Diabetic control situation; a study of diabetic patients in ministry of health primary health centers of Makkah Al Mukkarahma Saudi Arabia

ABSTRACT

To determine the prevalence of controlled diabetes in registered diabetic patients with Hemoglobin A1c [HbA1c] Fasting blood Sugar primary Health Care Centers of Al- Ameer Ahmad Sector of Makkah. This study was a descriptive study [cross sectional] started from 20 June 2012 to 30 September 2012. The Primary Health Care Centers randomly selected were AL-Zahir, Al-Hindavia and Kudai Al- Hijra. The sample size calculated was 320 patients with confidence level of 95% and confidence interval of 5. The cut of values adjusted for all diabetes mellitus patients was, haemogloblin A1c [HBA1c] fasting blood sugar [FBS] Hypertension values were set as 140 /90 mm of Hg. Overall the age range was 25 - 87 [62] years and a mean of +/- SD of 58.66 +/- 11.97. Out of 320 diabetic patients selected [152 only diabetes + 168 patients of diabetes with hypertension] 21.25% have disease under control. Most effected age range of uncontrolled diabetes was 45-74 years. HbA1c test for study year was not done in 83.43% cases. The age and Gender difference in two groups were not significant, however the results of controlled and non-controlled diabetic patients in three Primary Health Care Centers was significant [P <0.05]. Diabetes Control programme at the level of Primary Health Centers showed a very low level of success in study groups. There is a need to reconsider the control strategy