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Glycaemic monitoring and control among high-risk patients with type 2 diabetes in Australian general practice during COVID-19

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Family Medicine and Community Health 2023年第3期11卷 62-85页

作者： kirrilee jane barlow Paul P Fahey Evan Atlantis School of Health Sciences Western Sydney UniversityKingswoodNew South WalesAustralia Discipline of Medicine Nepean Clinical SchoolFaculty of Medicine and HealthThe University of SydneyNepeanNew South WalesAustralia

Background The COVID-19 pandemic disrupted general practice worldwide,primarily due to public health measures that restricted access to care for chronic diseases,such as type 2 *** measures disproportionately affected higher risk groups with type 2 diabetes,such as older people and those with *** study aims to identify factors that may have influenced the rates of compliance with testing guidelines and target glycaemic control in Australian general practice settings during the COVID-19 *** We used a serial cross-sectional study design of patient record data from general practices representative of the Nepean Blue Mountains Local Health District between 2020 and *** patient records were analysed to determine percentages of subgroups with a blood glycaemic testing interval consistent with guidelines(≥1 within 15 months)and achieving target glycaemic control(by glycated haemoglobin of≤7%).Linear regression models were used to test the association between independent and dependent variables,and to generate regression coefficients and 95%CI,corrected for time *** Of the average 14356 patient records per month,55%were male,53%had a body mass index(BMI)<30 and 55%were aged 55–74 *** to testing guidelines slightly decreased(75–73%)but was positively associated with male sex(2.5%,95%CI 1.7%,3.4%),BMI≥30(9.6%,95%CI 8.8%,10.4%)and 55–74 years(7.5%,95%CI 6.6%,8.5%)and 75 years and over age groups(7.1%,95%CI 6.2%,7.9%).Mean percentage of patient records achieving target glycaemic control slightly increased and was negatively associated with male sex(-3.7%,95%CI-5.2%,–2.2%),but positively associated with 55–74 years(4.5%,95%CI 3.8%,5.1%)and 75 years and over age groups(12.2%,95%CI 4.5%,20.0%).Compliance to testing guidelines increased with each additional general practice per 10000 persons(8.4%,95%CI 4.9%,11.8%).Conclusions During the COVID-19 pandemic,people with type 2 diabetes in Australia continued to follow

关键词： patients testing slightly

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