ATTAINMENT OF TREATMENT TARGETS AMONG TYPE 2 DIABETIC PATIENTS FIRST ATTENDING A TERTIARY CARE SETTING IN SUBURBAN KERALA

Abstract

K. G. Sajeeth Kumar1, S. K. Suresh Kumar2, Rahul Rajeev3

BACKGROUND
Type 2 diabetes is growing in epidemic proportions worldwide, particularly in Asian subcontinent and especially in India. The disease takes a toll on the health system of a country, especially the developing nations.
AIMS AND OBJECTIVES
To study the attainment of metabolic and anthropometric goals of individuals with type 2 diabetes attending a tertiary care centre.
MATERIALS AND METHODS
i) Informed consents were obtained. ii) The study subjects were subjected to a detailed clinical, anthropometrical and biochemical evaluation at baseline by a dedicated diabetologist. iii) These data were collected using a structured questionnaire and were analysed using EPI INFO (Ver 3.4.1).
RESULTS
A total of 350 cases were studied. Overall, 76.3% of patients could not achieve ADA A1c goal and 36.3% had very poor glycaemic control as evidenced by A1c >9%.
CONCLUSIONS
Despite the increasing awareness of type 2 diabetes both among attending physicians and patients, attainment of treatment targets still is a challenge even at a tertiary care setting. The lifestyle and dietary habits may be a main contributing factor for this situation. More focus needs to be given to nutritional aspects and physical exercise in not only in patients with type 2 diabetes mellitus, but also in apparently healthy individuals of the productive age group so that the disease can be delayed if not prevented.

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