Quality of Care in 100 Diabetic Patients in a Diabetes Clinic in Ardabil

Abstract

Background & Objectives: Diabetes Mellitus is a metabolic disorder in which lacking of control and suitable care lead to disability and mortality. American Diabetes Association (ADA) has emphasized the medical care of diabetic patients and has suggested several objectives to increase survival and improve health outcomes with low complications by controlling the glycemic, lipids, nerupathy and hypertension as well as foot care, nutritional therapy and screening of cardiovascular disease. The aim of this study was to evaluate the quality of care in diabetic patients from Ardabil and its concordance to the standards recommended by ADA. Methods: In a cross sectional study, 100 diabetic patients referring to a clinic of diabetes in Ardabil (2005) were randomly selected and enrolled. The study was conducted according to a questionnaire with 90 questions and physical examination and Final lab tests. Data were collected and analyzed with Spss version 12. ANOVA test was used to compare groups. Results: The 12 months recorded lab tests for diabetic patients were as follows: Hb A1C in 33%, MicroAlbuminuria in 16%, HDL in 58% and LDL in 55% of patients had been checked. Foot and peripheral pulses exams were only recorded in 9 and 5% of patients respectively. In final lab tests, 24% of patients had favorable FBS level (90- 130mg/dl). 46% of patients had suitable Hb A1C and 32% patients had MicroAlbuminuria. Aspirin was recommended to 45% of patients over 50 years old. Only 10% of patient for three lab tests (FBS, LDL cholesterol, Hb A1C) achieved the intended aims. According to ADA recommendations 22% of patients for three risk factors (BP, LDL cholesterol & Total cholesterol) were in optimal level. Conclusion: There is a high difference between current diabetes care in our clinic and ADA goals.

Keywords

• Quality of Care of DM; DM; ADA Recommendations