IS GLYCEMIC CONTROL IN PATIENTS WITH TYPE-2 DIABETES IN RAWALPINDI IMPROVING?

作者: Farooq Ahmad Khan , Mariam Saeed , Dilshad Ahmed Khan

DOI:

关键词:

摘要: Background: Glycaemic control is critical for managing diabetes and related complications. Considering high prevalence of Diabetes in Pakistan, our study aimed to assess the status glycaemic Type-II Diabetics by measurement HbA1c from 2005–2007 at Rawalpindi. We also evaluated changes its trends relation with sex age. Methods: It was a retrospective analysis data Clinical Pathology Laboratory, Army Medical College, Rawalpindi during 2005–2007. A total 2875 patients, aged 24–70 years, taking oral hypoglycaemic agents, were included. measured using Human kit. International Federation guidelines, ≤6.5%, 6.6%–8.4% ≥8.5% used classify patients into good, fair poor categories. Results: The number (n=2875) tested increased 904,974 997 had an age 48±13 years comprised 54% males 46% females. Improvement patient’s among three categories 2005 2007 as follows: good (41% vs 47%), (38% 40%) (21% 13%) respectively. average values improved 7.25 % 6.69% ( p <0.05) . Overall, (45%) youngest group (53%) diabetic control. Conclusion: 41% 47% Males, especially majority population. For effective disease management optimal values, combined effort patient physician required. Keywords: Diabetes, Control, HbA1c, IDF Pakistani population

参考文章(27)
Mohammad Abdur Rahman Afridi, Mohammad Nawaz Khan, Role of health education in the management of diabetes mellitus. Jcpsp-journal of The College of Physicians and Surgeons Pakistan. ,vol. 13, pp. 558- 561 ,(2003) , 10.2003/JCPSP.558561
A Novials, X Badia, MC Sanabria, J Rodriguez, EPIDEMIOLOGICAL STUDY ON GLYCEMIA CONTROL IN PATIENTS WITH DM1 AND DM2, Epicon study- baseline visit analysis 195th Meeting of the Society for Endocrinology joint with Diabetes UK and the Growth Factor Group. ,vol. 8, ,(2004)
Effects of intensive glucose lowering in type 2 diabetes The New England Journal of Medicine. ,vol. 358, pp. 2545- 2559 ,(2008) , 10.1056/NEJMOA0802743
Intensive blood glucose control and vascular outcomes in patients with type 2 diabetes. The New England Journal of Medicine. ,vol. 358, pp. 2560- 2572 ,(2008) , 10.1056/NEJMOA0802987
Liaquat A Khowaja, Ali K Khuwaja, Peter Cosgrove, Cost of diabetes care in out-patient clinics of Karachi, Pakistan BMC Health Services Research. ,vol. 7, pp. 189- 189 ,(2007) , 10.1186/1472-6963-7-189
Masashi Kobayashi, Katsuya Yamazaki, Koichi Hirao, Mariko Oishi, Azuma Kanatsuka, Mikio Yamauchi, Hirofumi Takagi, Koichi Kawai, The status of diabetes control and antidiabetic drug therapy in Japan—A cross-sectional survey of 17,000 patients with diabetes mellitus (JDDM 1) Diabetes Research and Clinical Practice. ,vol. 73, pp. 198- 204 ,(2006) , 10.1016/J.DIABRES.2006.01.013
Amir Qaseem, Sandeep Vijan, Vincenza Snow, J. Thomas Cross, Kevin B. Weiss, Douglas K. Owens, , Glycemic Control and Type 2 Diabetes Mellitus: The Optimal Hemoglobin A1c Targets. A Guidance Statement from the American College of Physicians Annals of Internal Medicine. ,vol. 147, pp. 417- 422 ,(2007) , 10.7326/0003-4819-147-6-200709180-00012
L.-M. Chuang, S. T. Tsai, B. Y. Huang, T. Y. Tai, The status of diabetes control in Asia--a cross-sectional survey of 24 317 patients with diabetes mellitus in 1998. Diabetic Medicine. ,vol. 19, pp. 978- 985 ,(2002) , 10.1046/J.1464-5491.2002.00833.X