Management of Patients with Diabetes in Nakornping Hospital

Abstract

            Diabetes Mellitus (DM) is a chronic disease causing many complications. Epidemiological data, successful treatment data and yearly check up data are scarce. Objectives: To explain the characteristics of the patients and gather the yearly check up data to detect complications. Design: Descriptive study. Setting: Nakornping Hospital. Methods: Diabetic patients, especially in Diabetic clinic were found in hospital medical records dating between October 2004 and September 2005. There were 709 cases. Results: Subjects were 37.3 percent male, 62.7 percent. Female average age was 56.3 years. The mean BMI was 26.37 kg/m2. The average fasting blood sugar was 14.8 mg/dl. Only 30.9% obtained satisfactory treatment as defined by HbAlc<7%. Most common hypoglycemic drugs used were sulfonylurea 78.7% and metformin 74.3%. Hypertension was found 60.5% and 39.9% had well controlled blood pressure. ACEI were prescribed the most. Yearly check up was done 83.9%, abnormal lipid profiled 88.3% and only 16.2% reached target LDL levels less than 100mg/dl, Coronary artery disease was found 5.5%, Cerebrovasclar disease 6.8%, Diabetic nephropathy 29.9% and Diabetic retinopathy 22.5%. Conclusions: Most patients are not well controlled and yearly check up orders should improve as much as possible to detect early complications.