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Original research| Volume 8, ISSUE 3, P239-243, October 2014

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Glycemic control among patients with type 2 diabetes at a primary health care center in Oman

Published:January 28, 2014DOI:https://doi.org/10.1016/j.pcd.2014.01.003

      Abstract

      Aims

      To determine the status of blood sugar control by using fasting blood sugar (FBS) of ≤6.1 mmol/l and glycosyted hemoglobin A1c (HbAc1) of <7% as indictors of glycemic control and to assess the influence of demographic, blood pressure (BP) and lipid characteristics on glycemic control.

      Methods

      This retrospective study included all Omani patients with type 2 diabetes (N = 177) attended a primary health care center in Al-Dakhiliya region, Oman.

      Results

      The overall mean age of the cohort was 53 ± 12 years (range: 24–91) with females representing 60% (n = 106) of the study sample. The study found that only 9.6% (n = 17) and 35% (n = 62) of the patients attained optimal FBS and HbAc1 levels, respectively. Higher HbA1c was significantly associated with higher diastolic BP (84 versus 80 mm Hg; p = 0.006), higher total cholesterol (5.2 versus 4.7 mmol/l; p = 0.002) and higher low-density lipoprotein cholesterol (3.8 versus 3.0 mmol/l; p = 0.034).

      Conclusions

      The results demonstrated poor glycemic control in Oman type 2 diabetic patients comparable to local and global studies especially in those hypertensive and dyslipidemic patients. Implementation of early and aggressive management of diabetes mellitus at the primary care setting is warranted.

      Keywords

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      References

        • Wild S.
        • Roglic G.
        • Green A.
        • Sicree R.
        • King H.
        Global prevalence of diabetes: estimates for the year 2000 and projections for 2030.
        Diab. Care. 2004; 27: 1047-1053
        • Al-Lawati J.A.
        • Al-Riyami A.M.
        • Mohammed A.J.
        • Jousilahti P.
        Increasing prevalence of diabetes mellitus in Oman.
        Diab. Med. 2002; 19: 954-957
      1. International Diabetes Federation IDF Diabetes Atlas.
        fifth ed. 2011 (Available at: http://www.idf.org/sites/default/files/The_Global_Burden.pdf (accessed 18.10.12))
        • Asfour M.G.
        • Lambourne A.
        • Soliman A.
        • Al-Behlani S.
        • Al-Asfoor D.
        • Bold A.
        • Mahtab H.
        • King H.
        High prevalence of diabetes mellitus and impaired glucose tolerance in the Sultanate of Oman: results of the 1991 national survey.
        Diab. Med. 1995; 12: 1122-1125
        • Alvarez Guisasola F.
        • Mavros P.
        • Nocea G.
        • Alemao E.
        • Alexander C.M.
        • Yin D.
        Glycaemic control among patients with type 2 diabetes mellitus in seven European countries: findings from the Real-Life Effectiveness and Care Patterns of Diabetes Management (RECAP-DM) study.
        Diab. Obes. Metab. 2008; 10: 8-15
        • Renders C.
        • Valk G.
        • Griffin S.
        • et al.
        Interventions to improve the management of diabetes in primary care outpatient and community. A systematic review.
        Diab. Care. 2001; 24: 1821-1833
        • Spann S.
        • Nutting P.
        • Galliher J.
        Management of type 2 diabetes in the primary care setting: a practice-based research network study.
        Ann. Fam. Med. 2006; 4: 23-31
        • Stolar M.
        Glycemic control and complications in type 2 diabetes mellitus.
        Am. J. Med. 2010; 123: S3-S11
        • Fowler G.C.
        • Vasudevan D.A.
        Type 2 diabetes mellitus: managing hemoglobin A(1c) and beyond.
        S. Med. J. 2010; 103: 911-916
      2. Diabetes Mellitus Management Guidelines for Primary Health Care.
        second ed. Ministry of Health, Oman2003 (Available at: www.moh.gov.om/reports/DiabetesAfterCorrection1.pdf (accessed 18.10.12))
        • Al-Lawati J.A.
        • Barakat M.N.
        • Al-Zakwani I.
        • Elsayed M.K.
        • Al-Maskari M.
        • Al-Lawati N.M.
        • Mohammed A.J.
        Control of risk factors for cardiovascular disease among adults with previously diagnosed type 2 diabetes mellitus: a descriptive study from a Middle Eastern Arab population.
        Open Cardiovasc. Med. J. 2012; 6: 133-140
        • Venugopal S.
        • Kunju R.
        • Al-Harthy S.
        • Al-Zadjali N.
        Haemoglobin A1c in Muscat, Oman – a 3 year study.
        Oman Med. J. 2008; 23: 170-172
        • Al-Mandhari A.
        • Al-Zakwani I.
        • El-Shafie O.
        • Al-Shafaee M.
        • Woodhouse N.
        Quality of diabetes care: a cross-sectional observational study in Oman.
        Sultan Qaboos Univ. Med. J. 2009; 9: 32-33
        • Fox K.M.
        • Gerber R.A.
        • Bolinder B.
        • Chen J.
        • Kumar S.
        Prevalence of inadequate glycemic control among patients with type 2 diabetes in the United Kingdom General Practice Research Database: a series of retrospective analyses of data from 1998 through 2002.
        Clin. Ther. 2006; 28: 388-395
        • Yurgin N.
        • Secnik K.
        • Lage M.J.
        Antidiabetic prescriptions and glycemic control in German patients with type 2 diabetes mellitus: a retrospective database study.
        Clin. Ther. 2007; 29: 316-325
        • Al-Kaabi J.
        • Al-Maskari F.
        • Saadi H.
        • Afandi B.
        • Parkar H.
        • Nagelkerke N.
        Assessment of dietary practice among diabetic patients in the United Arab Emirates.
        Rev. Diab. Stud. 2008; 5: 110-115
        • Moreira Jr., E.D.
        • Neves R.C.
        • Nunes Z.O.
        • de Almeida M.C.
        • Mendes A.B.
        • Fittipaldi J.A.
        • Ablan F.
        • Venezuelan Diabetes Investigators’ Group
        Glycemic control and its correlates in patients with diabetes in Venezuela: results from a nationwide survey.
        Diab. Res. Clin. Pract. 2010; 87: 407-414
        • Goudswaard A.N.
        • Stolk R.P.
        • Zuithoff P.
        • Rutten G.E.
        Patient characteristics do not predict poor glycaemic control in type 2 diabetes patients treated in primary care.
        Eur. J. Epidemiol. 2004; 19: 541-545
        • Bouma M.
        • Dekker J.H.
        • de Sonnaville J.J.
        • et al.
        How valid is fasting plasma glucose as a parameter of glycemic control in non-insulin-using patients with type 2 diabetes?.
        Diab. Care. 1999; 22: 904-907
        • American Diabetes Association
        Standards of medical care in diabetes – 2007.
        Diab. Care. 2007; 30: s4-s41