50
Percent
45 40 Total
35 Women Men
05
Figure 83 Sweden
06
07
08
09
10
11
Percentage of persons with diabetes, younger than 80, in primary care who achieved the LDL cholesterol goal (< 2.5 mmol/l). Source: Swedish National Diabetes Register
Figure 83 reveals that only a little more than 46 per cent of patients nationwide, more men than women, achieved the treatment goal. The results for the various counties ranged by a wide margin of better than 20 percentage points. According to the National Diabetes Register, the proportion of primary care patients receiving lipid lowering therapy has risen in recent years, reaching approximately 63 per cent in 2011. Both the low goal fulfilment and the variation between counties suggest that the condition is still significantly undertreated. The data demonstrate a clear need to improve compliance with the guidelines and follow-up of treatment.
84 Children and Adolescents with Diabetes Who Achieve the Goal for HbA1c Levels Diabetes, which is the second most common chronic disease among Swedish children and adolescents, carries a risk of serious complications later in life. Almost 800 children develop diabetes every year. Approximately 7 700 children with diabetes (type 1 in 7 500 of the cases) are treated at paediatric clinics. All children and adolescents with diabetes are reported to SWEDIABKIDS, a national quality register that monitors treatment outcomes and compliance with the care programme. A number of quality indicators and associated treatment goals are available for child and adolescent diabetes care. Among the most important indicators is average blood glucose (HbA1c) level. People with high HbA1c levels run a considerably elevated risk of developing complications. Paediatric diabetes clinics generally check HbA1c levels four times a year. High test results occasion adjustments to the treatment regimen, which strives to strike a balance between diet, exercise and insulin therapy. The results can improve significantly after a single month of improved treatment.
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QUALITY AND EFFICIENCY IN SWEDISH HEALTH CARE 2012