Background: People with type 1 diabetes (T1D) spend <0.001% time annually with their diabetes-care team, hence education/self-management are key. In Australia most T1D patients have specialist physician care, with sole GP or shared care being more likely outside major cities.
Aims: To 1) explore adult T1D patient care and behaviour re glycaemia by 2) developing/using a survey, and 3) compare demographics in a T1D interested GP clinic and two tertiary referral diabetes clinics.
Methods: Informed consent was obtained. Over 3-months participants completed a (10-15 min. paper) questionnaire re demographics, insulin delivery, self-monitoring, hypoglycaemia frequency, low and high glucose and high ketone treatment behaviours and desire for further education. Descriptive analyses, t-tests, Chi-square-tests, ANOVA and logistic regression were performed with statistical significance at p<0.05.
Results: 205 adult T1D patients from SVH and RNS tertiary referral clinics (90% of all eligible) and 35 from a GP practice (with >80% GP-only diabetes care) participated. Specialist clinic outcomes were similar so were merged for comparison with the GP clinic. Results (Table1) are mean(SD) or %, with significance at p<0.05.
Conclusions: Overnight glycaemia related self-care by adults with T1D are similar in a T1D skilled GP practice and tertiary referral diabetes clinics.