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English Outline
The GIANTT project (Groningen Initiative to Analyse Type 2 diabetes Treatment) is a regional initiative of health care providers and researchers focussing on the care delivered to ambulant patients with type 2 diabetes mellitus in the north of the Netherlands. The goals are to:


  • improve the quality of care delivered to patients with type 2 diabetes mellitus


  • reduce complications and improve the quality of life for these patients.

    Setting and population
    The GIANTT project started in 2004 as an initiative of the University Medical Center Groningen, the Martini Hospital Groningen, the General Practitioners of the Groningen region, the Diabetes Service from the General Practice Laboratory. In December 2011, more than 220 general practitioners practicing in 150 practices participate in the project. More than 20.000 patients with type 2 diabetes have been informed about the project and given the opportunity to object to the (anonymous) collection of their medical data.

    Data collection
    Data collection is based on routinely registered information in the various medical records. Automated procedures are used to collect data from the medical records.

    Research studies

    • assessing the quality of treatment in relation to patient factors and outcomes

    • identification of triggers for treatment intensification

    • understanding and improving adherence in patients in need of multiple (preventive) drugs

    • exploring the concept of total risk management from the practitionersí and patientsí point of view

    • evaluation of a patient-oriented intervention strategy to improve preventive care

    More information about the GIANTT project can be found in the May 2013 issue of International Innovation and enter 96 as page number at the bottom to go directly to "Sweet Subject".