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Saturday, 30 June 2012

Another Year, Another Damming Audit

Is there any feedback mechanism within the NHS regarding success or otherwise in controlling blood glucose levels? The National Diabetes Audit 2010-2011 Report 1: Care Processes and Treatment Targets for England and Wales are given in:

 http://www.ic.nhs.uk/webfiles/Services/NCASP/Diabetes/201011%20annual%20reports/National_Diabetes_Audit_2010_2011_Report1_Care_Processes_And_Treatment_Targets.pdf

 I have given the results for England. The results for Wales and also a breakdown by age are given in the above report.

Percentage of registered Type 1patients in England
HbA1c >= 6.5% (48 mmol/mol) = 92.6%
HbA1c >   7.5% (58 mmol/mol) = 71.3%
HbA1c > 10.0% (86 mmol/mol) = 18.1%

Percentage of registered Type 2 patients in England
HbA1c >= 6.5% (48 mmol/mol = 72.5%
HbA1c > 7.5% (58 mmol/mol) = 32.6%
HbA1c >10.0% (86 mmol/mol) = 6.8%

These results are very similar to those obtained in previous audit over the past 5 -6 years.

John


7 comments:

Lowcarb team member said...

These numbers are slightly worse than what we have seen over previous years. 92% of type ones with BG numbers twice that of a non diabetic.

Ironic when you think some of the most vociferous lowcarb antis are type one’s. What a pity the Jopar’s, Nobhead’s and phoenix people of this world spend their time baiting and ridiculing type two’s who have the sort of control 92% of type ones can only dream of.


Eddie

Anonymous said...

Once again the figures are deplorable. With the NHS in its current state and due to get worse I really can not see any improvement in the coming year(s). It is sad because those of us who have lowered our carb/sugar intake know the improvement in BG numbers and the improvement in our health. It is such a simple thing to do but you have to want to do it. We have one life here surely it is best to live it as healthily and long without complications as you can.
Joe

fibreclaireUK said...

I have a friend with Type 1. She eats all sorts of high carb things. I asked her about it and she said its OK cos she can just add a bit more insulin to cover it.

She wont listen to me because I am 'only' a type 2.

Sad : (

Anonymous said...

John, these figures are truly dreadful. To echo a saying 'when will we ever learn?' it appears we just will not or do not want to.

As for Type 1's just adding a bit more insulin, sorry but this isn't the right way to look at things not if you value and respect your health.

We get one chance on this wonderful planet of ours surely YOU (and I address myself to all Type 1's and 2's )owe it to yourself and family to do the best you can?

Glenys

Anonymous said...

Anonymous said...
This is so depressing isn't it? How can the people responsible for diabetes care think for a moment that they have succeeded in coming up with a treatment strategy that works? In any business these types of failures would lead to a root and branch removal of all the people responsible and new strategies being brought in immediately. So, what happens here? Nothing; same old same old - good luck with that all you diabetics; just make sure you avoid fat and eat a balanced diet of starchy carbs with plenty of fruit...

Best

Dillinger

Lowcarb team member said...

"The picture is one of considerable variation but gradual
on-going improvement."

From Dr Roger Gadsby MBE
GP Lead for the National Diabetes Audit.

What drugs is this guy on ?

Eddie

fibreclaireUK said...

If I had a 15.9% success rate for something, I would not be allowed to continue with it, let alone continue to have it promoted. Success is the wrong word. Its a 84.1% FAILURE rate

How are these people determining success for goodness sake.

I want to use naughty words, but will restrain myself.