The quality of care in type 1 and type 2 diabetes – A 2023 update of the AMD Annals initiative
Authors' conclusion
We documented an overall good quality of care in both T1D and T2D subjects. However, the failure to achieve the targets of the main risk factors, especially if combined, in a still too large proportion of patients testify the difficulty to apply the more and more stringent indications recommended by guidelines in the everyday clinical practice.
Study context
- Population
- Patients with T2D and T1D attending 296 diabetes centres in Italy (AMD Annals 2023); mean age 69.7 ± 11.2 years (T2D) and 48.6 ± 16.9 years (T1D)296 centres
- Participants
- 573,164 vs 42,611
- Exposure
- T2D vs T1D
- T2Dn = 573,164
- T1Dn = 42,611
- Outcome
- HbA1c ≤ 7.0 %
Methodological detailsmulticentre, electronic medical records, quality-of-care monitoring
- Multicentre
- Electronic medical records
- Quality-of-care monitoring
Main finding
As reported in the abstract
Observational data: associations, not effects.
Further findings
Composite of HbA1c ≤ 7.0 % + LDL-C < 70 mg/dl + BP < 130/80 mmHg
Q score < 15 (correlates with 80 % higher risk of incident CVD vs scores > 25)
Original publication
The quality of care in type 1 and type 2 diabetes – A 2023 update of the AMD Annals initiative. Diabetes Res Clin Pract. Published 13 June 2024. doi:10.
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