Quality of care for adult Type 2 diabetes mellitus at a University Primary Care Centre in Malaysia.

Background: Type 2 Diabetes Mellitus (T2D) with its concurrent cardiovascular risk factors such as hypertension and dyslipidaemia and its complications has now accounted for the majority of national and global morbidity and mortality. Aims & Objective: The study aimed to determine the prevalenc...

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Main Authors: Chew, Boon How, Khoo, Ee Ming, Chia, Yook Chin
Format: Article
Language:English
English
Published: Drunpp-Sarajevo 2011
Online Access:http://psasir.upm.edu.my/id/eprint/24461/1/Quality%20of%20care%20for%20adult%20Type%202%20diabetes%20mellitus%20at%20a%20University%20Primary%20Care%20Centre%20in%20Malaysia.pdf
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spelling oai:psasir.upm.edu.my:24461 http://psasir.upm.edu.my/id/eprint/24461/ Quality of care for adult Type 2 diabetes mellitus at a University Primary Care Centre in Malaysia. Chew, Boon How Khoo, Ee Ming Chia, Yook Chin Background: Type 2 Diabetes Mellitus (T2D) with its concurrent cardiovascular risk factors such as hypertension and dyslipidaemia and its complications has now accounted for the majority of national and global morbidity and mortality. Aims & Objective: The study aimed to determine the prevalence of complications appearing in diabetic patients despite therapy, addressing to an urban academic primary care centre. Methods: This was a sub-analysis of a cross-sectional study on 212 patients with Type 2 diabetes mellitus (T2D) conducted from June to September 2006. Patients aged ≥ 30 years, non-smokers and under follow-up care of senior doctors were recruited. The average of the three most recent readings of fasting plasma sugar, HbA1c, systolic and diastolic blood pressure, and lipid profiles was taken as measures of respective disease control. Results: Two thirds of the patients were female. The mean age was 62.7 (SD± 10.8) years and the duration of T2D was 11.74 (SD± 6.7) years. A total of 23.6% achieved HbA1c ≤ 7.0%, 26.2% attained LDL-C ≤ 2.6 mmol/L and 24.5% achieved target blood pressure < 130/ 80 mmHg. The most prevalent co-morbid condition was hypertension (77.3%). A total of 27.2% patients had diabetic complications, out of which 86.5% had one complication. Proteinuria < 1gm/L and coronary artery disease were the two most common complications. There were only 16% on subcutaneous insulin and this was significantly associated with fasting plasma glucose (t = 5.38, df= 204, p < 0.0001) and HbA1c (t = 4.31, df= 206, p < 0.0001). Conclusions: Many T2D patients at this centre did not achieve treatment goals. Insulin and lipid-lowering drugs use should be optimized to improve control rates. More structured care processes are urgently needed in order to achieve good glycaemic control. Drunpp-Sarajevo 2011 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/24461/1/Quality%20of%20care%20for%20adult%20Type%202%20diabetes%20mellitus%20at%20a%20University%20Primary%20Care%20Centre%20in%20Malaysia.pdf Chew, Boon How and Khoo, Ee Ming and Chia, Yook Chin (2011) Quality of care for adult Type 2 diabetes mellitus at a University Primary Care Centre in Malaysia. International Journal of Collaborative Research on Internal Medicine & Public Health, 3 (6 ). pp. 439-449. ISSN 1840-4529 http://www.iomcworld.com/ijcrimph English
institution UPM IR
collection UPM IR
language English
English
description Background: Type 2 Diabetes Mellitus (T2D) with its concurrent cardiovascular risk factors such as hypertension and dyslipidaemia and its complications has now accounted for the majority of national and global morbidity and mortality. Aims & Objective: The study aimed to determine the prevalence of complications appearing in diabetic patients despite therapy, addressing to an urban academic primary care centre. Methods: This was a sub-analysis of a cross-sectional study on 212 patients with Type 2 diabetes mellitus (T2D) conducted from June to September 2006. Patients aged ≥ 30 years, non-smokers and under follow-up care of senior doctors were recruited. The average of the three most recent readings of fasting plasma sugar, HbA1c, systolic and diastolic blood pressure, and lipid profiles was taken as measures of respective disease control. Results: Two thirds of the patients were female. The mean age was 62.7 (SD± 10.8) years and the duration of T2D was 11.74 (SD± 6.7) years. A total of 23.6% achieved HbA1c ≤ 7.0%, 26.2% attained LDL-C ≤ 2.6 mmol/L and 24.5% achieved target blood pressure < 130/ 80 mmHg. The most prevalent co-morbid condition was hypertension (77.3%). A total of 27.2% patients had diabetic complications, out of which 86.5% had one complication. Proteinuria < 1gm/L and coronary artery disease were the two most common complications. There were only 16% on subcutaneous insulin and this was significantly associated with fasting plasma glucose (t = 5.38, df= 204, p < 0.0001) and HbA1c (t = 4.31, df= 206, p < 0.0001). Conclusions: Many T2D patients at this centre did not achieve treatment goals. Insulin and lipid-lowering drugs use should be optimized to improve control rates. More structured care processes are urgently needed in order to achieve good glycaemic control.
format Article
author Chew, Boon How
Khoo, Ee Ming
Chia, Yook Chin
spellingShingle Chew, Boon How
Khoo, Ee Ming
Chia, Yook Chin
Quality of care for adult Type 2 diabetes mellitus at a University Primary Care Centre in Malaysia.
author_facet Chew, Boon How
Khoo, Ee Ming
Chia, Yook Chin
author_sort Chew, Boon How
title Quality of care for adult Type 2 diabetes mellitus at a University Primary Care Centre in Malaysia.
title_short Quality of care for adult Type 2 diabetes mellitus at a University Primary Care Centre in Malaysia.
title_full Quality of care for adult Type 2 diabetes mellitus at a University Primary Care Centre in Malaysia.
title_fullStr Quality of care for adult Type 2 diabetes mellitus at a University Primary Care Centre in Malaysia.
title_full_unstemmed Quality of care for adult Type 2 diabetes mellitus at a University Primary Care Centre in Malaysia.
title_sort quality of care for adult type 2 diabetes mellitus at a university primary care centre in malaysia.
publisher Drunpp-Sarajevo
publishDate 2011
url http://psasir.upm.edu.my/id/eprint/24461/1/Quality%20of%20care%20for%20adult%20Type%202%20diabetes%20mellitus%20at%20a%20University%20Primary%20Care%20Centre%20in%20Malaysia.pdf
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