Diabetes control in a primary care setting : A retrospective study of 651 patients

Diabetes control in a primary care setting : A retrospective study of 651 patients

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Background and Objectives: As part of an ongoing evaluation of the process of care, the management of type 2 diabetes in primary healthcare here settings was studied in a series of audits with the objective of improving diabetes care in a primary care center of the Saudi National Guard Health Affairs, Riyadh, Saudi Arabia.Methods: A sample of 30 files was randomly selected every 2 weeks from a sampling frame of medical records of type 2 diabetes patients seen over the previous two weeks.The criterion of good management was arbitrarily defined as a glycated hemoglobin (HbA 1c ) less than 7%, with a test frequency of once every 3 months.The proportion of patients not conforming to the criterion was reported back to the care providers.

Specially trained nurses did all randomization, data extraction, and entry.Results: Data were extracted form 651 medical records, including 355 (54.5%) for females and 296 (45.5%) for moondrop quarks males.

Both the mean and median age of those studied was 53 years.Mean HbA1c was 9.0±2.0%, mean fasting plasma glucose was 9.

9±3.9 mmol/L, and mean 2-hour postprandial plasma glucose was 15.0±5.3 mmol/L.

In 20.6% (134/651) (95% CI, 17.5%-23.9%) of patients the HbA 1c level was less than 7%.

Only 10.4% (68/651) (95% CI, 8.2%-13.0%) had HbA 1c measured in the previous 3 months that was less than 7.

0% and thus met the criterion for good management.In the previous 3 months, 55.4% (95% CI, 51.5%-59.

3%) had been tested for HbA 1c.Conclusions: Management of diabetes at the primary care level leaves much to be desired.There is a need for an ongoing process of evaluation to follow up the implementation of care guidelines.