Management of Elderly People with Diabetes in Primary Care

  • Tom Coulthard


Most people with type 2 diabetes in the UK are identified and managed exclusively in primary care. It wasn’t always this way. Fifty years ago, patients with diabetes were largely managed by specialists, but since the 1970s care has gradually shifted to the community [1]. In 1997, a primary care based study in Leicester found that the percentage of patients with diagnosed diabetes who received an annual review in their GP surgery had doubled from 17% to 35% in 5 years, overtaking the number reviewed in secondary care [2]. This trend has continued and today, in my own surgery, nearly two-thirds of the patients with diabetes have had an annual review with us in the last year, far more than those who received one from secondary care.


Primary Care Chronic Kidney Disease Nursing Home Diabetes Care Secondary Care 
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Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  • Tom Coulthard
    • 1
  1. 1.Heaton Medical CentreNewcastle upon TyneUK

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