%0 Journal Article
%T Medical management and control of type 2 diabetes treated in La Reunion
%A Prevot L
%A Briatte C
%A Heye O
%A Potier P
%J Revue M¨¦dicale de l'Assurance Maladie
%D 2006
%I 
%X Aims: To describe the management of type 2 diabetic people treated in La Reunion and to measure the level of control of the disease and application of the recommendations from the National agency for health accreditation and evaluation (ANAES). Methods: Transverse study on a random sample of 237 people between 20 and 75 years old, reimbursed for at least one oral anti-diabetic or insulin by the Social security general funds. Data were collected during the examination of diabetic patients and by telephone from general practitioners. Results: The average age of the sample was 57.7 years old. Two-thirds were women. The diabetes had been present for 9.4 years and was treated with oral anti-diabetic agent monotherapy (31.6 %), double therapy (30.0 %), triple therapy (13.1 %) or insulin (21.5 %). Treatment was unknown or not being received on the day of the examination in 3.8 % of subjects. Measurements of HbA1c were available within the previous four months for 44.3 %. For follow up investigations performed within the previous year, 48.5 % were available for electrocardiograms, 49.8 % for ophthalmological examination, 58.2 % for examination of the feet, 74.3 % for serum creatinine and 69.2 % for measurement of total cholesterol. Three quarters of the subjects (n = 219) had an HbA1c over 7 %. Blood pressure was greater than 140/80 mmHg in 73.6 % (n = 228) and the glomerlular filtration rate was less than 60 ml/min in 24.4 % (n = 209). Conclusions: We found inadequate control of the disease and risk factors in the face of an explosion in the prevalence of diabetes as a result of the demographic and lifestyle in La Reunion.
%K type 2 diabetes
%K anti-diabetic treatment
%K glycosylated haemoglobin
%K prevalence
%K Reunion
%K risk factor.
%U http://www.ameli.fr/fileadmin/user_upload/documents/Prise_en_charge_medicale_et_controle_du_diabete.pdf