العوامل المترابطة مع سوء ضبط سكر الدم عند مرضى السكري من النمط الثاني

الملخص EN

Diabetes Mellitus Type 2 (DM-2) is considered one of the most important medical illnesses, and is characterized by a high level of blood glucose, which can lead to complications, some of which are life threatening.

This study aimed to evaluate the glycemic control in Syrian type2 diabetes patients, and to determine factors associated with poor glycemic control.

We performed a cross-sectional study in 390 DM-2 patients that had visited medical laboratories in Damascus and its suburb areas.

Information collected directly from the patients included age, sex, duration of diabetes, current diabetes medications, medication compliance, diet, exercise, and self-monitoring of glucose levels.

We also asked the patients about their number of annual visits to the doctor, and whether these were with an endocrinologist, or a general doctor.

The body mass index and hemoglobin HbA1c were calculated.

Patients with HbA1c> 7 were considered to have inadequate glycemic control.

Of the total 390 patients , 79% had HbA1c levels greater than 7, which showed the poor level of control in this group of patients.

Poor gylcemic control was associated with longer duration of DM-2, patient noncompliance with diet, and less patient education regarding drug compliance and self-monitoring glucose levels.

It was evident that the good glycemic control in patients who visited an endocrinologist was better.

We can conclude that we must increase patient awareness regarding the concept of diabetes care through educational programs that will aim to prevent diabetes complications.

We can also confirm the importance of following up with an endocrinologist who can advise the patient on how to deal with his disease and achieve a good state of blood glucose control, and who can also modify the treatment regimen when needed.