Primary care diabetesJul 23, 2017

Variation in Following International Diabetes Federation Guidelines for Type 2 Diabetes Patients in Primary Care Using Electronic Records

GLP-1 Therapies Weekly Brief ↗PubMed ↗DOI ↗

Updated Apr 3, 2026

Abstract

The prevalence of Diabetes Type 2 (DM2) in the population studied was 6.39%, with significant variability in compliance with treatment recommendations.

Control of HbA1c at ≤8% was observed in 82.8% of patients, while 7.6% had levels >9%.
The odds of achieving HbA1c control at ≤8% were 1.54 times higher for patients treated by doctors with the highest compliance scores.
Significant differences in blood pressure and LDL cholesterol control were found between different treatment units.
The coefficient of variation among treatment units was 22.8%, indicating notable variability in patient care.

Simplified

OBJECTIVE: Assess compliance with the IDF recommendations for patients with Diabetes Type2 (DM2), and its variability, by groups of doctors and nurses who provide primary care services in Navarre (Spain).

MATERIALS AND METHODOLOGIES: A cross-sectional study of a population of 462,568 inhabitants, aged ≥18 years in 2013, attended by 381 units of doctor/nurse (quota). Clinical data were collected retrospectively through electronic records. Using cluster analysis, we identified two groups of units according to the score for each indicator. We calculated the Odds Ratio, adjusted for age sex, BMI, socioeconomic status and smoking, for complying with each recommendation whether a patient was treated by one of the quota from the highest score to the lowest. 30,312 patients with DM2 were identified: prevalence: 6.39%; coefficient of variation between UDN: 22.8%; biggest cluster 7.7% and smallest 5.3%; OR=1.54 (1.50-1.58). The HbA1c control at ≤8% was 82.8% (82.2-83.3) and >9% was 7.6% (7.3-8.0), with OR 1.79 (1.69-1.89) and 2.62 (2.36-2.91) respectively. Control of BP and LDL-C show significant differences between the clusters.

CONCLUSIONS: An important variability was identified according to the doctor treating patients. The average HbA1c control is acceptable being limited in BP and LDL-C.

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Variation in Following International Diabetes Federation Guidelines for Type 2 Diabetes Patients in Primary Care Using Electronic Records

Abstract

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