Evaluation of Type 2 Diabetes Patient Management in A Rural Hospital of Coimbatore District.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 12
Abstract
The chronic hyperglycemia of diabetes is associated with long term damage, dysfunction, and failure of various organs especially the eyes, kidneys, nerves, and heart and blood vessels. The objective of our study was to evaluate Monitoring and Follow-up of Type 2 Diabetes patients using ICMR guidelines as standard in PSG Hospitals, Karadivavi. It is a retrospective study based on the information available for Type 2 Diabetic patients. Information on management and follow up for a period of one year, 1st June 2013 to 31st May 2014 was collected and analyzed. Nearly 40% of the patients belong to 61-70 yrs age group, next is 51-60 yrs age group (26%). Clinical examination including Blood pressure measurement was done to all the patients during every visit. Monitoring of Lipids, blood urea, Serum creatinine, ECG and Urine-protein/albumin yearly once was done in around 50% of the patients. In 12% of the patients they have recorded the weight during every visit and they have not calculated BMI in any these patients. HbA1c was done in only 22% of patients 6 months once. Only 4% of the patients were screened for ophthalmic complications which is the most common complication of uncontrolled diabetes. The concept of screening for peripheral vascular diseases was not followed in any of the patients. Maintaining and adhering to a protocol for Diabetic patient monitoring and follow-up based on Standard Guidelines by ICMR will aid in consistency of quality treatment to patients in Rural Hospitals in India.
Authors and Affiliations
Senthil kumar S K, Thanigai Nayaki K P, Ravishankar S L
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