Insulin-treated diabetes in Tasmania: Population-based clinical characteristics and their possible implications for diabetic health care in Australia

H. King, J. Dixon, G. Senator, P. Zimmet

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Abstract

The Tasmanian Insulin-treated Diabetes Register recruited 1233 eligible (treatment with insulin on May 1, 1984) subjects with insulin-treated diabetes, which enabled the description of a population-based profile of clinical characteristics. Approximately one-third of both the male and female subjects who were recruited was considered to have insulin-dependent diabetes mellitus. As would be expected, subjects with insulin-dependent diabetes mellitus were considerably younger, had a longer average duration of disease, and had had fewer hospital admissions compared with subjects with non-insulin-dependent diabetes mellitus. However, in some cases, both forms of diabetes were of long duration and had resulted in multiple hospital admissions. More than 90% of subjects with insulin-dependent diabetes mellitus and approximately half the subjects with non-insulin-dependent diabetes mellitus were hospitalized at diagnosis; an absence of a secular trend in diabetes-stabilization practices was noted, which suggested a low utilization of facilities for ambulatory stabilization in Tasmania to date. To monitor metabolic control, approximately half the subjects performed self-monitoring of their blood glucose levels exclusively, which indicated the widespread acceptance of this form of evaluation (which has been introduced into Australia only within the past decade). Approximately one-quarter of the subjects continued to perform urine testing exclusively and a small proportion of subjects did not monitor their metabolic control in any way.

Original languageEnglish
Pages (from-to)444-450
Number of pages7
JournalMedical Journal of Australia
Volume151
Issue number8
DOIs
Publication statusPublished - 1989
Externally publishedYes

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