ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 318
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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A one-stop shop for diabetes type 2 check-ups: A success
story
Dr Peter Johansson
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Vibblaby Husläkarmottagning
More than 5% of the Swedish population suffers from type 2 diabetes (T2D) and are treated at primary
healthcare centres. Swedish national guidelines recommend HbA1c target below 52 mmol/mol for
most patients and below 70 mmol/mol for older or frailer people. In 2016 only 45% of T2D patients met
these target values at Vibblaby Husläkarmottagning healthcare centre (Vibblaby HLM) compared to
52% in Sweden nationally.
To improve the care of T2D patients a one-stop shop for yearly T2D check-ups was implemented in
2016 and 2017. The goal was to increase the percentage of patients with HbA1c below 52 mmol/mol to
at least the national level.
Patients were booked in the morning and instructed to visit the clinic on an empty stomach. Pointof-care testing was used to check HbA1c, glucose, creatinine, lipid levels and albumin/creatinine
ratio. Patients then met a diabetes nurse, who measured blood pressure, checked for diabetic foot
problems and gave dietary advice. Then patients met with their general practitioner, who summarised
the examination results, set individual HbA1c and LDL cholesterol targets and adjusted the medical
treatment. Patients who did not meet target values were booked to the diabetes nurse for a follow-up
within 3 months.
Between 2016 and 2021 the percentage of T2D patients at Vibblaby HLM that had an HbA1c below
52 mmol/mol increased from 45% to 60% and the percentage of T2D patients with an HbA1c above
70 mmol/mol decreased with from 16% to 7%. Furthermore, the percentage of T2D patients with LDL
cholesterol values below 2.5 mmol/L increased from 51% to 70% during the same period.
Implementing a one-stop shop with point-of-care testing for yearly check-ups of T2D has greatly
helped us improve patient outcomes to above Swedish national levels as this in-practice presentation
will demonstrate.
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