Diabetic control, proteinuria and diabetic retinopathy in Diabetes clinic at Petchabun Hospital

Abstract

Background During a one-year period between July 1,2003 and June 30, 2004 routine diabetic control parameters were collected into the database for every patient's visit to the diabetes clinic. Investigations were done to each patient in a casual manner and the available data were analyzed. The result should give an insight toward care improvement for the clinic.

Objectives

1. Evaluate the control of diabetes mellitus including blood glucose, hypertension and dyslipidemia in the diabetes clinic at Petchabun hospital
2. Determine the prevalence of overt proteinuria and diabetic retinopathy in the clinic

Design cross-sectional, descriptive study

Setting diabetes clinic, Petchabun Hospital, Petchabun Province

Measures body mass index, fasting blood glucose, hemoglobin A₁C, blood pressure, lipid profiles, proteinuria, serum creatinine, fundoscopic exam

Results Total number of diabetic patients was 1,960. Associated hypertension and dyslipidemia were 62.1% and 36.3%, respectively. Prevalence of body mass index of  25 kg/sqm was 55.4%. Patients with average fasting blood glucose  130 mg/dl were 61.6%. Patients with average blood pressure  130/80 mmHg were 48.3%. Patients with average low-density lipoprotein cholesterol of  100 mg/dl were 36.3%.   Prevalence of overt proteinuria and diabetic retinopathy were 12.3% and 13.9%.

Conclusion There is room for improvement in diabetic control at the diabetes clinic.

Key words diabetes mellitus, diabetic complications, microvascular complications, Petchabun