Compliance of rural and urban family physicians with clinical practice guidelines for non-insulin-dependent diabetes: a comparison

Table 3. Level of control of NIDDM (CDA standards) and the mean HbA1C, RBS, FBS and cholesterol levels for rural and urban patients (Newfoundland 1995)
Parameter CDA
recommendation
Group, no. (and %) of patients
Rural Urban
HbA1C*
    Mean
    Type of control:
        Optimal
        Acceptable
        Compromised
FBS
    Mean
    Type of control:
        Optimal
        Acceptable
        Compromised
RBS
    Mean
    Type of control:
        Optimal
        Acceptable
        Compromised
Total cholesterol
    Mean
    Type of control:
        Optimal
        Acceptable
        Compromised

--
 
< 0.0825
less than or equal to 0.105
> 0.105
 
--
 
4­7 mmol/L
less than or equal to10 mmol/L
> 10 mmol/L
 
--
 
5­10 mmol/L
< 12 mmol/L
> 12 mmol/L
 
--
 
< 5.2 mmol/L
less than or equal to 6.2 mmol/L
> 6.2 mmol/L

0.079
 
16 (61.5)
7 (26.9)
3 (11.5)
 
10.18 mmol/L
 
6 (17.6)
12 (35.3)
16 (47.1)
 
10.86 mmol/L
 
27 (42.9)
15 (23.8)
21 (33.3)
 
6.08 mmol/L
 
13 (31.0)
10 (23.8)
19 (45.2)

0.081
 
20 (54.1)
12 (32.4)
5 (13.5)
 
11.15 mmol/L
 
4 (10.8)
13 (35.1)
20 (54.1)
 
10.91mmol/L
 
19 (43.2)
13 (29.5)
12 (27.3)
 
6.02 mmol/L
 
9 (28.1)
11 (34.4)
12 (37.5)
Percentages represent proportions of patients who had measurements taken, not of the total rural and urban patient samples.
*Normal range in the study laboratory was 0.030­0.075. Optimal, acceptable and compromised levels represent < 110%, less than or equal to 140% and > 140% of the upper limit value (0.075).


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