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Methodology and early findings of the Diabetes Management Project: a cohort study investigating the barriers to optimal diabetes care in diabetic patients with and without diabetic retinopathy.

Publication ,  Journal Article
Lamoureux, EL; Fenwick, E; Xie, J; Mcauley, A; Nicolaou, T; Larizza, M; Rees, G; Qureshi, S; Wong, TY; Benarous, R; Dirani, M
Published in: Clin Exp Ophthalmol
2012

BACKGROUND: The Diabetes Management Project is investigating the clinical, behavioural and psychosocial barriers to optimal diabetes care in individuals with and without diabetic retinopathy. DESIGN: Prospective cohort. PARTICIPANTS: Two hundred and twenty-three and 374 patients without and with diabetic retinopathy, respectively. METHODS: All individuals underwent a comprehensive dilated eye test, anthropometric measurements, blood and urine samples, and psychosocial questionnaires. MAIN OUTCOME MEASURES: Good glycaemic control was defined as glycosylated haemoglobin < 7%, good blood pressure control as systolic and diastolic values ≤130 and 80 mmHg, respectively, and good diabetes control as glycosylated haemoglobin < 7% and blood pressure values ≤130 and 80 mmHg. RESULTS: Four hundred and one males (65.4%) and 212 females (34.6%) aged 26-90 years (mean age ± standard deviation = 64.6 ± 11.6) were examined. The median glycosylated haemoglobin for all participants was 7.5% (interquartile range = 1.7%). Average systolic and diastolic blood pressure values were 139.7 mmHg (standard deviation = 18.8) and 92.7 mmHg (standard deviation = 30.9), respectively. Initial data analyses indicate that over two-thirds of participants with diabetes have poor glycaemic control, which was worse in those with diabetic retinopathy compared with those without (76.3% vs. 49.3%; P < 0.001). Blood pressure control was similar for those with and without diabetic retinopathy, with almost a third (28.5%) of the total sample having poor blood pressure control. Overall, those with diabetic retinopathy had poorer diabetes control than those without (24.3% vs. 13.7%; P = 0.002). CONCLUSIONS: Our findings substantiate the implementation of the Diabetes Management Project, developed to assess factors associated with suboptimal diabetes care.

Duke Scholars

Published In

Clin Exp Ophthalmol

DOI

EISSN

1442-9071

Publication Date

2012

Volume

40

Issue

1

Start / End Page

73 / 82

Location

Australia

Related Subject Headings

  • Visual Acuity
  • Surveys and Questionnaires
  • Prospective Studies
  • Primary Health Care
  • Practice Patterns, Physicians'
  • Ophthalmology & Optometry
  • Middle Aged
  • Male
  • Humans
  • Health Services Accessibility
 

Citation

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Chicago
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Lamoureux, E. L., Fenwick, E., Xie, J., Mcauley, A., Nicolaou, T., Larizza, M., … Dirani, M. (2012). Methodology and early findings of the Diabetes Management Project: a cohort study investigating the barriers to optimal diabetes care in diabetic patients with and without diabetic retinopathy. Clin Exp Ophthalmol, 40(1), 73–82. https://doi.org/10.1111/j.1442-9071.2011.02697.x
Lamoureux, Ecosse Luc, Eva Fenwick, Jing Xie, Annie Mcauley, Theona Nicolaou, Melanie Larizza, Gwyn Rees, et al. “Methodology and early findings of the Diabetes Management Project: a cohort study investigating the barriers to optimal diabetes care in diabetic patients with and without diabetic retinopathy.Clin Exp Ophthalmol 40, no. 1 (2012): 73–82. https://doi.org/10.1111/j.1442-9071.2011.02697.x.
Lamoureux, Ecosse Luc, et al. “Methodology and early findings of the Diabetes Management Project: a cohort study investigating the barriers to optimal diabetes care in diabetic patients with and without diabetic retinopathy.Clin Exp Ophthalmol, vol. 40, no. 1, 2012, pp. 73–82. Pubmed, doi:10.1111/j.1442-9071.2011.02697.x.
Lamoureux EL, Fenwick E, Xie J, Mcauley A, Nicolaou T, Larizza M, Rees G, Qureshi S, Wong TY, Benarous R, Dirani M. Methodology and early findings of the Diabetes Management Project: a cohort study investigating the barriers to optimal diabetes care in diabetic patients with and without diabetic retinopathy. Clin Exp Ophthalmol. 2012;40(1):73–82.
Journal cover image

Published In

Clin Exp Ophthalmol

DOI

EISSN

1442-9071

Publication Date

2012

Volume

40

Issue

1

Start / End Page

73 / 82

Location

Australia

Related Subject Headings

  • Visual Acuity
  • Surveys and Questionnaires
  • Prospective Studies
  • Primary Health Care
  • Practice Patterns, Physicians'
  • Ophthalmology & Optometry
  • Middle Aged
  • Male
  • Humans
  • Health Services Accessibility