RESUMEN
@#Chronic disease is rapidly becoming a greater burden in the world and the leading cause of mortality because of epidemiological transformation. Diabetes is one; with 6.7 million deaths registered in 2021. In the Philippines, a report by the International Diabetes Foundation (IDF) projects the number of patients with Diabetes in 2030 to reach 5.4 million and 7.5 million by 2045. Diabetes treatment in the Philippines is poor and challenging in terms of resources, government support, and economy. The national health insurance system does not have comprehensive diabetes care coverage and private insurance companies offer limited diabetes coverage. As a result, patients rely on "out-of-pocket" expenses for their laboratory testing and medications, and consequently, nonadherence to therapy. There is a need for an intervention in diabetes care management as Diabetes Mellitus (DM) prevalence posts an upward trend. This paper recommends the following policy statements to strengthen DM care management in a comprehensive, integrated, and coordinated nurse-led care system through “3Rs”: “Reactivating” the health promotion activities; “Rephrasing” the existing care provisions; and “Re-establishing” care models that will boost the DM management care among the Filipinos.
RESUMEN
Background: This is parallel with the piece of work on behavioral change wheel of healthcare professionals. The objective is to assess how much standard diabetes care service that is available in the community-based health facility and the barriers to patients’ participation.Methods: This was based on free diabetes clinics, which constituted the beginning of the development of diabetes register series. Observational study and surveys were conduct to determine scope service available in the hospital and factors that influence participation of patients.Results: It is observed that lack of hospital consultants is the greatest ‘health system’ barrier faced by the individuals living with diabetes.Conclusions: There is a need for individuals living with diabetes to be educated on the importance of adherence to medical check-up appointments. The healthcare professionals and providers also need professional development on the importance of diabetes register in the management of patients.
RESUMEN
diabetes care in Malaysia. Objective: We audited the quality of care for patients with type 2 diabetes mellitus (T2DM) attending our diabetes clinic at a public hospital. Methods: A structured review of the outpatient clinic cards, prescriptions and laboratory results was conducted for patients attending the diabetes clinic at Sibu Hospital in October and November 2014. Results: For the total of 233 patients who were audited, the levels of fasting blood sugar, blood pressure, body mass index and fasting lipid profile were satisfactory at 99.1%, 99.6%, 92.6% and 99.6% respectively. 79.7% of the subjects had had HbA1c performed at least once over the previous six months. Only 25.8% had annual foot screening, while the eye screening rate was 71.2% and the albuminuria screening rate was 93.6%. For outcome measures, the mean (SD) HbA1c level was 9.2% (1.91%), with 13 patients (6.7%) having HbA1c less than 6.5%; 36.4% of participants achieved BP < 130/80 mmHg; and 69.4% had LDL < 2.6 mmol/L. The majority of the patients were overweight or obese (91.4%). Conclusions: Overall, the performance of diabetic care processes at our hospital was satisfactory, except for foot examination. The glycaemic and weight control among the subjects were suboptimal and warrant an optimised and comprehensive approach on the part of the management.