Quality of diabetic care in an urban slum area of Mysore: A community based study

Diabetes Metab Syndr. 2016 Apr-Jun;10(2 Suppl 1):S135-8. doi: 10.1016/j.dsx.2016.03.014. Epub 2016 Mar 23.

Abstract

Materials and methods: Community based cross sectional study was conducted in an urban slum of Mysore. Data was collected between July and August 2011. Known diabetics residing in this area were included in the study. Socio-demographic information of diabetic patients, history, physicians advice and the extent of compliance of patients towards treatment were assessed. Descriptive statistics, like percentages were calculated.

Results: Study comprised of 104 patients. Mean fasting and post prandial blood glucose was 163±70mg/dl and 239±89mg/dl respectively. Common co-morbid conditions were hypertension and obesity. Key process indicators of care, indicated that adherence to medication advice was maximum and less than one fourth of them had an annual Hba1c and lipid profile examinations.

Conclusions: To prevent long term complications associated with diabetes, doctors must adhere to the guidelines. There is a need to improve the health system, in terms of developing facilities to provide annual eye examination, annual lipid profile, urea, creatinine testing for diabetic patient.

Keywords: Compliance; Diabetes care; Mysore; Quality; Slum.

MeSH terms

  • Adult
  • Aged
  • Blood Glucose
  • Cross-Sectional Studies
  • Diabetes Complications / psychology
  • Diabetes Mellitus / psychology*
  • Diabetes Mellitus / therapy
  • Female
  • Humans
  • India
  • Male
  • Middle Aged
  • Patient Compliance*
  • Poverty Areas*
  • Quality of Health Care*
  • Socioeconomic Factors

Substances

  • Blood Glucose