By Colin Kenny, GP, Dromore
The NDA examines various audit criteria, particularly how well three NICE-recommended treatment targets for people with diabetes have been met by GP practices in England and Wales: HbA1c ≤58 mmol/mol (7.5%), blood pressure ≤140/80 mmHg and serum cholesterol <5 mmol/L. The audit found that the percentage of people with type 2 diabetes receiving eight care processes had fallen by 14 percentage points from 68% in 2013–14 to 54% in 2015–16, with older people being more likely than younger people to achieve all three treatment targets.
The audit also found that 40% of people with type 2 diabetes achieved all three treatment targets, compared with only 18% of people with type 1 diabetes. The percentage of people with type 1 diabetes receiving all eight NICE-recommended care processes has fallen 8 percentage points – from 45% in 2013–14 to 37% in 2015–16. However, many more people diagnosed with diabetes are being offered structured education programmes, up from 10% in 2009 to 82% in 2014 for type 2 diabetes.
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