Abstract:There is a need for interventions to improve management and documentation in diabetes care in order to achieve early detection and prevention of complications. Developing a protocol for the clinic based on standard guidelines, and the use of flow sheets may be helpful in improving these intermediate indicators of quality of care.
“…Diabetic and Hypertension were the other risk factors closely associated with renal calculi in the study population. In Saudi Arabia, the prevalence of diabetes is estimated to be 25% and the incidence 45% [20]. Similar high prevalence rates have been reported from a number of Arab countries.…”
“…Diabetic and Hypertension were the other risk factors closely associated with renal calculi in the study population. In Saudi Arabia, the prevalence of diabetes is estimated to be 25% and the incidence 45% [20]. Similar high prevalence rates have been reported from a number of Arab countries.…”
“…570 (90.8%) of our patients had their BP documented, this rate is comparable to other studies, where more than 85% of patients attending the diabetic clinic had their blood pressure checked regularly [22,23,30,39].…”
Section: Discussionsupporting
confidence: 88%
“…Our findings regarding glycemic control are comparable with those of studies in other Arab countries, 26.4% patients achieved HbA 1c < 6.5% and 41.8% ones achieved HbA 1c < 7.5%. In a study from a university health center in Lebanon, target goal for HbA 1c of < 7% was met in 28.4% individuals [30]. In a study from Saudi Arabia tertiary care hospital in Riyadh only 21.8% patients achieved HBA 1c < 7% [31].…”
Section: Discussionmentioning
confidence: 99%
“…29.0% patients achieved both systolic and diastolic blood pressure targets of < 130/80 mm Hg. In a study from Lebanon systolic and diastolic blood pressure goals of 135/85 mm Hg were met in 55.4%, 65.7%, of their studied patients [30]. In a study from a tertiary care center in Saudi Arabia, involving 1188 diabetic patients the overall, systolic and diastolic blood pressure goals of < 130/80 were achieved in 39.0, 47.6 and 74.6% of diabetic patients respectively [31].…”
Objectives: The aim of this study is to assess glycemic control and its relationship with patient characteristics, health-care system factors, and self-care management in type II diabetes patients.
Methods:A retrospective cross-sectional study was conducted among 330 type II diabetes patients who met the inclusion criteria and whose medical records covered a period of 1 year. Data concerning patient characteristics, health-care system factors, self-care management, and available last reading of hemoglobin A1c (HbA1c) were collected through personal interviews and a medical records' review using structured questionnaires and data collection forms. Good glycemic control was defined as HbA1c ≤7%. To assess the results, the Statistical Package for Social Sciences (version 16) was used to undertake descriptive, univariate, and multivariate analyses.
Results:The mean±standard deviation age was 60±9.7 years. More than half of the participants were male (51.2%), and the majority had additional chronic diseases (88.5%). Of the total 271 participants whose HbA1c levels have been monitored, 16.7% had good glycemic control. Multivariate analysis showed that unemployment was significantly related to a decreased odds of good glycemic control (odds ratio=0.34; 95% confidence interval=0.12-0.98; p<0.05).
Conclusion:The study noted that the proportion of patients with good glycemic control was low, a result comparable to studies from many countries. Further investigation and improvement of inappropriate health-care system factors and self-care management together with educational programs that emphasize the importance of self-care management and the health-care providers' role would be of great benefit in glycemic control.
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