Evaluation of management, control, complications and psychosocial aspects of diabetics in Bangladesh: DiabCare Bangladesh 2008

Authors

  • ZA Latif Department of Endocrinology, BIRDEM, Dhaka
  • A Jain Novo Nordisk Pharma Operations (BAOS) Sdn Bhd, Kuala Lumpur
  • MM Rahman Novo Nordisk Pharma (Pvt.) Ltd

DOI:

https://doi.org/10.3329/bmrcb.v37i1.7793

Keywords:

diabetes, DiabCare

Abstract

DiabCare Bangladesh 2008 evaluated the current status of diabetes care in Bangladesh as a continuation of similar cross-sectional study conducted previously in 1998. The current study recruited 1952 patients from general hospitals, diabetes clinics and referral clinics to study current scenario of diabetes management from 01 March 2009 to 31 March 2009. We report the results of type 2 diabetic population who constituted 95.3% (n=1860). Results showed deteriorating glycaemic control with mean HbA1c of 8.6±2.0% with only 23.1% of the patients achieving American Diabetes Association (ADA) target of <7%. 896 (47.0%) patients were hypertensive and 850 (94.9%) were on antihypertensive medication. 70.8% of patients had LDL levels >2.6 mmol/L; 43.8% had triglycerides >2.2 mmol/L; 44.1% had HDL<1 mmol/L despite 48% of the patients being on lipid lowering agents. Microvascular, macrovascular and severe late complications were reported in 39.2%, 9.9% and 12.1% patients respectively. The rates of diabetic complications were cataract 12.9%, microalbuminuria 15.7%, neuropathy symptoms 31.7%, leg amputation 1.2% and history of angina pectoris was 6.6%. Quality of life evaluation showed that about half of patients have poor quality of life. Also, there was poor adherence to diet, exercise and self testing of blood glucose. In conclusion, majority of the patients were still not satisfactorily controlled. There is an urgent need for effective remedial measures to increase adherence to practice guidelines and to educate both patients and healthcare personnel on importance of achieving clinical targets for metabolic control.

DOI:  http://dx.doi.org/10.3329/bmrcb.v37i1.7793

Bangladesh Med Res Counc Bull 2011; 37: 11 - 16

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How to Cite

Latif, Z., Jain, A., & Rahman, M. (2011). Evaluation of management, control, complications and psychosocial aspects of diabetics in Bangladesh: DiabCare Bangladesh 2008. Bangladesh Medical Research Council Bulletin, 37(1), 11–16. https://doi.org/10.3329/bmrcb.v37i1.7793

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Section

Research Papers