Marked variations in diabetes care persist, according to the National Diabetes Audit (NDA) for 2014-2015, although an increasing proportion of patients attain blood pressure targets.
The NDA reported that 76.4 per cent of type 1 and 74.2 per cent of type 2 diabetes patients achieved the target blood pressure levels of less than or equal to 140/80mmHg in 2014-15. This compared to 68.5 and 60.8 per cent respectively in 2009-10.
The audit looked at eight care processes: HbA1c; blood pressure; serum cholesterol; body mass index; smoking; foot surveillance; urine albumin/creatinine ratio; and serum creatinine. The proportion of patients receiving all eight care processes ranged from 24.8 to 80.6 per cent across clinical commissioning groups and local health boards, with a median of 58.7 per cent.