The management of Type 2 diabetes: A survey of Australian general practitioners

M Jiwa, X Meng, D Sriram, J Hughes, Stephen Colagiuri, S.M Twigg, Timothy Skinner, T Shaw

    Research output: Contribution to journalArticlepeer-review


    Objective: Toexplore how clinical and demographic variables impact on the management ofdiabetes mellitus in general practice.

    Design: Astructured vignette survey was conducted in Australia. This included ninevignettes chosen at random from 128 developed around seven clinical variables.Respondents were asked to recommend a change in treatment and make specificrecommendations. A random sample of general practitioners (GPs) were recruited.Two diabetologists involved in the development of national guidelines alsoparticipated.

    Results: 125(13.8%) GPs participated. Statistical analyses were used to generate outcomemeasures. GPs recommended a change in treatment for most (81.1%) cases; wereless likely to prescribe a statin (68.5% GPs vs.76.3% diabetologists), lesslikely to treat hypertension (66.7% vs.89%) and less likely to refer forlifestyle modification (82.3% vs. 96.5%). Significant disagreement occurredaround prescribing or changing oral hypoglycaemics. No GP characteristicsshowed significant impact. The proportion of GPs who agreed withdiabetiologists on dose and choice of drugs was 35.7% for statins, 49.6%forantihypertensives and 39.6% for oral hypoglycaemics.

    Conclusions:There were significant differences between diabetologists and GPs on themanagement of diabetes. The survey suggestssignificant under-dosing by GPs.These findings warrant further investigation.

    Original languageEnglish
    Pages (from-to)326-332
    Number of pages7
    JournalDiabetes Research and Clinical Practice
    Issue number3
    Publication statusPublished - Mar 2012


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