Regular readers here know we never tire of publishing the NHS annual audits regarding diabetes in the UK. Year in and year out the abysmal lack of progress is presented. Of course the situation regarding numbers of confirmed diabetics goes forever up, the epidemic of type two diabetes continues unabated. The stats on HbA1c which give an illustration of how well controlled a diabetic is, are woeful in the extreme. So, what do you do if you want to give the impression you are making some headway, what do you do if you can‘t score a goal ? Improve treatment and reduce the grim numbers, not in the UK. In the UK they move the goal posts.
Results for England. The National Diabetes Audit 2010-2011
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 NHS audits over the past 5 - 6 years.
"An NHS prescribing advisory body has called for a change in diabetes guidance to include a minimum HbA1c target level, reflecting the weight of trial data suggesting lowering blood sugar below a certain level may harm patients.