Abstract
Objective
To explore the kind of care being received by a sample of middle income group subjects
with diabetes in Karachi.
Design
Cross-sectional.
Place and duration of study
Raana Liaquat Ali Khan College of Home Economics, Karachi from January 2009 to September
2009.
Patients and methods
Information was collected from 105 type 2 diabetics through a structured, pre-tested,
self administered questionnaire distributed in two colleges only to those students
who had any adult onset diabetic in their family. SPSS version 16 was used for data
entry and analysis (e.g., chi-square tests).
Results
The mean duration of diabetes was 8.9 years. Random blood sugar, blood pressure check
and urine test for sugar were the most frequently performed tests. Many important
diabetes related tests had not been performed even on subjects with duration of diabetes
of 10 years or more such as HbA1c had never been performed for 74% of subjects in
this class. Test for circulation had never been performed for 93% of subjects with
1 year's diabetes duration and for 62% of subjects with duration of 10 years or more.
More than 90% subjects received information about diet and causes of diabetes; >70%
had been informed about diabetes complications, foot care, dental care, self monitoring
of blood glucose and testing sugar in urine and only 48% had been educated about insulin
injections. Physician was the source of this information for more than 70% of subjects.
Conclusions
This study has explored insufficient clinical monitoring of diabetes complications
and provision of casual diabetes education. These observations highlight the need
for provision of appropriate diabetes education, both to health care team and professionals.
Keywords
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Article info
Publication history
Published online: June 14, 2014
Accepted:
April 12,
2014
Received in revised form:
March 28,
2014
Received:
September 9,
2013
Identification
Copyright
© 2014 Primary Care Diabetes Europe. Published by Elsevier Inc. All rights reserved.
