Community-based management of complex type 2 diabetes: adaptation of an integrated model of care in a general practice setting.

Background: Overburdened hospital clinics can have adverse outcomes.

Aims: To evaluate the effectiveness and patient acceptability of an integrated model of complex type 2 diabetes care delivered in a community-based general practice by upskilled general practitioners (GP) co-located with an endocrinologist and diabetes nurse educator.

Methods: Patients transferred from hospital clinic lists or referred by local GP were assessed in two southern Perth practices.

Falling mortality rates in Type 2 diabetes mellitus in the Wirral Peninsula: a longitudinal and retrospective cohort population-based study.

Objectives: To determine the life expectancy and mortality rates in patients with type 2 diabetes mellitus when compared with the UK general population; to measure the years of life lost.

Design: Longitudinal and retrospective cohort study.

Setting: The Wirral Peninsula in the northwest of England.