Glycaemic control among patients with type 2 diabetes mellitus treated in primary care setting in Jordan

Omari, Mousa Al; Khader, Yousef; Dauod, Ali Shakir; Al-Akour, Nemeh; Khassawneh, Adi; Al-Ashker, Eman; Al-shdifat, Amged

doi:10.1016/j.pcd.2009.08.004

Cited by 15 publications

(25 citation statements)

References 25 publications

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“…A study from Iran including 2640 patients has reported that optimal glucose and LDL control were seen in 37.4% and 48.9%, respectively [ 12 ]. Similar results with regard to blood glucose control have been reported from several Middle Eastern countries with glucose control of HbA1c <7% seen in 40–56% of the patients in a primary care setting [ 11 , 13 ].…”

Section: Discussionsupporting

confidence: 84%

Association of Self-Reported Dietary and Drug Compliance with Optimal Metabolic Control in Patients with Type 2 Diabetes: Clinic-Based Single-Center Study in a Developing Country

Weerarathna

Senadheera

et al. 2018

Journal of Nutrition and Metabolism

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Introduction Influence of dietary and drug compliance of patients with diabetes on attainment of optimal metabolic (glucose and lipid) control remains underexplored in developing countries. Materials and methods Self-reported dietary and drug compliance score of 0–10, glycosylated hemoglobin (HbA1c), and low-density lipoprotein (LDL) levels were obtained from patients with diabetes. HbA1c <7% and LDL <100 mg/dL were used to define optimal glucose and lipid control, respectively. Proportions achieving each and both optimal parameters were estimated. Regression analysis was used to study the association of age, gender, age of onset and the duration of diabetes, self-reported dietary, and drug compliance scores with achievement of both parameters. Results Mean (SD) age and duration of diabetes of 207 patients were 55 (10) and 10 (03) years. Optimal glucose and LDL control were achieved by 30% and 62%, and 23% had achieved both. Regression analysis revealed significant association of self-reported high dietary compliance with achievement of both targets. Conclusions Findings highlight the suboptimal glucose and lipid control among patients with diabetes. Significant association of better dietary compliance with control of both parameters emphasizes the value of proper dietary adherence in achieving the optimal metabolic control among patients with diabetes.

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Section: Discussionsupporting

confidence: 84%

Association of Self-Reported Dietary and Drug Compliance with Optimal Metabolic Control in Patients with Type 2 Diabetes: Clinic-Based Single-Center Study in a Developing Country

Weerarathna

Senadheera

et al. 2018

Journal of Nutrition and Metabolism

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“…The success of structured intervention makes it clear that the lack of knowledge of health care professionals' may be less of a constraint than other structural factors. Improvements seen in our project were comparable to local and international benchmarking figures for good clinical care for both diabetes and hypertension [26-31]. …”

Section: Discussionsupporting

confidence: 71%

A successful chronic care program in Al Ain-United Arab Emirates

Baynouna

Shamsan

Ali

et al. 2010

BMC Health Serv Res

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BackgroundThe cost effective provision of quality care for chronic diseases is a major challenge for health care systems. We describe a project to improve the care of patients with the highly prevalent disorders of diabetes and hypertension, conducted in one of the major cities of the United Arab Emirates.Settings and MethodsThe project, using the principles of quality assurance cycles, was conducted in 4 stages.The assessment stage consisted of a community survey and an audit of the health care system, with particular emphasis on chronic disease care. The information gleaned from this stage provided feedback to the staff of participating health centers. In the second stage, deficiencies in health care were identified and interventions were developed for improvements, including topics for continuing professional development.In the third stage, these strategies were piloted in a single health centre for one year and the outcomes evaluated. In the still ongoing fourth stage, the project was rolled out to all the health centers in the area, with continuing evaluation. The intervention consisted of changes to establish a structured care model based on the predicted needs of this group of patients utilizing dedicated chronic disease clinics inside the existing primary health care system. These clinics incorporated decision-making tools, including evidence-based guidelines, patient education and ongoing professional education.ResultsThe intervention was successfully implemented in all the health centers. The health care quality indicators that showed the greatest improvement were the documentation of patient history (e.g. smoking status and physical activity); improvement in recording physical signs (e.g. body mass index (BMI)); and an improvement in the requesting of appropriate investigations, such as HbA1c and microalbuminurea. There was also improvement in those parameters reflecting outcomes of care, which included HbA1c, blood pressure and lipid profiles. Indicators related to lifestyle changes, such as smoking cessation and BMI, failed to improve.ConclusionChronic disease care is a joint commitment by health care providers and patients. This combined approach proved successful in most areas of the project, but the area of patient self management requires further improvement.

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“…In other studies in Jordan, Khattab et al [11] reported that 65.1% of the diabetic patients attending the National Center for Diabetes, Endocrinology and Genetics (NCDEG) had HbA1c ≥ 7%. While, Al Omari et al [10] reported that 43.9% of the patients who attended the diabetic clinic at the primary care level in the university teaching family health centre had HbA1c ≥ 7%. The lower rate of poor glycemic among patients treated at the primary care level may be explained by that primary health care settings treat patients with medical conditions before they become serious enough to require hospitalization or emergency treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Although glycemic control and its determinants among patients with type 2 diabetes mellitus in Jordan had been investigated in previous studies [10,11] , none of these studies was conducted among patients treated in hospitals. The factors associated with glycemic control in hospital patients may be different from those that would be found in primary care level settings or specialized diabetes centers.…”

Section: Introductionmentioning

confidence: 99%

Glycemic Control and Its Determinants among Patients with type 2 Diabetes Mellitus Attending a Teaching Hospital

A¹,

S²,

M³

2011

J Diabetes Metab

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Glycaemic control among patients with type 2 diabetes mellitus treated in primary care setting in Jordan

Cited by 15 publications

References 25 publications

Association of Self-Reported Dietary and Drug Compliance with Optimal Metabolic Control in Patients with Type 2 Diabetes: Clinic-Based Single-Center Study in a Developing Country

Association of Self-Reported Dietary and Drug Compliance with Optimal Metabolic Control in Patients with Type 2 Diabetes: Clinic-Based Single-Center Study in a Developing Country

A successful chronic care program in Al Ain-United Arab Emirates

Glycemic Control and Its Determinants among Patients with type 2 Diabetes Mellitus Attending a Teaching Hospital

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