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Eastern Mediterranean Health Journal
Year: 2006  |  Volume: 12  |  Issue: 1  |  Page No.: 98 - 104

The quality of ambulatory care provided to non-insulin treated diabetic patients

Harzallah F., Kanoun F., El Houch F. and Slimane H.    

Abstract: We assessed the quality of care provided to non-insulin treated diabetic patients by examining the medical records of 248 such patients attending our outpatient department in 2002. The mean age was 59.5 [SD 10.1] years, 62.1% were women and known duration of diabetes was 8.6 [SD 5.9] years. The majority of patients were treated with a combination of sulfonylurea and metformin. Glycaemic control was assessed using fasting blood glucose in 96.8% of patients, post-prandial blood glucose in 31.9% and glycated haemoglobin in 52.4%. Weight was measured at least once for 88.7% of patients, blood pressure for 91.1% of patients and lipid levels for 64.9%. Body mass index was less than 25 kg/m2 in 12.3% of patients and blood pressure less than 140/90 mmHg in 40.3%. Foot examination was noted in only 2% of records, electrocardiography was performed for 25% of patients and fundoscopy for 21%. Proteinuria was documented in 19.8% of patients and plasma urea and/or creatinine in 57.3%.

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