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- May 16, 2008 |
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CME on Diabetes is a website built to transmit top-level CME conferences given by international experts in endocrinology, insulin resistance, prediabetes, metabolic syndrome and type 2 diabetes. More than 2.6 million slides have been viewed since the website launch. Thank you for your continued support and commitment!
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"Diabetes In Canada Evaluation (The DICE Study): Impact on Family Practice"Dr. Stewart Harris (biography)
English - 2006-03-08 - 60 minutes
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 | (36 slides) |
 | (26 slides) |
Summary :
In this presentation Dr. Harris talks about the Canadian diabetes epidemic and clinical practice guidelines, and findings from the Diabetes In Canada Evaluation (DICE) study on the management of type 2 diabetes in the family practice setting.
Along with the growing burden of type 2 diabetes in Canada a major challenge remains the translation of clinical practice guidelines into clinical practice behaviour. Dr. Harris talks about recent changes made to the Canadian clinical practice guidelines in relation to screening and prevention, glycemic management and protection against complications.
How well are family physicians doing in terms of managing patients with type 2 diabetes? Chart audit studies have shown that patients frequently visit their physicians across Canada, and that there has been a gradual improvement in mean AIc values since the late 1990s. The DICE study conducted from September 2002 to January 2003 was a national, cross-sectional patient chart audit study, which sought to examine the management and control of type 2 diabetes in Canada. Over 200 primary care physicians completed the study contributing almost 2500 patient diaries. It was found that a substantial number of patients were not at the glycemic target, suggesting that current treatment approaches in family practice are not intensive enough. Physicians were asked why they thought patients were not at target and what measures they would take to achieve better glycemic control, and this revealed a state of "clinical inertia". The study also looked at the burden of complications and medication use in these patients. Dr. Harris discusses the findings and their implications for the management of diabetic patients in family practice.
Copyright © 2006 E-MedHosting.com Inc.
Learning objectives :
Overview:
- Epidemiology of diabetes
- Revisiting the CDA guidelines
- How are FPs doing?
- Review of the DICE study findings
- Conclusions
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