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Huge gaps in GP diabetes care

An 180,000-patient study has highlighted the huge resource and training investment needed to help GPs meet the demands of the national service framework for diabetes.

The research, presented at the Diabetes UK annual conference in Glasgow this month, audited diabetes care at all 33 practices in Eastern Leicester PCT where half the population is of south Asian origin ­ with up to six times the risk of having type 2 diabetes.

The study, led by Leicester GP Dr Azhar Farooqi, a member of the diabetes NSF implementation group, found 'even basic requirements such as practice protocols and access to support services were problematic for many practices'.

Only 30 per cent of practices in the area, which has a

7-8 per cent prevalence of diabetes, had a regularly updated diabetes register and 10 per cent had no register or failed to keep prevalence data.

Only 10 per cent of practices had structured education plans for patients, retinopathy screening was 'highly variable' and no practices screened for microalbuminuria.

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