MANAGEMENT OF TYPE 2 DIABETES IN PRIMARY CARE: DREAM OR REALITY

Abstract: Type 2 diabetes (DM2) is known to be associated with increased cardiovascular morbidity and mortality. The public organisation of medical assistance for diabetics is correlated with better disease control, better prognosis of complications, and lower diabetes-related mortality. The general practitioner plays a crucial role in the management and coordination of medical assistance for diabetics. Aim: The aim of this study was to study the effectiveness of primary care management of diabetic patients. Materials and Methods: One-year prospective observational study. In January 2024, all patients diagnosed with diabetes were extracted from the total number of patients (1630). All patients not referred to a diabetes specialist were taken care of by a general practitioner with visits every six months. The values at time 0 and after 12 months were then statistically studied using the Student's T-test with paired samples. Results: After 12 months, the values of total cholesterol and LDL cholesterol were statistically lower, and we observed an increase in patients taking glifozins and a combination of statin/ezetimibe. Conclusions: Our data confirm that general practitioners can actively participate in the management of diabetic disease, as decreed by the various inter-society positions; however, the current public health service does not enhance their role.