Facteurs déterminants du contrôle glycémique des patients diabétiques de type 2 suivis en première ligne

Abdelaziz, Ahmed Ben; I, Soltane; Gaha, K.; Thabet, H.; Tlili, Haïfa; Ghannem, H.

doi:10.1016/s0398-7620(06)76742-6

Cited by 11 publications

(6 citation statements)

References 36 publications

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“…Several studies[1531323334] have documented from 50% to 86%, which were higher than our studies. Although these variations across studies may be true, they may also be due to differences in populations surveyed, methods of data collection, measurements of blood-glucose/hemoglobin A1c (HbA1c), and definitions of blood-glucose/HbA1c cut-point for adequate glycemic control.…”

Section: Discussioncontrasting

confidence: 87%

Prescribing pattern and efficacy of anti-diabetic drugs in maintaining optimal glycemic levels in diabetic patients

Agarwal

Jadhav

Deshmukh

2014

J Basic Clin Pharma

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Context:Despite the availability of efficacious anti-diabetic drugs, which act by different mechanisms to reduce the blood-glucose, the majority of people with diabetes on anti-diabetic drug therapy, have poor glycemic control and diabetic vascular complications.Aim and Objectives:The aim was to study the prescribing pattern and efficacy of anti-diabetic drugs in maintaining optimal glycemic levels in diabetic patients attending tertiary care teaching hospital in Navi Mumbai.Materials and Methods:A prospective, cross-sectional, observational survey was carried out in 100 patients of diabetes mellitus attending diabetes outpatient/medicine outpatient departments, to assess their prescribing pattern of anti-diabetic drugs, and their blood-glucose level was measured by Accu-Chek Active glucometer to determine their glycemic control.Results:Average number of anti-diabetic drugs per prescription was 1.4. Sulfonylureas were the most commonly prescribed class, but metformin (biguanide) was the commonest prescribed individual drug among oral hypoglycemic agents (OHA). Fixed dose combination of biguanide and sulfonylurea was prescribed commonly. Monotherapy dominated over polytherapy and there was a higher percentage of use of insulin in Type 2 diabetics. Only 41% of patients on anti-diabetic therapy had optimal glycemic control. The association between anti-diabetic therapy along with lifestyle modification and glycemic control was statistically significant (P = 0.0011).Conclusions:OHAs still dominate the prescribing pattern, but there was a shifting trend toward the use of insulin preparations in the management of Type 2 diabetes mellitus. In achieving optimal glycemic control, the efficacy of the anti-diabetic drugs was only 41%; therefore intensification of current drug treatment as well as planning multiple drug interventions with lifestyle modification is necessary.

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Section: Discussioncontrasting

confidence: 87%

Prescribing pattern and efficacy of anti-diabetic drugs in maintaining optimal glycemic levels in diabetic patients

Agarwal

Jadhav

Deshmukh

2014

J Basic Clin Pharma

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“…The majority of studies have reported that diabetes knowledge and awareness is generally poor between T2DM patients [6][7][8]. However, it is difficult to compare our results with those of other studies that used different instruments to assess knowledge among diabetic patients.…”

Section: Discussionmentioning

confidence: 69%

“…Laboratory data were collected from each patient's electronic medical record (EMR). This cross-sectional study used a questionnaire known as the Michigan Brief Diabetes Knowledge Test to assess each patient's knowledge [7][8][9][10]. This questionnaire was also translated into Arabic.…”

Section: Methodsmentioning

confidence: 99%

Assessment of Diabetes Knowledge Using the Michigan Brief Diabetes Knowledge Test Among Patients With Type 2 Diabetes Mellitus

Almalki

Balbaid

et al. 2017

J Endocrinol Metab

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Background: Type 2 diabetes mellitus (T2DM) represents a growing health threat globally. The International Diabetes Federation (IDF) estimated that 387 million adults had diabetes in 2014, and this number is expected to continue to grow. In Saudi Arabia, the prevalence of T2DM over time has increased. Diabetes knowledge has been shown to improve self-management skills and glycemic control. The primary goal of this study was to assess diabetes knowledge and its impact on diabetes control and complications.

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“…Despite the numerous advances achieved in diabetes control and evaluation, the management of such a complex disease remains challenging. Recent epidemiological data from various regions of the world show most patients with diabetes are not controlled to recommended HbA 1c targets [11–21]. In addition, estimates of prevalence of inadequate glycaemic control vary widely, in part due to differences in diabetes type, populations surveyed, methods used to collect data, and goals of glycated haemoglobin (HbA 1c ).…”

Section: Introductionmentioning

confidence: 99%

Prevalence and correlates of inadequate glycaemic control: results from a nationwide survey in 6,671 adults with diabetes in Brazil

Fittipaldi²,

et al. 2009

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Diabetes is a significant public health burden on the basis of its increased incidence, morbidity, and mortality. This study aimed to estimate the prevalence of inadequate glycaemic control and its correlates in a large multicentre survey of Brazilian patients with diabetes. A cross-sectional study was conducted in a consecutive sample of patients aged 18 years or older with either type 1 or type 2 diabetes, attending health centres located in ten large cities in Brazil (response rate = 84%). Information about diabetes, current medications, complications, diet, and satisfaction with treatment were obtained by trained interviewers, using a standardized questionnaire. Glycated haemoglobin (HbA1c) was measured by high-performance liquid chromatography in a central laboratory. Patients with HbA1c ≥ 7 were considered to have inadequate glycaemic control. Overall 6,701 patients were surveyed, 979 (15%) with type 1 and 5,692 (85%) with type 2 diabetes. The prevalence of inadequate glycaemic control was 76%. Poor glycaemic control was more common in patients with type 1 diabetes (90%) than in those with type 2 (73%), P < 0.001. Characteristics significantly associated with improved glycaemic control included: fewer years of diabetes duration, multi professional care, participation in a diabetes health education program, and satisfaction with current diabetes treatment. Despite increased awareness of the benefits of tight glycaemic control, we found that few diabetic patients in Brazil met recommended glycaemic control targets. This may contribute to increased rates of diabetic complications, which may impact health care costs. Our data support the public health message of implementation of early, aggressive management of diabetes.

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Facteurs déterminants du contrôle glycémique des patients diabétiques de type 2 suivis en première ligne

Cited by 11 publications

References 36 publications

Prescribing pattern and efficacy of anti-diabetic drugs in maintaining optimal glycemic levels in diabetic patients

Prescribing pattern and efficacy of anti-diabetic drugs in maintaining optimal glycemic levels in diabetic patients

Assessment of Diabetes Knowledge Using the Michigan Brief Diabetes Knowledge Test Among Patients With Type 2 Diabetes Mellitus

Prevalence and correlates of inadequate glycaemic control: results from a nationwide survey in 6,671 adults with diabetes in Brazil

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