbA1C and only 11.8% have had ≥6 determinations in the period analyzed.

CONCLUSIONS:

The frequency of HbA1C monitoring in the diabetic population is lower than that usually recommended. Moreover, there is an inadequate use of HbA1C determinations, since one out of every 3 patients does not meet the criteria for diabetes or prediabetes.

KEYWORDS:

Cardiovascular risk factors; Diabetes; Diabetes mellitus; Primary health care

PMID:
30630669
DOI:
10.1016/j.pcd.2018.12.006

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center