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Category: Volume 07 Issue 02 February 2019
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Title: Retrospective Study to evaluate factors associated with Glycaemic Control among Rural patients conducted at private clinic in Patna

Author: Dr Surendra Prasad Singh

 DOI: https://dx.doi.org/10.18535/jmscr/v7i2.134

Abstract

Objective: The objective of this study is to highlight the challenges and success faced by a Diabetes Centre in Patna, monitored and managed, using Hb1Ac as a measure of glycaemic control.

Methods: From patients OPD records demographic cross sectional data were collected. Medical records of patients who had visited one specialised diabetic clinic at Patna were included in the study and the demographic details including Age, sex, residential postcodeand glycated haemoglobin (HbA1c) levels were noted from their medical records.

Results: 524 (58.7%) patients were termed as “Metro Patients” and 368 (41.1%) were termed as “Rural Patients”. At initial baseline presentation only 230 (25.8%) patients were ay glycemic control of HbA1c≤7% in which 28% male and 25.3% female were from metro town and 24.8% male and 24.12% females were from rural town. This number was increased to 551 (62%) after proper treatment and there was more number of patients achieved glycemic control in metro town as compare to patients who were belongs to rural area.

Conclusion: Overall improvement in diabetes control was noticed among patients who attend the studied diabetes centre, however a negligible change over time were observed in female patients residing in town over time. Even within the diabetes centre, intensive intervention my needed for uncontrolled patient groups to achieve optimal diabetes control.

Keywords: Diabetes Mellitus, HbA1c, Diabetes Control, Diabetes Centre.

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Corresponding Author

Dr Surendra Prasad Singh

Assistant Professor, Department of Community Medicine, Patna Medical College & Hospital, Patna