DIABETIC CONTROL SITUATION;

A STUDY OF DIABETIC PATIENTS IN MINISTRY OF HEALTH PRIMARY HEALTH CENTERS OF MAKKAH AL MUKKARAHMA SAUDI ARABIA

Abstract

Objectives: To determine the prevalence of controlled diabetes in registered
diabetic patients with Hemoglobin A1c (HbA1c) ≤ 7 or Fasting blood Sugar ≤ 130 mg/dl in
three primary Health Care Centers of Al- Ameer Ahmad Sector of Makkah. Methods: This study
was a descriptive study (cross sectional) started from 20 June 2012 to 30 September 2012. The
Primary Health Care Centers randomly selected were AL-Zahir, Al-Hindavia and Kudai Al- Hijra.
The sample size calculated was 320 patients with confidence level of 95% and confidence
interval of 5. The cut of values adjusted for all diabetes mellitus patients was, haemogloblin A1c
( HBA1c) ≤ 7 or fasting blood sugar (FBS) ≤ 130 mg/dl .Hypertension values were set as 140
/90 mm of Hg. Results: Overall the age range was 25 – 87 (62) years and a mean of +/- SD
of 58.66 +/- 11.97. Out of 320 diabetic patients selected (152 only diabetes + 168 patients of
diabetes with hypertension) 21.25 % have disease under control. Most effected age range of
uncontrolled diabetes was 45-74 years. HbA1c test for study year was not done in 83.43 %
cases. The age and Gender difference in two groups were not significant, however the results
of controlled and non-controlled diabetic patients in three Primary Health Care Centers was
significant (P <0.05 ). Conclusions: Diabetes Control programme at the level of Primary Health
Centers showed a very low level of success in study groups. There is a need to reconsider the
control strategy.