Improving quality of care for patients with diabetes comes from investigation of present status and compliance with guidelines --Enlightenment from Early ACTID, ADDITION Europe, and two Chinese surveys / 中华内分泌代谢杂志

ABSTRACT

In 2011 ADA/Lancet Forum, a randomized control trial in England was reported. Participants were with intensive diet intervention, or plus a physical activity program. The primary endpoints were improved in both groups, compared to control group, without any difference between two intervention groups. In another multinational trial, although significant improvement of cardiovascular risk factors in the intensive treatment group compared to routine group treated by general practitioners (GP), no significant differences on first cardiovascular event and all-cause mortality were found. This result is attributed to the good practice following guidelines by GP. While in China, a survey on current status of patients with type 2 diabetes who failed to reach the glycemic control target, and an another survey by a questionnaire about Chinese guidelines of diabetes treatment, answered by medical staff at different levels in Shanghai,gave us worrisome concerns. The training of medical staff from community hospitals seems to be particular emergent.