O'Donnell M J, Rowe B R, Barnett A H
University of Birmingham, UK.
Diabet Med. 1988 Jul-Aug;5(5):494-6. doi: 10.1111/j.1464-5491.1988.tb01034.x.
New referrals to a diabetic clinic were studied over 6 months. One hundred and twelve patients were referred from their General Practitioner (GP) and 49 from other hospital departments. Thirty percent of GP referrals and 10% of hospital referrals were made on the basis of glycosuria alone. From all the patients referred six were found to be non-diabetic and a further 19 had been prescribed drugs inappropriately (either the wrong drug or the right drug in excessive dose), some with potentially dangerous consequences. Almost half of the patients were given no dietary advice at all. There is, still much ignorance concerning diagnosis and initial management of diabetes in both general and hospital medical practice.
对一家糖尿病诊所6个月内新接收的转诊患者进行了研究。112名患者由全科医生(GP)转诊而来,49名患者由其他医院科室转诊而来。30%的全科医生转诊患者和10%的医院转诊患者仅基于糖尿症转诊。在所有转诊患者中,发现6名患者并非糖尿病患者,另有19名患者用药不当(要么药物错误,要么药物正确但剂量过大),其中一些可能会带来危险后果。几乎一半的患者完全没有得到饮食建议。在普通医疗和医院医疗实践中,对于糖尿病的诊断和初始治疗仍存在很多无知之处。