Several areas of diabetes patient self-care behaviour were assessed [Table 5]. Areas addressed included whether the individual was carrying identification indicating that they had diabetes - only 65.4%; only 60.4% of those on insulin or sulphonylureas carried hypoglycaemia therapy; and only 60.8% [80.0% of Type 1 individuals] had told the traffic authority they had diabetes [64.6% of those on therapy other than diet].

One deficit of the latter assessment in 2005 was that we did NOT have a NOT APPLICABLE option to account for those who did not drive! This was rectified in 2010.

Notwithstanding the latter caveat, the 2005 pilot identified three important areas of patient selfcare that were assessed as being deficient; ie Carrying Identification; Carrying Hypoglycemia Therapy; and Informing the Traffic Authority. There has been little improvement since.

Table 5 Self-care

2005 n = 1405

Category
n
%
% (Exc Missing)
Total
Carrying Identification86561.6%
62.5%
1405
Carrying Hypo Therapy *55961.6%
59.1%
953
Traffic Authority Told **56440.1%
44.5%
1405
Hypo Aware ***72382.3%
84.0%
879
Contact - Know Who To126690.1%
92.1%
1405
Contact - Phone No ****121095.6%
95.7%
1266
Table 5 Self-care continued...

2010 n = 2131

Category
n
%
% (Exc Missing)
Total
Carrying Identification139465.4%
66.8%
2131
Carrying Hypo Therapy *107460.4%
63.0%
1779
Traffic Authority Told **102660.8%
68.8%
1688
Hypo Aware ***137779.5%
83.0%
1733
Contact - Know Who To195691.8%
94.0%
2131
Contact - Phone No ****188393.3%
96.6%
1956

* only patients on insulin/sulphonylurea
** in 2010 only [not 2005] this represents the percent of ‘Drivers’ who have not told the Traffic Authority [i.e. excludes non-drivers]
*** only patients on insulin/sulphonylurea and a hypo in last 6/12
**** only patients who know who to contact


Overall, amongst patients on insulin or sulphonylureas [and who had had a hypoglycaemic episode in the last 6 months], 79.5% were adjudged to be Hypo Aware [based upon the definition “In last 6 months has the patient always recognised [and self treated] their hypos”]. [See Appendices > ANDIAB2 Data Definitions > for all data definitions].
Individuals were asked whether they knew who to contact “for medical/health advice about their diabetes? [Health Professional or DA]” and of those who did [91.8% of all individuals], over 96% had a Contact Phone Number in order to do so.