This study was undertaken to investigate the prevalence of @entity2412 and level of glycaemic and blood pressure control in Black African @entity1 at the primary care level in the public sector Cape Town, South Africa. A stratified random sample of 300 @entity1 attending the three largest ambulatory @entity6 clinics in community health centres in Black African residential areas of Cape Town (100 @entity1 from each) during the last 6 months of 1992 was selected. Each @entity1 had a clinical examination, interview, and 1 year retrospective record review. Eighty-one per cent of the sampled @entity1 were reviewed, 90% were non-insulin-dependent ( @entity2175 ) and 10% were treated with insulin. The mean duration of @entity6 was 8 (range 0-28) years. Acceptable glycaemic control was present in 49.4% (95% Confidence Intervals 45.6-53.5) of @entity1 while 38.5% (CI 24.8-52.2) of @entity101 @entity1 had acceptable blood pressure control. The prevalence of any grade of @entity989 was 55.4% (CI 48.90-62.9), proliferative and @entity989 15.6% (CI 8.5-22.8), @entity231 7.9% (CI 4.4-11.4), @entity1897 27.6% (CI 15.2-39.4), absent foot pulses 8.2% (CI 5.2-12.6), amputations 1.4% (CI 0.4-2.4), persistent @entity644 5.3% (CI 2.5-8.1) and an elevated albumin- @entity1011 ratio 36.7% (CI 29.0-44.4). The complications were not documented in the clinic records of the preceding year with the exception of 1 @entity1 with absent foot pulses and the 12 @entity1 with @entity644 . The high prevalence of suboptimal glycaemic and blood pressure control as well as complications of @entity6 , largely unrecorded in the preceding years' clinic notes, demonstrates the deficiency of and need for preventative @entity6 care at the primary care level. The design, institution, and evaluation of effective intervention programmes are a priority to improve the quality of care provided and the health of @entity6 @entity1 .

Audit of public sector primary @entity6 care in Cape Town, South Africa: high prevalence of complications, uncontrolled hyperglycaemia, and XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity2175 :: ('MESH:D003924', 'Disease') :: ['NIDDM'] @entity644 :: ('MESH:D011507', 'Disease') :: ['proteinuria'] @entity101 :: ('MESH:D006973', 'Disease') :: ['hypertensive'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetic', 'diabetes'] @entity989 :: ('MESH:D012164', 'Disease') :: ['retinopathy', 'preproliferative retinopathy'] @entity231 :: ('MESH:D002386', 'Disease') :: ['cataracts'] @entity1897 :: ('MESH:D010523', 'Disease') :: ['peripheral neuropathy'] @entity2412 :: ('MESH:D048909', 'Disease') :: ['diabetes complications'] @entity1011 :: ('MESH:D003404', 'Chemical') :: ['creatinine']
@entity101 :: (MESH:D006973,Disease) :: ['hypertension']
