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Document Type |
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Article In Journal |
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Document Title |
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Inadequate Screening for Microvascular Complications Amongst Diabetic Patients Inadequate Screening for Microvascular Complications Amongst Diabetic Patients |
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Document Language |
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English |
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Abstract |
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A study to determine how frequent microvascular complications of diabetes mellitus had been screened in diabetics admitted to the medical unit of King AbdulazizUniversityHospital(KAUH),Jeddah,Saudi Arabia is reported. Medical charts of all diabetics admitted to the unit between January 1995 and Noovember 1999 were studied, a total of 572 patients in all. On admission, 59% of them were asked about visual disturbances, and 45% were examined by an ophthallmologist. Glomerular filtration rate was measured in 36% of the patients with raised urea and creatinine. Forty-four per cent of the patients were asked about sensory disturbances, and 78% were examined neurologically. Hospitalised diabetics are poorly screened for microvascular complications. Quality of care may improve and length of hospital stay may be shortened with concurrent care by a physician-led team with expertise in diabetes, with the physician responsible for the patient's intercurrent illness.
The aim of this study was to determine how frequent microvascular complications of diabetes had been screened for in diabetic patients admitted to the medical unit of KAUH, Saudi Arabia.
Method
Medical charts of all diabetic patients admitted to the medical unit of KAUH in the period between January 1995 and November 1999 were studied. Diabetes was diagnosed according to WHO criteria, and patients were divided into Type 1 and Type 2, again following WHO guidelines8 Detailed information of patients' age, sex, nationality, body mass index (8M!), type of diabetes, duration, and mode of treatment (diet alone, oral hypoglycaemic agents, insulin, or combined) were recorded. Degree of control was assessed by patients' compliance, symptoms of hyperglycaemia, and an HbAIc level >7%. A history of hypertension (defined as blood pressure >140/90 mmoIjL), hyperlipidaemia (defined as fasting cholesterol >5.2 mmol / L, LDL >2.8 mmolj L), and smoking were recorded. Diabetic eye involvement was assessed by history of visual disturbance |
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ISSN |
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17846150 |
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Journal Name |
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Diabetes International |
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Volume |
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11 |
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Issue Number |
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1 |
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Publishing Year |
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1421 AH
2001 AD |
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Article Type |
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Article |
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Added Date |
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Tuesday, January 20, 2009 |
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