Are type 2 diabetic patients meeting targets? A Helen Joseph Hospital Diabetic Clinic audit

  • S Bulbulia University of the Witwatersrand
  • F Variava Netcare Pinehaven Hospital
  • Z Bayat University of the Witwatersrand
Keywords: diabetes, Helen Joseph Hospital, SEMDSA Guidelines, targets

Abstract

Background: The risk of complications from type 2 diabetes mellitus (T2DM) is high. Achieving targets reduces morbidity and mortality. This study aims to assess whether patients at the Helen Joseph Hospital's Diabetic Clinic are meeting the 2012 SEMDSA targets for diabetes.

Method: A retrospective analysis was carried out. The files of 321 patients with T2DM were reveiwed. Glycated haemaglobin (HbA1c), blood pressure, abdominal circumference and lipograms were assessed.

Results: The study population comprised majority black (n = 143; 44.6%) and coloured (n = 109; 34%) patients and was predominantly female (n = 200; 62.3%). The mean age was 59.4 years (SD 9.9 years). In total, 89.1% (n =  286) had hypertension, and 82.2% (n = 264) dyslipidaemia. The metabolic syndrome criteria were fulfilled by 266 (91.2%) pateints. The majority did not exercise (n = 174; 56.3%). A small number smoked (n = 39; 12.5%) and used alcohol (n = 33; 10.6%). Mean HbA1c was 9.5% (SD 2.4; range 3.9-16.9%). Only 49 (15.3%) achieved the target HbA1c. Target blood pressure was achieved by 72 patients (25%). LDL target was achieved by 71 (22.6%) and abdominal circumference by 32 (11%) patients.

Conclusions: Despite adequate protocols and access to tertiary medical care, a very small percentage of patients are achieving proposed targets. The reasons for this are likely multi-fold and further analysis is required to assess these.

The full articles is available at https://doi.org/10.1080/16089677.2019.1692471

Author Biographies

S Bulbulia, University of the Witwatersrand

Divisions of Diabetes, Endocrinology and Metabolism, Helen Joseph Hospital, University of the Witwatersrand, Johannesburg, South Africa

F Variava, Netcare Pinehaven Hospital

Physician, Netcare Pinehaven Hospital, Krugersdorp, South Africa

Z Bayat, University of the Witwatersrand

Division of Diabetes, Endocrinology and Metabolism and Department of Internal Medicine, Helen Joseph Hospital, University of the Witwatersrand, Johannesburg, South Africa

Published
2020-04-17
Section
Research Articles