@article {Harris778, author = {Stewart B Harris and Moira Stewart and Judith Belle Brown and Stephen Wetmore and Catherine Faulds and Susan Webster-Bogaert and Sheila Porter}, title = {Type 2 diabetes in family practice. Room for improvement.}, volume = {49}, number = {6}, pages = {778--785}, year = {2003}, publisher = {The College of Family Physicians of Canada}, abstract = {OBJECTIVE To further knowledge of diabetes management in family practice. DESIGN Retrospective, observational chart audit study. SETTNG: Southwestern Ontario. PARTICIPANT A random sample of non-academic family physicians and a random selection of their patients with type 2 diabetes mellitus. MAIN OUTCOME MEASURES Glycemic control as measured by HbA1c and adherence to recommendations in clinical practice guidelines (CPGs). RESULTS Eighty-four percent of patients had at least one HbA1c test ordered in the previous year. Overall mean HbA1c was 0.079 and half-the patients had levels deemed acceptable by 1992 CPGs. Screening for microvascular complications was disappointing; only 28\% were tested for microalbuminuria, and 15\% were examined for diabetes-related foot conditions. Screening for macrovascular complications was more comprehensive; blood pressure was measured in 88\%, and lipid profiles documented in 48\%, of patient charts. CONCLUSION Management of glycemic control and screening for microvascular and macrovascular disease in family practice can be improved.}, issn = {0008-350X}, URL = {https://www.cfp.ca/content/49/6/778}, eprint = {https://www.cfp.ca/content/49/6/778.full.pdf}, journal = {Canadian Family Physician} }