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. 2016 Mar-Apr;20(2):219-27.
doi: 10.4103/2230-8210.176347.

DiabCare survey of diabetes management and complications in the Gulf countries

Muhamed Shahed Omar  1 , Khaled Khudada  2 , Saher Safarini  3 , Sherif Mehanna  4 , Jalal Nafach  5
Affiliations

DiabCare survey of diabetes management and complications in the Gulf countries

Muhamed Shahed Omar et al. Indian J Endocrinol Metab. 2016 Mar-Apr.

Abstract

Aim: To describe the status of diabetes control and complications, and the quality of diabetes management in Saudi Arabia, Kuwait, and the United Arab Emirates, and to obtain an insight into the relationship between these factors.

Methods: Patients with diabetes for>12 months were enrolled from specialist clinics and general hospitals. All available data from the patients' medical files including patient demographics; glycemic, lipid, and blood pressure status; diabetes-related complications; and diabetes management were recorded in data collection forms and analyzed.

Results: Overall, 1290 patients with diabetes were enrolled with a mean (±standard deviation) age of 49.4 ± 12.3 years and duration of diabetes of 8.7 ± 5.9 years. Glycemic control was poor: Mean glycated hemoglobin A1c of 8.3 ± 2.0%, fasting and postprandial plasma glucose levels of 155.9 ± 57.1 mg/dL (8.7 ± 3.2 mmol/L), and 218.2 ± 87.4 mg/dL (12.1 ± 4.9 mmol/L), respectively. Diabetes-related complications such as neuropathy (34.9% of patients), background retinopathy (29.9%), and cataract (14.1%) were common. Cardiovascular complications were reported in <10% of patients, and microalbuminuria was detected in 34.4% of patients. Oral antidiabetic drug (OAD) monotherapy (43.3%) was the most common treatment, followed by insulin + OADs (39.3%) and insulin monotherapy (17.6%).

Conclusion: The status of diabetes care was found to be suboptimal. Further improvements in diabetes management are necessary to prevent or delay the development of diabetes-related complications.

Keywords: DiabCare survey; Gulf; diabetes; diabetes complications; diabetes management.

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Figures

Figure 1
Figure 1
Overview of diabetes-related complications
See this image and copyright information in PMC

References

    1. International Diabetes Federation. IDF Diabetes Atlas. 6th ed. [Last accessed on 2015 Aug 04]. Available from: http://www.idf.org/diabetesatlas .
    1. American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2009;32(Suppl 1):S62–7. - PMC - PubMed
    1. Piwernetz K. DIABCARE quality network in Europe – A model for quality management in chronic diseases. Int Clin Psychopharmacol. 2001;16(Suppl 3):S5–13. - PubMed
    1. Piwernetz K, Home PD, Snorgaard O, Antsiferov M, Staehr-Johansen K, Krans M. Monitoring the targets of the St Vincent declaration and the implementation of quality management in diabetes care: The DIABCARE initiative. The DIABCARE Monitoring Group of the St Vincent Declaration Steering Committee. Diabet Med. 1993;10:371–7. - PubMed
    1. Quentin-Trautvetter J, Devos P, Duhamel A, Beuscart R. Qualidiab Group. Assessing association rules and decision trees on analysis of diabetes data from the DiabCare program in France. Stud Health Technol Inform. 2002;90:557–61. - PubMed