Abstract
Background: Diabetes Mellitus Type 2 and its associated complications are highly prevalent in Saudi Arabia and are linked to duration of disease and disease control. This study aims to study the rate of glycemic control and diabetes associated complications among patients in Riyadh, Saudi Arabia.
Methods: this is a 5-year retrospective chart review including 319 diabetic patients in a tertiary care center and linked primary healthcare clinics in Riyadh, Saudi Arabia from January 2016 to December 2020.
Results: of the 319 patients included, 58.6% were females (n=187). Mean age was 67.74± 12.63 years. Mean HgA1c during the study period was 8.30 mmol/L± 1.9. 9.1% had myocardial infarction, and of those screened 29.9% and 15% had microalbuminuria and retinopathy, respectively. 7.2% had neuropathy. 2.2% had diabetic foot and of those 42.9% progressed into amputation. Mortality was 6% over the study period.
Conclusion: Our study found the control of diabetes mellitus in a tertiary care center and primary care clinics to be suboptimal, with a significant association between HbA1c levels and LDL level control, retinopathy, and neuropathy among type 2 diabetic patients in Saudi Arabia. More research is needed to stratify causes for poor control as well as management strategies to reduce the burden of diabetes complications.
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Corresponding Author
Lama Al Luhidan