AI Summary & Key Takeaways
AI InsightThe microalbuminuria test was not performed in primary care.cONcLUSION: The results of this study demonstrated that there are many properties of the diabetic patients that are controlled at low levels including glycemic control, smoking cessation, vaccination status, diet, exercise and diabetic nephropathy diagnosis that could be managed in primary car
📌 3 Key Takeaways
Abstract
ObJEctIVE: The aims of this study were to evaluate (1) the glycemic regulation, (2) diabetic complications and nephropathy, (3) comorbid diseases (4) the health conditions of the diabetic patients in primary care MAtERIAL and MEtHODS: A questionnaire of 65 questions including demographic data, history and physical examination of the patients, and laboratory findings was filled out by 36 family physicians.RESULtS: Of the 249 patients who were included in the study, 25 (10%) were type1 and 224 (90%) were type 2 diabetic patients. The mean age was 56.14 ± 12.28 (range 14 to 86) years. In the last 6 months, 211 (84.7%) had measured HbA1c values, where the mean value was 7.3 ± 1.5 (range 4.5 to 13.6). More than half of the patients had HbA1c values higher than 7% (113, 53.5%). Proteinuria in spot urine was checked in 73.5% (183) of the patients. The microalbuminuria test was not performed in primary care.cONcLUSION: The results of this study demonstrated that there are many properties of the diabetic patients that are controlled at low levels including glycemic control, smoking cessation, vaccination status, diet, exercise and diabetic nephropathy diagnosis that could be managed in primary car
Özet
AMAÇ: Bu çalışmanın amaçları birinci basamakta diyabetik hastaların (1) glisemik düzenlemelerinin, (2) diyabetik komplikasyonlar ve nefropatinin, (3) komorbid hastalıkların (4) sağlık durumlarının değerlendirilmesidir.GEREÇ ve yÖNtEMLER: Demografik veriler, hastaların hikaye ve fizik muayene bulguları ve laboratuvar bulgularını içeren 65 soruluk anket formu 36 aile hekimi tarafından uygulanmıştır bULGULAR: Çalışmaya dahil edilen 249 hastanın 25'i (%10) tip 1 ve 224'ü (%90) tip 2 diyabetik hastalardı. Ortalama yaş 56,14 ± 12,28'di (aralık 14-86). Son 6 ayda, 211 (%84,7) hastanın HbA1c değerleri ölçülmüş olup, ortalama değer 7,3 ± 1,5'ti (aralık 4,5-13,6). Hastaların yarısından çoğunun HbA1c değerleri %7'nin üzerindeydi (113, 53,5%). Spot idrarda proteinüri %73,5 (183) hastada kontrol edilmişti. Mikroalbuminüri testi birinci basamakta yapılmıyordu.SONUÇ: Çalışma, birinci basamakta diyabetik hastaların glisemik kontrol, sigara bırakılması, aşılanma, diyet, egzersiz ve diyabetik nefropati tanısı gibi kontrol edilebilecek özelliklerinin kontrolünün düşük düzeyde olduğunu göstermiştir