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Glycemic control and lipid profile of diabetic defaulters in Kuantan, Malaysia

Background: Most successful management of chronic disease patients depends on their follow-up. Type-2-diabetes mellitus (T2DM) patients who default their follow-up will receive minimal medical supervision. This will give an impact to the glycemic and lipid control achievement which finally will inc...

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Main Authors: Abdullah, Fa’iza, Tin, Myo Han, Md Aris, Mohd Aznan, Osman, Iskandar Firzada
Format: Conference or Workshop Item
Language:English
English
Published: 2017
Subjects:
R Medicine (General)
RK Dentistry
RZ Other systems of medicine
Online Access:http://irep.iium.edu.my/59789/7/GLYCEMIC%20CONTROL%20AND%20LIPID%20PROFILE%20OF%20DIABETIC%20DEFAULTERS%20IN%20KUANTAN%2C%20MALAYSIA%20ICHC%202017.pdf
http://irep.iium.edu.my/59789/13/59789_tentative.pdf
http://irep.iium.edu.my/59789/
https://www.unisza.edu.my/ichc2017/index.php?option=com_content&view=article&id=101&Itemid=467&lang=en
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spelling my.iium.irep.597892022-03-16T08:17:41Z http://irep.iium.edu.my/59789/ Glycemic control and lipid profile of diabetic defaulters in Kuantan, Malaysia Abdullah, Fa’iza Tin, Myo Han Md Aris, Mohd Aznan Osman, Iskandar Firzada R Medicine (General) RK Dentistry RZ Other systems of medicine Background: Most successful management of chronic disease patients depends on their follow-up. Type-2-diabetes mellitus (T2DM) patients who default their follow-up will receive minimal medical supervision. This will give an impact to the glycemic and lipid control achievement which finally will increase risk of complications. Objectives: To compare both glycemic and lipid profile control status in between T2DM defaulters and regular attendees at diabetes clinics. Methods: A prospective one-year study was conducted among T2DM from primary care clinics and DM-specialist clinic (hospital) in Kuantan. The research was conducted from July-2014 to Jun-2015. There were two follow-up appointments; at 6-month and 12-month within study period. Defaulter is defined as missing at least one occasion. Regular attendees were included as control group. Patients with missing records, known deceased cases and who are transferred out to other clinics were excluded. Investigation results of glycemic and lipid profile were collected at baseline (0-month) and after 1-year (12-month). Results: Of 405 diabetic patients, 18% (73/405) were defaulters. Lower percentage of defaulters came for blood investigations when compared to regular attendees (19%-26% vs 78%-88%) p<0.05. Target-achieved level in diabetic defaulters was lower then regular attendees in all blood parameters of fasting/random blood glucose (1.4% vs 23.4%); HbA1c (0% vs 11.4%); triglyceride (8.2% vs 48.5%); LDL-C (8.2% vs 35.0%) and HDL-C (5.5% vs 26.5%) with p<0.05. Conclusion: The study shows the defaulter rate is high among T2DM. They significantly contribute lower target-level achievement than regular attendees. 2017-10-07 Conference or Workshop Item NonPeerReviewed application/pdf en http://irep.iium.edu.my/59789/7/GLYCEMIC%20CONTROL%20AND%20LIPID%20PROFILE%20OF%20DIABETIC%20DEFAULTERS%20IN%20KUANTAN%2C%20MALAYSIA%20ICHC%202017.pdf application/pdf en http://irep.iium.edu.my/59789/13/59789_tentative.pdf Abdullah, Fa’iza and Tin, Myo Han and Md Aris, Mohd Aznan and Osman, Iskandar Firzada (2017) Glycemic control and lipid profile of diabetic defaulters in Kuantan, Malaysia. In: 1st International Community Health Conference 2017 (1st ICHC 2017), 7th-9th October 2017, Kuala Terengganu, Terengganu. (Unpublished) https://www.unisza.edu.my/ichc2017/index.php?option=com_content&view=article&id=101&Itemid=467&lang=en
institution Universiti Islam Antarabangsa Malaysia
building IIUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider International Islamic University Malaysia
content_source IIUM Repository (IREP)
url_provider http://irep.iium.edu.my/
language English
English
topic R Medicine (General)
RK Dentistry
RZ Other systems of medicine
spellingShingle R Medicine (General)
RK Dentistry
RZ Other systems of medicine
Abdullah, Fa’iza
Tin, Myo Han
Md Aris, Mohd Aznan
Osman, Iskandar Firzada
Glycemic control and lipid profile of diabetic defaulters in Kuantan, Malaysia
description Background: Most successful management of chronic disease patients depends on their follow-up. Type-2-diabetes mellitus (T2DM) patients who default their follow-up will receive minimal medical supervision. This will give an impact to the glycemic and lipid control achievement which finally will increase risk of complications. Objectives: To compare both glycemic and lipid profile control status in between T2DM defaulters and regular attendees at diabetes clinics. Methods: A prospective one-year study was conducted among T2DM from primary care clinics and DM-specialist clinic (hospital) in Kuantan. The research was conducted from July-2014 to Jun-2015. There were two follow-up appointments; at 6-month and 12-month within study period. Defaulter is defined as missing at least one occasion. Regular attendees were included as control group. Patients with missing records, known deceased cases and who are transferred out to other clinics were excluded. Investigation results of glycemic and lipid profile were collected at baseline (0-month) and after 1-year (12-month). Results: Of 405 diabetic patients, 18% (73/405) were defaulters. Lower percentage of defaulters came for blood investigations when compared to regular attendees (19%-26% vs 78%-88%) p<0.05. Target-achieved level in diabetic defaulters was lower then regular attendees in all blood parameters of fasting/random blood glucose (1.4% vs 23.4%); HbA1c (0% vs 11.4%); triglyceride (8.2% vs 48.5%); LDL-C (8.2% vs 35.0%) and HDL-C (5.5% vs 26.5%) with p<0.05. Conclusion: The study shows the defaulter rate is high among T2DM. They significantly contribute lower target-level achievement than regular attendees.
format Conference or Workshop Item
author Abdullah, Fa’iza
Tin, Myo Han
Md Aris, Mohd Aznan
Osman, Iskandar Firzada
author_facet Abdullah, Fa’iza
Tin, Myo Han
Md Aris, Mohd Aznan
Osman, Iskandar Firzada
author_sort Abdullah, Fa’iza
title Glycemic control and lipid profile of diabetic defaulters in Kuantan, Malaysia
title_short Glycemic control and lipid profile of diabetic defaulters in Kuantan, Malaysia
title_full Glycemic control and lipid profile of diabetic defaulters in Kuantan, Malaysia
title_fullStr Glycemic control and lipid profile of diabetic defaulters in Kuantan, Malaysia
title_full_unstemmed Glycemic control and lipid profile of diabetic defaulters in Kuantan, Malaysia
title_sort glycemic control and lipid profile of diabetic defaulters in kuantan, malaysia
publishDate 2017
url http://irep.iium.edu.my/59789/7/GLYCEMIC%20CONTROL%20AND%20LIPID%20PROFILE%20OF%20DIABETIC%20DEFAULTERS%20IN%20KUANTAN%2C%20MALAYSIA%20ICHC%202017.pdf
http://irep.iium.edu.my/59789/13/59789_tentative.pdf
http://irep.iium.edu.my/59789/
https://www.unisza.edu.my/ichc2017/index.php?option=com_content&view=article&id=101&Itemid=467&lang=en
_version_ 1728051147402379264
score 13.211869

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