Effective factors in controlling diabetes progression among patients in the northwest of Iran

Abstract

Background:Diabetes is the fifth leading cause of death in the world. Hence, we investigated the factors affecting disease control among diabetic patients referred to Imam Reza Hospital (central hospital in the Northwest of Iran).Materials and Methods:One hundred and eight diabetic patients were evaluated. Patient's main medications including insulin, metformin, glibenclamide, and glytazon were registered and the levels of fasting blood sugar (FBS), glucose 2 h postprandial (pp), and hemoglobin A1c (HbA1c) were measured. All risk factors were evaluated by using a questionnaire completed by the patients.Results:The average of HbA1c, FBS, and glucose 2 h pp was 7.33%, 159 mg/dl, and 233.03 mg/dl, respectively. In patients whose disease was controlled, the family history of the disease, the type of medication, and the visits to family physician had a significant association with disease control. The average mean of HbA1c among patients with controlled and uncontrolled disease was 5.93% and 8.63 % respectively.Conclusion:Less stress, education, and weekly exercise had an essential role in controlling the disease in diabetic patients from the Northwest of Iran and noncompliance with the prescribed diet by the physician and lack of timely medicine intake were the main reasons for uncontrolled disease.

Age differences in diabetes-related complications and glycemic control

“…Almost all the people living in these areas have Azari-Turkish background with different sociocultural values influencing their lifestyle. Diabetes is a major concern in these areas [22, 23] where not only have previous studies shown inadequate diabetes care and high prevalence of complications but relatively poor quality of life among these people has been referred to as well [24–27]. …”