General evaluation of patients in our out-patient diabetes clinic

Delay in diagnosis, inapropriate support for medical nutritional therapy, bad copliance for medications by patients and low educational status are possible explanations for these results.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Retrospective analysis of patients followed in diabetes outpatient clinic since 1994.

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Key Findings & Data:Thirty five percent was man and 65% was women.

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Conclusion & Impact:Delay in diagnosis, inapropriate support for medical nutritional therapy, bad copliance for medications by patients and low educational status are possible explanations for these results.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Objective: Retrospective analysis of patients followed in diabetes outpatient clinic since 1994. Study design: Group study (retrospective, cohort) Material & Methods: Values of patients at least two times visited outpatient diabetes clinic in last year evaluated. Thirty five percent was man and 65% was women. Results: 6% of patients was type I DM, 93% type 2 and 0.8% gestalional diabetic. There was no complication in 34% and 66% had complications. 59% was hypertensive, 19.7% had ischemic heart disease, 8.4% had peripheric arterial disease, 8% macroalbuminuric nephropathy, 25% microalbumiruric nephropathy, 16% retinopathy, 2% had diabetic foot wounds and 39% symmetrical distal neuropathy. Conclusion:We could not reach aimed therapeutic levels so the complications were high. Delay in diagnosis, inapropriate support for medical nutritional therapy, bad copliance for medications by patients and low educational status are possible explanations for these results.

Özet

Amaç: Hastanemiz diyabet polikliğinde 1994 tarihinden beri düzenli olarak izlenen hastaların parametrelerinin ret-rospektif olarak irdelenmesi. Çalışma düzeni: Grup araştırma (retrospektif, kohort) Gereç ve yöntem: Diyabet polikliniğimize son bir yıl içerisinde en az iki defa takibe gelmiş olan 791 vak'anm ilk başvurularmdaki değerleri ile en son ölçülen değerleri karşılaştırıldı. Bulgular: Hastaların %35 erkek, %65'i kadındı Hastalarımızın %6'sı tip I diyabetli, %93'ü tip 2 diyabetli, %0.8'i gestasyonel diyabetli idi. Yüzde 34'ünde komp-likasyon bulunmaz iken, komplikasyon bulunanların oranı %66 idi. Hastalarımızın %59'unda hipertansiyon, %19.7'sinde iskemik kalp hastalığı, %8.4'ündc periferik arter hastalığı, %8'inde makroalbüminürik dönemde nefropati, %25'inde mikroalbüminürik dönemde nefropali, %16'sında retinopati, %2'sinde diyabetik ayak, %39'unda simetrik distal nöropati mevcuttu. Sonuç: Takip ettiğimiz hastalarda istenilen tedavi hedeflerine ulaşamadığımızı ve bununla paralel olarak diyabetik komplikasyonlarm da yüksek olduğunu gördük. Bu sonuçlar teşhisde gecikme, tıbbi beslenme tedavisi yetersizliği, ilaca uyumsuzluk ve hastaların eğitim seviyelerindeki düşüklüğe bağlandı.

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Cite This Article

KAYATAŞ, K., ERHAN, N., HURŞİTOĞLU, M., BENZER, M., DAVUTOĞLU, M., USLU, İ., BOZKURT, M., DAVUTOĞLU, C. (2022). General evaluation of patients in our out-patient diabetes clinic. Bezm-i Alem Valide Sultan SSK Vakıf Gureba Eğitim Hastanesi Derg., Cilt: 3 - Sayı: 1, 13–15. https://ajindex.com/articles/464184

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