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Quality of care of patients with type 2 diabetes in a Tunisian university hospital

Lookup NU author(s): Professor Hugh Alberti


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Objectives: The aim of this retrospective study was to explore the quality of ambulatory management provided to patients with type 2 diabetes. Methods: Five hundred ninety-three patients with type 2 diabetes attended our outpatient department in 2002. Clinical and biological data were collected from the medical records of these patients. Results: The mean age was 61.7 ± 10.5 years; 60.5% were women and known duration of diabetes was 11.8 ± 7.5 years. Eighty-five percent of patients had 2 or more visits and 58% were on insulin. Glycaemic control was assessed using fasting blood glucose in 97.3%, post-prandial blood glucose in 28.3% and glycated haemoglobin in 50.6% of cases. HbA1c was over 8% in 60.7% of patients. Weight was measured at least once in 86.5% of cases, blood pressure in 91.2% and lipids levels estimated in 58%. BMI was less than 25 kg/m2 in 16.2% of patients and blood pressure less than 140/90 mmHg in 40.1% of cases. Foot examination was recorded only in 5% of patients, ECG was performed in 23.8% of cases and fundoscopy in 19.2% of patients. Proteinuria was documented in 19.1% of cases and renal function assessed in 54.4% of patients. Conclusions: These findings suggest that the management of type 2 diabetes is still inadequately performed in our centre and more progress is needed to prevent micro and macrovascular complications.

Publication metadata

Author(s): Harzallah F, Alberti H, Kanoun F, Elhouch F, Slimane H

Publication type: Article

Publication status: Published

Journal: Diabetes and Metabolism

Year: 2004

Volume: 30

Issue: 6

Pages: 523-526

ISSN (print): 1262-3636

ISSN (electronic): 1878-1780

Publisher: Elsevier Masson


DOI: 10.1016/S1262-3636(07)70150-7

PubMed id: 15671921


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