Que retenir du bilan d'ENTRED 2007-2010Â ?

The 2007 ENTRED study (Echantillon national témoin représentatif des personnes diabétiques) is a descriptive epidemiological study which aims at describing and following changes, and comparing to the first 2001 ENTRED study, the characteristics, health status and quality of care of people with type 1 and type 2 diabetes in France (n =9987). It also describes therapeutic attitudes of caregivers, educational process and health costs related to diabetes. The diabetic population is on average 65 years old (25% > 75 years), economically disadvantaged, and 23% are foreign born. As in 2001, 92% are considered as type 2. We report significant improvement with respect to therapeutic goals: HbA1c (mean: 7.1% for type 2 with 54% ≤ 7%, and 7.9% for type 1), LDL cholesterol, blood pressure; and a more appropriate use of pharmacological treatments as recommended by health authorities. However visits to dietician are not frequent enough and occur at a too late stage (mainly at the initiation of insulin treatment), enhancement strategies for glycemic control are delayed (maintaining mono- and bitherapy despite HbA1c above target), and blood pressure control must be further improved. Similarly, eye fundus and podiatric examinations, and especially testing for microalbuminuria, are insufficiently performed. These data demonstrate significant progress but also shortcomings of our health system, so that future guidance can be thought.