Adherence of healthcare professionals to American Diabetes Association 2004 guidelines for the care of patients with type 2 diabetes at peripheral diabetes clinics in Karachi, Pakistan. | [Pakistan Journal of Medical Sciences • 2013]

Author(s):

1. Farzana Muzaffar: Baqai Institute of Diabetology & Endocrinology, Baqai Medical University, Karachi, Pakistan

2. Nimra Fatima: Baqai Institute of Diabetology & Endocrinology, Baqai Medical University, Karachi, Pakistan

3. Asher Fawwad: Baqai Institute of Diabetology & Endocrinology, Baqai Medical University, Karachi, Pakistan

4. Mussarat Riaz: Baqai Institute of Diabetology & Endocrinology, Baqai Medical University, Karachi, Pakistan

Abstract:

Objective: To observe the adherence of Healthcare Professionals to American Diabetes Association (ADA) 2004 guidelines for the care of patients with type 2 diabetes at Peripheral Diabetes Clinics (PDCs) in Karachi, Pakistan. Methodology: The study was conducted using a retrospective medical chart review of patients with type 2 diabetes at four PDCs in four townships of Karachi district from January 2005 to December 2006. Entire medical records of patients were evaluated for the evidence of documentation of testing and treatment. Results: Medical records of 691 patients (332 males and 359 females) with type 2 diabetes were reviewed. Mean age of the patients was 50.79 ± 10.75 years. Deficiencies were observed in most areas of diabetes care. Blood pressure was documented in 85.81% patients, whereas, serum creatinine, HbA1c and lipid profile were noted in 56%, 44.57% and 40.08% of the patients respectively. Similarly, lower leg examination was registered in 44% patients, while in 30.53% of the patients fundoscopic examination was recorded. Co-morbid conditions like hypertension and hyperlipidemia were documented in 92.7% and 84.6% patients respectively. HbA1c

Page(s): 474-478

DOI: DOI not available

Published: Journal: Pakistan Journal of Medical Sciences, Volume: 29, Issue: 2, Year: 2013

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