Survey of the level of diabetes control and some related to it in patients referred to diabetes clinic [Semnan Fatemieh hospital]

ABSTRACT

Prevalence of diabetes is high. Unfortunately this disease has serious complications in uncontrolled conditions. Thus, control of diabetes plays the important role in preventing the chronic complications. Plasma level of HbA1c is one of the most important indicators in assessing the control and prognosis of diabetes. In this study, by measuring the HbA1c level and EBS in diabetic patients in Semnan, some related factors with diabetes control, treatment condition among them have been evaluated. This is an analytic - cross sectional study performed on 288 diabetic patients having files in Fatemieh hospital diabetes clinic from 15th Aug. to 6th Sep. 2002. Cases were interviewed via questionaires and then their blood samples were examined to determine FBS, HbA1c. Data were analyzed through SPSS with statistical test of Chi - square. Among 288 cases, 46.7% were males and 53.3% females. In 50% of diabetic patients, the diabetes family history were positive in the first-grade relatives, but in the second-grade ones was 17%, in 6% of them both first and second-grade relatives suffered from diabetes. Meanwhile, time average of suffering diabetes was 8.7 years. The FBS average was 203.33 mg/dl and HbA1c average level was 10.15% too. Only in 5.9% of cases HbA1c was lower than 9% but in 14.2% it was higher than 11%. In this study, there was not observed any relation between HbA1c level and factors such as age, gender and treatment various methods, diet, oral drugs and insulin therapy. Here, a positive coordination between HbA1c and FBS was seen which was a considerable point. Hence, a meaningful direct relation was observed between HbA1c and FBS [P<0.000, r=0.486]. Results showing that blood sugar and A1c hemoglobin in most patients with diabetes in Semnan has an unacceptable range, so controling the diabetes of these patients is unadequate. Meanwhile, the amount of both critria with demographic factors and the kind of treatment prescribed have no relation too. As, there is not any necessory criteria to evaluate the level of doing the, thus having a careful study along with controlling of treatment orders is required