摘要：Objectives. To analyse the management of type 2 diabetes mellitus (T2DM) in Greenland in2008.Study design. Observational and cross-sectional study, including a review of medical records anddatabases.Methods. Data on adult (>19 years old) T2DM patients were collected from each primary healthcare centre in Greenland. Information was collected about age, gender, HbA1c, blood pressure,blood lipids, and from eye, feet and urine examinations from 15 of the 17 health care districts inGreenland, which represent 90% of the whole adult population of Greenland. Three clinics wereexcluded because of too few patients (only 7). The management of T2DM patients is described andis based on 6 processes and 3 biological indicators.Results. The 12 clinics together performed quite well looking at the monitoring of HbA1c (79%),blood pressure (69%) and blood lipids (83%). However, the screening rates were low within 2years for microalbuminuria (47%), eye (50%) and foot examinations (29%). Great variation in themanagement of the treatment was observed among the clinics. No clinic achieved all the standardssuggested in this paper. Screening for diabetic retinopathy seemed to be implemented, but therecords were not fully updated, whereas screening for microalbuminuria and foot examinationsclearly were not routine in most clinics.Conclusions. The management of type 2 diabetes mellitus is a major task for the heath care systemin Greenland. It is recommended that the implementation of a national strategy based on nationalguidelines, local diabetes registers and feedback to the clinics get underway as soon as possible.(Int J Circumpolar Health 2008; 68 (2):123–132)Keywords: Greenland, diabetes mellitus, care, quality
