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RESEARCH PRODUCT

282 Ophtalmologic follow-up of diabetic patients managed by Gps or diabetologists: results of FOCUS survey

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ObjectiveTo describe the ophthalmological follow up and cardiologists-nephrologists’ involvements in diabetic patients managed by GPs or diabetologists.MethodsTransversal and observational survey conducted in 2009, by 1112 GPs and 188 specialists.Results2577 diabetic patients (T1D or T2D) have been included; 63% were males, and mean age was 62 years. Mean diabetes duration was 10 years. Most of them were hypertensive (72%), 68% had a dyslipidemia and 30% a non proliferative diabetic retinopathy. Nearly all patients have been followed by ophthalmologists (70% have been seen once a year).In patients having a diabetic retinopathy (DR), treatments have been intensified in 80% of them with a visit to the specialist.Visits to cardiologists were more frequent (82%) compared to nephrologists (7%), even the existence of a microalbuminuria or proteinuria in 20% of patients.The HbA1c was :-T1D patients: 10.9% with HbA1c < 6.5 and 33.1% with HbA1c <7%.-T2D patients: 21.4% with HbA1c < 6.5 and 52% with HbA1c <7%.Blood pressure targets (BP <130/80mmHg) have been reached by 12% of patients.ConclusionIn this survey, the majority of patients has been regularly followed by an ophthalmologist. The existing DR incited practioners to reinforce the management of the diabetes and hypertension. However, the glycaemic and blood pressure control remained insufficient.