Kanatsuka A.,Chiba Promotion Council for Diabetes Prevention and Countermeasures |
Mimura M.,Chiba Promotion Council for Diabetes Prevention and Countermeasures |
Sinomiya M.,Chiba Promotion Council for Diabetes Prevention and Countermeasures |
Hashimoto N.,Chiba Promotion Council for Diabetes Prevention and Countermeasures |
And 3 more authors.
Journal of the Japan Diabetes Society | Year: 2012
We surveyed diabetic clinics in Chiba prefecture with a number of clinicians as the responders: board certified diabetologists of the Japan Diabetes Society (BCD); members of the Japan Diabetes Society (M); registered diabetes mellitus doctors of the Japan Diabetes Association (RDMD); and general physicians (GP). The survey was performed in 17 hospitals with 67 clinics, and 25 BCDs, 15 M or RDMD and 50 GPs participated. Of 3930 patients, those treated by BCDs were younger, compared with the patients treated by GPs (p< 0.001). BCDs prescribed insulin preparations in 32 % of patients, and GPs in 10 % of patients (p<0.001). Thirty-two percent of the patients treated by BCDs and 50 % of those treated by GPs had HbA1c levels (JDS value) of less than 6.5 % (p< 0.001). A total of 2357 patients were treated using anti-hypertensive drugs; BCDs prescribed more angiotensin receptor II antagonists (ARB) and GPs prescribed more Calcium (Ca) antagonists (p<0.001). BCDs and GPs together, did not examine albuminuria in 162 and 597 patients who had ± proteinuria, or + proteinuria, respectively (p<0.001). BCDs contributed greatly to the use of insulin therapy, but glycemic control was poor in many patients. BCDs prescribed ARB more than others, and GPs prescribed more Ca antagonists. In 10 % and 37 % of patients examined by BCDs and GPs respectively, albuminuria for the diagnosis of incipient nephropathy should have been examined.