Outcome​ of​ Diabetic​ Care ​in ​Primary​ Care ​Network, Sahasakhan ​District,​Kalasin ​Province

Abstract

The​ objective ​of ​this​ study​ was​ to ​study​ outcomes ​of ​diabetic​ care​ in​ primary​ care​ network, ​Sahasakhan​ district,​Kalasin​ province.​​The​ study was​ a​cross​sectional​descriptive​ study ​by ​reviewing ​medical​records​ of​1,067​ diabetic​ patients ​who​ visited ​in​ primary​ care​ network​ of​ Sahasakhan​ district​since ​1​O ctobe r​2009​ to ​31​September​ 2010.​​The​ data​ were ​analyzed​ using ​descriptive​ statistics ​in ​relation ​to ​frequency​ distribution,​percentage,​mean​ and ​standard​deviation.
The​ results ​found ​that ​most​ of​diabetic​ patients ​were ​female​(68.70%),​age​>​60​years​old​(46.02%),​ duration​of​disease​5-10​years​(47.61%),​body​mass​index​>​25​kg/m2​(48.64%)​and​60.26%​of​ patients ​had​ hypertension.​​Annual​checkup​for​HbA1c,​lipid​profle,​microalbuminuria,​oral​cavity,​eye​and​foot​examination​
were​observed​in​95.30,​95.22,​93.35,​66.45,​63.45​and​61.76%,​respectively.​​Patients​ with ​well​ control ​of​ fasting​blood​sugar​(>70​mg/dl​and​<130​mg/dl)​were​46.95%,​mean​ of ​fasting​blood​ sugar ​was​142.21​mg/dl,​HbA1c​<​7%​was ​observed​ in​20.16%​ and​ mean​ of​ HbA1c​was​9.02%,​LDL​<100​mg/dl​were​observed​ in​48.52%,​controlled​blood ​pressure​(<130/80​mmHg)​were​43.77%.​​Foot​ulcer ​was​ observed​in​1.03%​of​ patients​ and ​0.09%​ of​ patients ​were​amputated​toes,​legs​or​feet.​​The​ diabetic​complications ​included ​diabetic​ retinopathy​ and ​diabetic​ nephropathy​ were ​observed ​in​5.90%​and​12.93%.​​The​ percentage​ of​ patients ​who ​had​ microalbuminuria​received​ACEI​or​ARB​was​50.90​and​51.02%​of​ patients ​who ​were​ older​ than ​40 ​years​ old​ received​ASA. Most​ of​ diabetic​patients ​in​ Sahasakhan​district​were​received​necessary​routine​assessment​by ​diabetic​ care​ team ​because​ of ​primary​ care ​network ​system.​​But ​the​ effciency​of​glycemic​control​was​not​good​and​will​ be​improved.