{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T09:30:00Z","timestamp":1787563800182,"version":"build-2736575974"},"reference-count":33,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2021,2,5]],"date-time":"2021-02-05T00:00:00Z","timestamp":1612483200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001411","name":"Indian Council of Medical Research","doi-asserted-by":"publisher","award":["5\/4\/5\u201011\/Diab\/16\u2010NCD\u2010II"],"award-info":[{"award-number":["5\/4\/5\u201011\/Diab\/16\u2010NCD\u2010II"]}],"id":[{"id":"10.13039\/501100001411","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To evaluate the quality of care in known diabetes patients of Delhi.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional survey was conducted using a two\u2010stage cluster design. In all, 30 of 150 wards were chosen in Stage 1 (using a random computer\u2010generated seed value and then selecting wards at a predefined sampling interval; Probability Proportionate to Size\u2014Systematic) and one colony from each ward was selected randomly in Stage 2. The selected areas were surveyed house\u2010to\u2010house in one\u2010of\u2010four random directions to recruit a minimum of 25 subjects (known diabetes \u22651\u00a0year; 35\u201365\u00a0years of age) per area. Data were collected by interview, blood sampling and from medical records by specifically trained research staff.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 843 subjects (of 1315 eligible) were enrolled from 11,490 houses. For the intermediate outcome measures, an estimated 33.5% (95% CI 27.3\u201340.2) had an HbA\n                      <jats:sub>1c<\/jats:sub>\n                      value &gt;10%, 67.2% (95% CI 62.8\u201371.4) had an LDL cholesterol level &gt;100\u00a0mg\/dl and 57.3% (95% CI 50.4\u201363.9) had BP levels &gt;140\/90\u00a0mmHg. For the processes of care in the last 1\u00a0year, 25.6% (95% CI 19.7\u201332.6) of the patients had an HbA\n                      <jats:sub>1c<\/jats:sub>\n                      (A1c) estimation and 2.4% (95% CI 1.1\u20134.9) had a dilated eye examination and 4.1% (95% CI 2.6\u20136.2) had foot examination. Diabetes self\u2010management education was provided to only 11.3% (95% CI 8.6\u201314.7) while nutrition counselling was provided to 56.0% (95% CI 51.7\u201360.2).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The glycaemic control, lipid control and BP management of known diabetes patients in Delhi are unacceptably poor and a wide gap exists between practice recommendations and delivery of diabetes care in Delhi.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dme.14530","type":"journal-article","created":{"date-parts":[[2021,1,27]],"date-time":"2021-01-27T07:53:54Z","timestamp":1611734034000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["The poor quality of diabetes care in a cluster randomized community survey from Delhi (DEDICOM\u2010II): A crisis, an opportunity"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4752-5843","authenticated-orcid":false,"given":"Jitender","family":"Nagpal","sequence":"first","affiliation":[{"name":"Sitaram Bhartia Institute of Science and Research New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1038-5317","authenticated-orcid":false,"given":"Swapnil","family":"Rawat","sequence":"additional","affiliation":[{"name":"Sitaram Bhartia Institute of Science and Research New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siddhi","family":"Goyal","sequence":"additional","affiliation":[{"name":"Sitaram Bhartia Institute of Science and Research New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthikad S.","family":"Lata","sequence":"additional","affiliation":[{"name":"Sitaram Bhartia Institute of Science and Research New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,2,5]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-8587(17)30174-2"},{"issue":"1","key":"e_1_2_8_3_1","doi-asserted-by":"crossref","first-page":"S4","DOI":"10.2337\/diacare.29.s1.06.s4","article-title":"Standards of medical care in diabetes\u20132006","volume":"29","author":"American Diabetes Association","year":"2006","journal-title":"Diabetes Care"},{"key":"e_1_2_8_4_1","first-page":"297","article-title":"Indian diabetes guidelines 2002","volume":"50","author":"Association of Physicians of India","year":"2002","journal-title":"J Assoc Physicians India"},{"key":"e_1_2_8_5_1","unstructured":"International Diabetes Federation.Clini\u2010cal guidelines taskforce: global guideline for type 2 diabetes[article online] 2005.http:\/\/www.idf.org\/web\u2010data\/docs\/IDFGGT2D.pdf. 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