Journal of Family Medicine and Primary Care

ORIGINAL ARTICLE
Year
: 2016  |  Volume : 5  |  Issue : 3  |  Page : 641--645

Five-year comparison of diabetic control between community diabetic center and primary health-care centers


Mazen S Ferwana1, Abdulaziz Alshamlan2, Wedad Al Madani4, Bader Al Khateeb1, Amen Bawazir3 
1 Department of Family Medicine and Primary Healthcare, King Abdulaziz Medical City, Ministry of National Guard Health Affairs; National and Gulf Center for Evidence Based Health Practice, College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences; King Abdullah International Medical Research Center, Riyadh, Kingdom of Saudi Arabia
2 King Saud University, Riyadh, Kingdom of Saudi Arabia
3 Department of Community and Environmental Health, College of Public Health and Health Informatics King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia

Correspondence Address:
Mazen S Ferwana
Department of Family Medicine and Primary Healthcare, King Abdelaziz Medical City, MNGHA, PI Box 22490, Riyadh 11426
Kingdom of Saudi Arabia

Context: Hyperglycemia is the most important factor for development of complications. A high level of hemoglobin A1c (HbA1c) is linked with such complications of diabetes. Aims: The aim of this study was to compare diabetic care between community diabetic center (CDC) and primary health centers. Settings and Design: This was a retrospective cohort study conducted at King Abdulaziz Medical City for National Guard Health Affairs at Riyadh, Saudi Arabia. Subjects and Methods: Data were retrieved from electronic medical records for diabetes mellitus Type 2 patients who were treated at two settings: CDCs and primary healthcare. Statistical Analysis Used: SPSS (V21) was used to analyze the univariate and bivariate analysis, Student«SQ»s t-test for continuous variables and Chi-square test for binary variables were used. P value was set as statistically significant if it is <0.05. Results: The mean difference for HbA1c from first to last visits increased significantly +0.2 ± 1.67 with P = 0.002 while the low-density lipoprotein (LDL) on the other way around improved by decrease of -0.159 ± 0.74 and P < 0.000. Body mass index (BMI) among the sample increased by +0.134 ± 1.57 with no significant, P = 0.078. Among the sample, 39.5% improved their HbA1c while 56.8% deteriorated and 3.6% of the samples«SQ» readings remain the same. 55.3% of the sample improved in LDL and 52.4% in the high-density lipoprotein while 53.7% improved in triglycerides. The BMI was improved among 43.4% of diabetic patients. Conclusions: The 5-year management of diabetic patients failed to improve the A1c or BMI, at both CDC and primary health-care centers.


How to cite this article:
Ferwana MS, Alshamlan A, Al Madani W, Al Khateeb B, Bawazir A. Five-year comparison of diabetic control between community diabetic center and primary health-care centers.J Family Med Prim Care 2016;5:641-645


How to cite this URL:
Ferwana MS, Alshamlan A, Al Madani W, Al Khateeb B, Bawazir A. Five-year comparison of diabetic control between community diabetic center and primary health-care centers. J Family Med Prim Care [serial online] 2016 [cited 2019 Oct 18 ];5:641-645
Available from: http://www.jfmpc.com/article.asp?issn=2249-4863;year=2016;volume=5;issue=3;spage=641;epage=645;aulast=Ferwana;type=0