TYPE 2 DIABETES MELLITUS: HOW WELL CONTROLLED IN OUR PATIENTS?
AbstractBackground: Type 2 Diabetes mellitus has reached epidemic proportions worldwide and Pakistan is noexception. This study was done to see the glycaemic control of our diabetic patients by estimatingGlycosylated haemoglobin & Fasting blood glucose as poor control leads to significant complicationscausing enormous human suffering & socioeconomic burden. Method: This Cross-sectional study wasconducted on Type 2 diabetic patients coming to medical OPD and medical B ward of Ayub TeachingHospital between March–September 2007 fulfilling the inclusion criteria. Results: Among 100 patientswith type 2 diabetes forty two had HbA1c more than 7.5 %, while seventy had fasting blood glucose morethan 120 mg/dl. All patients with HbA1c more than 7.5% had increased fasting blood glucose. While thirtyout of seventy patients with fasting blood glucose more than 120 mg/dl had HbA1c less than 7.5%. Noneof the patients with fasting blood glucose less than 120 mg/dl had HbA1c more than 7.5%. Conclusions:Significant number of patients (42%) had poor control of diabetes as revealed by HbA1c, with FBGshowing poor control in even more patients, i.e., 70%. However their blood glucose estimation was notfrequent enough as required. Blood glucose results can be spuriously high and may lead to frequentchange/ increase in the dose of hypoglycaemic medications. This can lead to poor compliance as well aspsychological trauma to patients. HbA1c on the other hand is easy to interpret, reflects long termglycaemic control and cost effective. We recommend its more frequent use along with blood glucose forbetter glycaemic control and decreased chances of complications.Keywords: Glycosylated Haemoglobin, Fasting Blood Glucose, Type 2 Diabetes mellitus
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