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Assessment of metabolic control among the diabetics seeking care in primary care set-ups in Goa, India

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Abstract

The incidence of diabetic complications depends closely on the degree of metabolic control. The aims of this study are to assess the adherence of primary care physicians to diabetes care guidelines and to assess the degree of metabolic control among the study patients. Medical records of 330 patients, 30 from each of the talukas in Goa, were scrutinized to assess the degree of metabolic control and their laboratory work up. Glycosylated hemoglobin (HbA1c) as an index of glycemic control was poorly utilized. Metabolic control was synonymized with glycemic control that to assessed on the basis of Fasting and Postprandial Blood sugar levels (FB/PPBSL). HbA1c target levels were achieved in 18.8 % of the patients, while 58.7, 72.9, and 91.9 %, respectively, achieved their HDL, LDL, and triglycerides target. The target BP of <130/<85 was not achieved in 105 (77.8 %) despite treatment. Bridging the gap between what is possible and what is actually achieved with the diabetics is of critical significance to prevent diabetes complications.

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References

  1. Radha V, Mohan V. Genetic predisposition to type 2 diabetes among asian Indians. Indian J Med Res. 2007;125:259–74.

    CAS  PubMed  Google Scholar 

  2. United Kingdom Prospective Diabetes Study (UKPDS) Group. Intensive blood glucose control with sulfonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). Lancet. 1998;352:837–52.

    Article  Google Scholar 

  3. Sainani GS, Sainani RG. Role of primary care physicians. In: Tripathy BB, editor. RSSDI textbook of diabetes mellitus. 2nd ed. New Delhi: Jaypee Brothers Medical Publishers; 2012. p. 1145.

    Google Scholar 

  4. American Diabetes Association. Standards of medical care in diabetes-2010. Diabetes Care. 2010;33(1):S11–61.

    Article  PubMed Central  Google Scholar 

  5. Mohan V. Translational research in India: Today and by 2025? In: Jayaram BM, ed. Diabetes Care in India Today…and by 2025? 1st edition. Micro Labs Ltd, 2011: 12-22.

  6. Narayan et al. Diabetes translation research: where are we and where do we want to be? Ann Intern Med. 2004;140:958–63.

    Article  PubMed  Google Scholar 

  7. Addressing the quality gaps in diabetes prevention and care. www.qualityprofiles.org/…/diabetes/diabetes_addressing_quality_gap accessed on 31.01.2012.

  8. Das AK, Tripathy BB. Etiology of diabetes: an overview. In: Tripathy BB, editor. RSSDI textbook of diabetes mellitus. 2nd ed. New Delhi: Jaypee Brothers Medical Publishers; 2012. p. 205–9.

    Chapter  Google Scholar 

  9. Misra A, Gupta R. Classification and approach to diagnosis of complications of Diabetes Mellitus. In: Diabetes and Complications in India Perspectives and Treatment Options. Elsevier: 21-25.

  10. Tripathy BB, Tripathy D. Pathogenesis of type 2 diabetes. In: Tripathy BB, editor. RSSDI textbook of diabetes mellitus. 2nd ed. New Delhi: Jaypee Brothers Medical Publishers; 2012. p. 223.

    Google Scholar 

  11. Little RR, Rohlfing CL, Tennill AL, Connolly S, Hanson S. Effect of sample storage conditions on glycated haemoglobin measurements: evaluation of five different high performance liquid chromatography methods. Diabetes Technol Ther. 2007;9:36–42.

    Article  CAS  PubMed  Google Scholar 

  12. Tapp RJ, Tikellis G, Wong TY, Harper C, Zimmet PZ, Shaw JE. Longitudinal association of glucose metabolism with retinopathy. Diabetes Care. 2008;31:1349–54.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  13. Brownlee M, Hisch IB. Glycemic variability—a HbA1c independent risk factor for diabetic complications. JAMA. 2006;29:1707–8.

    Article  Google Scholar 

  14. Mithal A, vadivale M, Joshi S, SITE Delhi Investigators. Screening India’s Twin epidemic (SITE)- Diabetes mellitus and Hypertension: results from Delhi (Abstract). Latest of ADA 2011…best papers from India, Ranbaxy CV Life: 22.

  15. Jindal S, Vadivale M, Joshi S, SITE Madhya Pradesh Investigators. Screening India’s Twin epidemic (SITE)- Diabetes mellitus and Hypertension: results from Madhya Pradesh. (Abstract). Latest of ADA 2011…best papers from India, Ranbaxy CV Life: 22.

  16. Kuusisto J, Mykkanen L, Pyorala K, Laakso M. NIDDM and its metabolic control predict coronary heart disease in elderly subjects. Diabetes. 1994;43(8):960–7.

    Article  CAS  PubMed  Google Scholar 

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Acknowledgments

Sincere thanks to the interns posted at RHTC Mandur-Goa for their active role in data collection.

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Authors declare no conflicts of interest.

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Authors and Affiliations

  1. Department of Preventive and Social Medicine, Goa Medical College, Bambolim, India

    S. Kamat Umesh & A. M. A. Ferreira

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  1. S. Kamat Umesh
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  2. A. M. A. Ferreira
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Correspondence to S. Kamat Umesh.

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Umesh, S.K., Ferreira, A.M.A. Assessment of metabolic control among the diabetics seeking care in primary care set-ups in Goa, India. Int J Diabetes Dev Ctries 35, 351–355 (2015). https://doi.org/10.1007/s13410-014-0282-z

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  • DOI: https://doi.org/10.1007/s13410-014-0282-z

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