TY - JOUR
T1 - Glycemic control among patients with type 2 diabetes at a primary health care center in Oman
AU - Al Balushi, Khalid A.
AU - Al-Haddabi, Mahmod
AU - Al-Zakwani, Ibrahim
AU - Al Za'Abi, Mohammed
PY - 2014/10
Y1 - 2014/10
N2 - 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 ;plusmn& 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.
AB - 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 ;plusmn& 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.
KW - Diabetes mellitus
KW - Glycemic control
KW - Glycosylated hemoglobin A1c
KW - Oman
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U2 - 10.1016/j.pcd.2014.01.003
DO - 10.1016/j.pcd.2014.01.003
M3 - Article
C2 - 24472420
AN - SCOPUS:84908356471
SN - 1751-9918
VL - 8
SP - 239
EP - 243
JO - Primary Care Diabetes
JF - Primary Care Diabetes
IS - 3
ER -