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Abstract

DO CLINICIANS SET GLYCEMIC TARGETS IN THE MANAGEMENT OF TYPE 2 DIABETIC PATIENTS: AN APPRAISAL OF TWO TERTIARY HOSPITALS IN SOUTH EASTERN NIGERIA

Ogbonna Brian O. * , Ejim Chukwuka E, Uzodinma Samuel U, Ikebudu Chiadichiem C, Orji Chima E and Oparah Azuka C

ABSTRACT

Background: Strict glycemic control is vital to the management of
type 2 diabetes and their values are invaluable to appraisal of how well
the patients are managed in any facility. Objective: The objective of
this study was to identify the glycemic indicators used in the disease
management and establish the patients’ values in the hospitals.
Methods: A cross-sectional retrospective study was conducted using
the case files and folders of Type 2 Diabetic Mellitus (T2DM) patients.
Study was conducted between April and October, 2014 to determine
the glycemic indicators used in the patients management. All the case
files and patients folders identified were used for increased reliability
of data. Data was analyzed for descriptive and inferential statistics.
Results: The mean age of patients in hospital A and B were
62.04±11.50 and 61.46±12.52 respectively. The population of patients in hospital A was
35(41.7%) and 49(58.3%) females while that of hospital B was 173 (57.9%) males and
126(42.1%) females. Systolic Blood Pressure (BP) was 135.96±21.65 for A and
144.07±21.34 for B while the mean diastolic BP was 82.95±12.84 for A and 87.87±12.67 for
B. The mean fasting blood sugar was 182.13±6.8 for A and 238.62±10.6 for hospital B while the mean random blood sugar was 262.74±13.3 for A and 341.61±11.9 for hospital B. Discussion: The key indicators used were systolic BP, diastolic BP, fasting and random blood sugar. There was poor immunization record. Conclusion: Findings suggest fairly controlled BP but poorly controlled FBC and RBCs. These predispose the patients on the long run to micro vascular and macro vascular complications with consequent increase in mortality.

Keywords: indicators, glycemic control, hospital, Type 2 diabetes, pharmaceutical care, Nigeria.


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