Treatment Outcomes of Diabetes Mellitus Patients at Diabetes Clinic and Intensive Diabetes Clinic, Mahasarakham Hospital

Abstract

Background and objective: Diabetes mellitus is a common disease in clinical practice. Good diabetic control  will give the lower risk for diabetic complications. Mahasarakham hospital is a general hospital and provides outpatient diabetic care by two clinics; diabetes and intensive diabetes clinics. The treatment outcomes in each clinic have never been studied and reported. Knowing treatment outcomes may stimulate physicians to improve their diabetes treatment.

Methods: A survey in all patients who received treatment at both clinics in the year 2011 and 2012 was studied. Medical charts of each patient were reviewed if they met National Health Security Office index. The total indexes by NHSO were 15 items.

Results: There were 8,565 and 538 diabetes patients treated at diabetes and intensive diabetes clinic, respectively. At diabetes clinic, there were 3 and 7 indexes which passed the criteria of NHSO in the year 2011 and 2012, respectively. At the intensive diabetes clinic, there were 4 and 7 indexes which passed the criteria of NHSO in the year 2011 and 2012, respectively. Intensive diabetes clinic had higher number of patients with HbA1C less than 7% than diabetes clinic (50.71% vs 35.46% respectively). In contrast, diabetes clinic had higher number of patients with low density lipoprotein cholesterol less than 100 mg/dL than intensive diabetes clinic (61.68% vs 58.85% respectively).

Conclusion: Diabetes and intensive diabetes clinic passes the NHSO criteria approximately 50% of the total indexes.