Research Article

Diabetes Management and Outcomes among Patients with Type 2 Diabetes Attending a Renal Service

Table 1

Clinical characteristics of patients with type 2 diabetes both overall and according to insulin treatment status.

CharacteristicTotal ()Insulin treated ()Noninsulin treated ()

Age (years), 0.019
Male, (%)170 (63.4)79 (64.8)91 (62.3)0.681
Aboriginal and/or Torres Strait Islander, (%)7 (2.6)2 (1.6)5 (3.4)0.361
Current smokera, (%)26 (10.4)12 (10.5)14 (10.3)0.952
Known duration of T2DM (years)b, geometric mean12178<0.001
Chronic kidney disease, (%)265 (98.9)122 (100.0)143 (97.9)0.003
 Stage 113 (4.9)2 (1.6)11 (7.5)
 Stage 229 (10.8)7 (5.7)22 (15.1)
 Stage 3a40 (14.9)18 (14.8)22 (15.1)
 Stage 3b64 (23.9)27 (22.1)37 (25.3)
 Stage 467 (25.0)35 (28.7)32 (21.9)
 Stage 5/ESRD52 (19.4)33 (27.0)19 (13.0)
 Missing3 (1.1)0 (0)3 (2.1)
 Stages 1-3146 (55.1)54 (44.3)92 (64.3)0.001
 Stages 4-5119 (44.9)68 (55.7)51 (35.7)
Renal biopsy, n (%)31 (11.6)18 (14.8)13 (8.9)0.136
Comorbidities
 Hypertension249 (92.9)116 (95.1)133 (91.1)0.205
 Ischaemic heart disease106 (39.6)57 (46.7)49 (33.6)0.028
 Dyslipidaemia201 (75.0)99 (81.1)102 (69.9)0.034
 Obstructive sleep apnoea59 (22.0)33 (27.0)26 (17.8)0.069
 Cerebrovascular accident36 (13.4)17 (13.9)19 (13.0)0.826
 Heart failure38 (14.2)23 (18.9)15 (10.3)0.045
 Currently on dialysis40 (14.9)25 (20.5)15 (10.3)0.027
 Kidney transplantation5 (1.9)4 (3.3)1 (0.7)0.181†
 Peripheral vascular disease52 (19.4)26 (21.3)26 (17.8)0.470
 Amputation11 (4.1)10 (8.2)1 (0.7)0.002
 Peripheral neuropathy77 (28.7)58 (47.5)19 (13.0)<0.001
 Autonomic neuropathy4 (1.5)3 (2.5)1 (0.7)0.333†
 Diabetic foot disease26 (9.7)19 (15.6)7 (4.8)0.003
 Infections requiring hospital attention68 (25.4)38 (31.1)30 (20.5)0.047
 Retinopathy65 (24.3)49 (40.2)16 (11.0)<0.001
 Cataracts61 (22.8)28 (23.0)33(22.6)0.946
 Depression39 (14.6)19 (15.6)20 (13.7)0.665
 ED attendance for severe hypoglycaemia4 (1.5)4 (3.8)0 (0)0.042
Service
 Number of nephrology appointments attended
  0.001
  Median (range)2 (1-16)2 (1-16)2 (1-6)
 Public diabetes service38 (14.2)27 (22.1)11 (7.5)0.001
 Diabetes educator13 (4.9)9 (7.4)4 (2.7)0.078
 Dietician32 (11.9)18 (14.8)14 (9.6)0.194
 Podiatry26 (9.7)21 (17.2)5 (3.4)<0.001
 Eye review28 (10.4)16 (13.1)12 (8.2)0.192
 Number of emergency department visits
  0.007
  Median (range)0 (0-11)1 (0-11)0 (0-8)
 Number of hospital admissions
  0.029
  Median (range)0 (0-10)0 (0-5)0 (0-10)

Pearson’s chi-square test was used for categorical variables, and independent -test was used for continuous variables. †Fisher’s exact test. ‡Mann–Whitney test. a (6.7%) of data unavailable. b (23.9%) of data unavailable. ED: emergency department.