Glycemic control status in patients with type-2 diabetes

ABSTRACT

To assess the status of glycaemic control in patients with type-2 diabetes mellitus [DM] in NWFP, Pakistan. Observational study. Medical Out-patient Department [OPD], Lady Reading Hospital, Peshawar and a private clinic of physician from January 2003 to December 2003. Two hundred and ten patients with type-2 diabetes were included in the study. The glycemic control of these patients was determined by estimation of blood glucose [fasting and random] and glycosylated hemoglobin [HbA1c]. The patients were grouped in three categories, the 1st one having good glycaemic control, the 2nd having fair [acceptable] glycaemic control and the 3rd group having poor diabetic control with their HbA1c values being 6%-7%, 7.1%-8.2% and >8.2% respectively. Statistical analysis of the results was made by application of Pearson's chi-square test and student's t-test. Around half, 51.43%, of the patients had poor control of diabetes, with mean HbA1c of 10.183 +/- 1.73 SD [standard deviation] and were placed in category 3. Good control of diabetes accounted for 31.43% of our patients having mean HbA1c of 6.64 +/- 0.27 SD and were placed in category-1. The rest, 17.14%, were placed in fair control category having mean HbA1c value of 7.68 +/- 0.44 SD. Majority of our patients with type-2 diabetes are having poor control of their glycaemic status