Table of Contents
International Journal of Family Medicine
Volume 2012 (2012), Article ID 734202, 7 pages
http://dx.doi.org/10.1155/2012/734202
Research Article

Care for Patients with Type 2 Diabetes in a Random Sample of Community Family Practices in Ontario, Canada

1Department of Family Medicine, McMaster University, 175 Longwood Road South, Hamilton, Ontario, Canada L8P 0A1
2Department of Family and Emergency Medicine, Doctor Sadok Besrour Chair in Family Medicine, University of Montreal, Montreal, Canada H3C 3J7
3Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Canada L8S 4K1

Received 29 February 2012; Revised 8 May 2012; Accepted 21 May 2012

Academic Editor: Christos D. Lionis

Copyright © 2012 Gina Agarwal et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. Diabetes care is an important part of family practice. Previous work indicates that diabetes management is variable. This study aimed to examine diabetes care according to best practices in one part of Ontario. Design and Participants. A retrospective chart audit of 96 charts from 18 physicians was conducted to examine charts regarding diabetes care during a one-year period. Setting. Grimsby, Ontario. Main Outcome Measures. Glycemic screening, control and management strategies, documentation and counselling for lifestyle habits, prevalence of comorbidities, screening for hypertension, hyperlipidemia, and use of appropriate recommended preventive medications in the charts were examined. Results. Mean A1c was within target (less than or equal to 7.00) in 76% of patients (ICC = −0.02), at least 4 readings per annum were taken in 75% of patients (ICC = 0.006). Nearly 2/3 of patients had been counselled about diet, more than 1/2 on exercise, and nearly all (90%) were on medication. Nearly all patients had a documented blood pressure reading and lipid profile. Over half (60%) had a record of their weight and/or BMI. Conclusion. Although room for improvement exists, diabetes targets were mainly reached according to recognized best practices, in keeping with international data on attainment of diabetes targets.