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Care providers first start with lifestyle guidance if possible
Half of people with type 2 diabetes are not prescribed diabetes medication in the first year after diagnosis. This is apparent from the Nivel Primary Care Registers. On average, young people who go to a dietician start taking medication later. Interviews confirm that health care providers first start with lifestyle counseling if possible.
Lifestyle changes are the basis of treatment. If the result is insufficient, medication can be started. Patients who do start diabetes medication in the first year receive the first prescription on average seven weeks after they are diagnosed. Patients with a severely elevated glucose level start medication more quickly than average. Patients with a moderately elevated glucose level start slightly later.
Young people who go to a dietitian only take medication later
It is striking that men start medication for diabetes earlier than women. Women with diabetes, on the other hand, visit a dietitian more often than men. Whether this is also the reason that women start taking medication later has not been investigated. In addition, we see that young people generally start taking medication earlier than older people. An exception to this are young people who consult a dietician, who start taking diabetes medication later.
High-risk patients at the dietitian do not start medication earlier
Patients who visit a dietitian are more likely to be seriously overweight than other diabetic patients. They are also more likely to have high blood glucose levels. However, they do not start medication earlier than other people with type 2 diabetes. It is quite possible that patients with a higher risk of complications are more likely to receive guidance from a dietitian. Because of this, it may not be necessary to start medication quickly.
About the research
We examined the care that patients with type 2 diabetes receive from the general practitioner and the dietitian. The study is based on data from 9,770 patients with type 2 diabetes from 308 general practices and 84 dietetic practices that participate in Nivel Zorgregistraties Eerste Lijn. In addition, we interviewed seven care providers to interpret the results from the Nivel Care Registries. The research stems from a knowledge request from the Ministry of Health, Welfare and Sport.
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https://www.nivel.nl/nl/nieuws/helft-van-nieuwe-patienten-met-diabetes-type-2-krijgt-geen-medicatie - Original title:
Half of new patients with type 2 diabetes do not receive any medication - Target audience:
Healthcare Professionals, Policymakers, Informal Caregivers, Students - Datum:
2022-07-12
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