DiabCare 2013: A cross-sectional study of hospital based diabetes care delivery and prevention of diabetes related complications in Malaysia
- Author:
Mafauzy Mohamed
;
Zanariah Hussein
;
Avideh Nazeri
;
Siew Pheng Chan
- Publication Type:Journal Article
- Keywords:
Type 2 diabetes mellitus;
hospital care;
prevention;
diabetes complications;
hypoglycaemia
- MeSH:
Diabetes Mellitus, Type 2
- From:
The Medical Journal of Malaysia
2016;71(4):177-185
- CountryMalaysia
- Language:English
-
Abstract:
Aims: The aim of the study was to re-evaluate the
relationship between hospital based diabetes care delivery
and prevention of complications.
Methods: DiabCare is an observational, non-interventional,
cross-sectional study of hospital-based outpatient diabetes
care.
Results: A total of 1668 patients participated in the study:
mean age 57.8 ± 11.0 years, duration of diabetes 13.0 ± 8.6
years, and duration of insulin treatment 5.6 ± 5.5 years. Mean
weight was 74.3 ± 16.6 kg (BMI 29.1 ± 5.8 kg/m2). The
majority of patients were female (53.6%) and the largest
ethnic group was Malay (51.3%), followed by Indian (21.9%)
and Chinese (20.1%). The percentage of patients with HbA1c
< 6.5% (< 42 mmol/mol) and < 7.0% (< 53 mmol/mol) was
12.2% and 23.8%, respectively (mean HbA1c 8.52 ± 2.01% [70
± 22 mmol/mol]). The proportion of patients using insulin
was 65% at a total daily dose of 60 ± 37 IU. One or more
episodes of hypoglycaemia were reported by 39% (n=658) of
patients within the previous three months. The risk of any
hypoglycaemia was associated with the use of insulin (odds
ratio [OR 3.26, 95% CI 2.59–4.09]), and total daily insulin
dose (OR 1.04, 95% CI 1.01–1.07 per 10 IU increase). Mean
HbA1c had not changed significantly between DiabCare
cohorts 2008 and 2013 (p=0.08).
Conclusions: Despite evidence of improving processes of
diabetes care, glycaemic control and the prevalence of many
diabetes related complications were unchanged.
- Full text:P020161107364166898690.pdf
