Evaluation of diabetes care management in primary clinics based on the guidelines of American Diabetes Association

Abstract

Objective: There is a rapid increase in the incidence of diabetes mellitus in Saudi Arabia. Diabetes management is an essential constituent to prevent prognosis of diabetes complications. The main objective of this study was to assess diabetes care in primary clinics based on the guidelines of American Diabetes Association (ADA).

Methods: A retrospective study at King Khaled University Hospitals (KKUH), Riyadh, Saudi Arabia. A total of 200 patients were randomly selected from the databases of primary care clinics. An evaluation checklist was created based on the ADA treatment guidelines such as medical history, physical examination, laboratory evaluation and referrals.

Results: The result showed that elements achieving the ADA targets for overall care were medical history (44.9%), physical examination (59.6%), laboratory evaluation (36.3%) and referrals (19.3%). The other sub elements indicators such as referral to diabetes self-management education clinics (10%), dental examination (2%), HbA1c regular monitoring (33.5%) and blood pressure determination (100%) were documented with adherence to ADA standards.

Conclusions: Diabetes management standards is an essential element in the success of the management plan. Most of the elements examined are not in full compliance with the ADA standard. Continues monitoring and self-review is recommended. 

Keywords:

ADA standards Diabetic patients Medical history physical examination laboratory evaluation referrals
Albarrak, A. I., Mohammed, R., Assery, B., Allam, D., Al Morit, S., Al Saleh, R., & Zare’a, R. (2018). Evaluation of diabetes care management in primary clinics based on the guidelines of American Diabetes Association. International Journal of Health Sciences, 12(1). Retrieved from https://pub.qu.edu.sa/index.php/journal/article/view/2130
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Author Biographies

Ahmed I. Albarrak, King Saud University
Prof. Ahmed Albarrak
Professor and Chairman, Medical Informatics, College of Medicine
Chairman, Health Informatics Research Chair
King Saud University
Former Dean, Health Sciences College, and
Vice Rector for Quality, Planning, and Development,
Saudi Electronic University
Tel.:        +966114690138
Fax:        +966114690798
Mobile: +9665541988890
P O Box 63709
Riyadh 11526
Rafiuddin Mohammed, Saudi Electronic University,
Faculty, Department of Health Informatics, College of Health Sciences, Saudi Electronic University, Riyadh, Saudi Arabia
Bushra Assery, King Saud University

Medical Interns, College of Medicine, King Saud University, Riyadh, Saudi Arabia

Dalya Allam

Medical Interns, College of Medicine, King Saud University, Riyadh, Saudi Arabia

Sarah Al Morit

Medical Interns, College of Medicine, King Saud University, Riyadh, Saudi Arabia

Reem Al Saleh
Medical Interns, College of Medicine, King Saud University, Riyadh, Saudi Arabia
Reem Zare’a

Medical Interns, College of Medicine, King Saud University, Riyadh, Saudi Arabia