Diabetic Management Status of Type 2 Diabetic Outpatients at Maharat Nakhon Ratchasima Hospital: Diabetic Registry Project

Objective: The aim of this study is to demonstrate a current status of diabetic management, microvascular and macrovascular complications of the patients with type 2 diabetes mellitus at Maharat Nakhon Ratchasima hospital. Materials & Methods: A cross-sectional, hospital-based diabetes registry was carried out from the data obtained between April to December 2003 during diabetic care of diabetic patients in diabetic clinic at Maharat Nakhon Ratchasima Hospital. Results: A total of 1,066 diagnosed diabetic patients, there were 1,000 patients with type 2 diabetes mellitus registered in this study, which consisted of 273 males and 727 females. The mean age was 59.4+10.9 years and the mean duration of diabetes mellitus was 8.2+6.8 years. We found only 37.6% of these patients achieved glycemic control of fasting plasma glucose under 130 mg/dL and 31.9% had an HbA1c level less than 7%. The overall prevalence of dyslipidemia, hypertension, and obesity (body mass index, BMI >25 kg/m2) found in this population were 47.7%, 60.7%, and 47.4% respectively. Our analysis also found that diabetic nephropathy is the most common complication, accounting for 33.6% of the patients followed by retinopathy 17.1%, ischemic heart disease 6.1% and cerebrovascular disease 3.4% respectively. Conclusion: The higher mean age of 59 years and longer duration 8.2 years of diabetes contributed to a high prevalence of diabetic complications, especially microvascular complication. Less than half of patients had good glycemic control combined with other metabolic control of blood pressure and lipid profile. Getting an annual check up is an important strategy for early identification and management of diabetic complication.