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Year : 2021  |  Volume : 10  |  Issue : 5  |  Page : 1917-1921

Clinical audit on assessment of non-glycemic parameters in diabetic patients by physicians

1 Department of Family Medicine, St Philomena's Hospital, Bangalore, Karnataka, India
2 Final Year MBBS, Basaweshwara Medical College, Chitradurga, Karnataka, India
3 Department of Internal Medicine, St Philomena's Hospital, Bangalore, Karnataka, India

Correspondence Address:
Dr. Swapna Bhaskar
Department of Family Medicine, St Philomena's Hospital, Campbell Road, Bangalore, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jfmpc.jfmpc_2305_20

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Background: Diabetes mellitus (DM) is a major health problem in family practice causing multiple micro and macrovascular complications; the prevention of which should be the main aim of treating physicians. Lack of proper assessment can hasten the complications and a meticulous screening system is a prerequisite in every diabetic patient's evaluation. Objective: The aim of this study was to assess the pattern of screening for non-glycemic parameters in type 2 DM patients by physicians in an outpatient setting. Methods: A cross-sectional study was conducted in a teaching hospital during December 2019. A total of 254 patients with type 2 DM without any complications were randomly selected for screening as per the criteria developed by RSSDI [Research Society for the Study of Diabetes in India]. Results: Complete history and physical examination were done by physicians in all the participants. Measurement of blood pressure at every visit was done in about 95% of patients and 90% of them were counseled for cessation of smoking. But only about 60% or less of patients were screened for microalbuminuria, diabetic retinopathy, and peripheral neuropathy. Advice on comprehensive foot care was also not a regular practice among physicians. Conclusion: This clinical audit showed that 90% of the patients had undergone only 4 of the 9 RSSDI recommended screening. The other parameters had been carried out in only among 40 to 60% of the patients. Thus, primary care physicians have to emphasize on the subtle but important criteria like ophthalmic examination, peripheral neuropathy and microalbuminuria during regular outpatient visits.

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