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The quality of diabetic care in a London health district.
  1. J S Yudkin,
  2. B J Boucher,
  3. K E Schopflin,
  4. B T Harris,
  5. H R Claff,
  6. N J Whyte,
  7. B Taylor,
  8. D H Mellins,
  9. A B Wootliff,
  10. J G Safir,
  11. E J Jones


    In order to assess the quality of care in a community-wide sample of diabetic patients, a study was performed on 217 such patients identified in three group practices in an east London health district. Only 46% of the patients were currently attending a hospital. In the two years before review, 64% of patients had had their blood pressure recorded and 59% had had retinal examinations. Levels of glycosylated haemoglobin were significantly higher in patients on insulin than in those on oral regimes (P = 0.0004). The mean level of glycosylated haemoglobin was higher in patients from Social Classes III, IV, and V than in patients from Social Classes I and II (P = 0.005), but there was no difference in level between those patients attending hospital and those attending their general practitioners after accounting for differences in these two populations (P = 0.19). Over 50% of all diabetic patients in this study had levels of glycosylated haemoglobin which may indicate vulnerability to microvascular disease.

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