%0 Journal Article
%T Improved quality of diabetes control reduces complication costs in Bulgaria
%A Alex
%A Dimitar Tcarukciev
%A Galia Angelova
%A Guenka Petrova
%A Konstantin Mitov
%A Konstantin Tachkov
%A Manoela Manova
%A Maria Dimitrova
%A Maria Kamusheva
%A Miglena Doneva
%A Valentina Petkova
%A Vasil Valov
%A Zornitsa Mitkova
%A ra Savova
%J Biotechnology & Biotechnological Equipment
%D 2019
%R https://doi.org/10.1080/13102818.2019.1604160
%X Abstract The study investigates the quality of diabetes control and its economic implications in Bulgaria for the years 2012¨C2016. It is a retrospective study of the national diabetes register. Patients were categorized according to type of diabetes, gender, newly diagnosed cases per year, body-mass index (BMI) and achieved disease control. The relative risks for reducing the diabetes-related complications achieved through a 1% reduction of HbA1c were taken from literature data, and macrocosting was used to calculate the saved cost for diabetes complications. The new cases of type 1 diabetes decreased (10% lower in 2016 than in 2012) but the number of new cases with type 2 diabetes increased (12%). In 2012, the average percentage of glycosylated hemoglobin in the second recording at the end of the year was 7.59% (SD 1.85), whereas the second recording of values for 2016 revealed an average value of 7.3% (SD 1.32). The mean yearly reduction in 2012 was 0.05% (SD 1.1) with a slow increase to 0.07% (SD 0.46) in 2016. The absolute risk reduction for all diabetes-related complications was 20.6. The total prevented costs for all complications in the entire population were 20 million BGN. The results for the period 2012¨C2016 showed improved control of diabetes. The proportion of patients who achieved control increased over the period, reaching over 40% of the afflicted population. The achieved adequate control led to a reduced risk of developing diabetes-related complications, thereby saving costs of 20 million BGN associated with them, and decreasing the burden on the healthcare system
%U https://www.tandfonline.com/doi/full/10.1080/13102818.2019.1604160