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A survey was performed to identify all known diabetics i n s defined population whose age distribution was similar to that of the UK. The study population consisted of all 90,660 patients registered with 40 general practitioners. Of these, 15,411 (17%) were elderly, ie aged 65 years or more Nine hundred and seventeen diabetics were identified from the total population, resulting in a prevalence for all ages of 1.01%. More than half (479) of all the diabetics were aged 65 years or over. Thus the prevalence for diabetes in the elderly was 3.1%. Age-specific rates for diabetes in the age group 65-74 years were 33.2/1000 for males and 24.8/1000 for females. In those over 75 years the rates increased to 45.7/1000 for males and 29.0/1000 for females.A detailed study of the 50 elderly diabetics from one of the group practices revealed a high prevalence of both cardiovascular disease (96%) and eye disease (40%). In the planning of diabetic services, specific provision must be made for the elderlv. who form a substantial Dart of the diabetic communitv. associated with a high morbidity.(6) Gardin J M, Henry W L, Savidge D D, Ware J H, Burn C, Borer J S. Echocardiographic measurements in normal subjects. Evaluation of an adult population without clinically apparent heart disease.A statistical and genetic study of diabetes.(1) Prevalence and morbidity. Annals Hum Genet Lond, 1971; 3 4 347-69.(9) Hill R D.Community care service for diabetes in the mole area. Br Med J, 1976; 1: 1137-9.(10)Thorne P A, Russell R G. Diabetic clinics today and tomorrow: mini clinics in general practice. Br Med J, 193; 2: 534-6.

A survey was performed to identify all known diabetics in a defined population whose age distribution was similar to that of the UK. The study population consisted of all 90,660 patients registered with 40 general practitioners. Of these, 15,411 (17%) were elderly, ie aged 65 years or more. Nine hundred and seventeen diabetics were identified from the total population, resulting in a prevalence for all ages of 1.01%. More than half (479) of all the diabetics were aged 65 years or over. Thus the prevalence for diabetes in the elderly was 3.1%. Age‐specific rates for diabetes in the age group 65–74 years were 33.2/1000 for males and 24.8/1000 for females. In those over 75 years the rates increased to 45.7/1000 for males and 29.0/1000 for females. A detailed study of the 50 elderly diabetics from one of the group practices revealed a high prevalence of both cardiovascular disease (96%) and eye disease (40%). In the planning of diabetic services, specific provision must be made for the elderly, who form a substantial part of the diabetic community, associated with a high morbidity.

A five year fully online RN to BSN program was assessed by faculty and a consultant using the Robert Wood Johnson Foundation's Partnerships for Training (PFT) learner-centered evaluation tool. Faculty were more critical of their expertise in learner-centered online course criteria than the consultant. The consultant identified minimal use of peer support, collaborative activities, faculty preference for visual learner activities, and a tendency toward faculty ownership of learning goals and creation of activity rules and guidelines. The need to bring online discussions to a higher level of thinking was also noted. The dual evaluation perspectives helped identify strengths and weaknesses in the curriculum.