Abstract:
Data from a system, sample of 512 patients were collected. Main outcome measures were
patients knowledge about diabetes and its complications, therapeutic and patient care
procedures in terms of HbAlc level assessment, FBS and PPBS assessment, lipid level
assessment follow up clinic visits, annual screening, and prevention of complication in
diabetic patient and compliance of diabetic patient to drug treatment. Data collected from
the two clinics were compared and adherence to the diabetes national and international
guidelines was evaluated. There was no statistically significant difference (p 0.05) found in
composite knowledge score about disease and complications in-between the clinics HbAle
levels were ever done only in 3.7 percent (n=19) subjects. Out of the sample 43. (n=222)
had a fasting blood sugar value less than 110 mg/dl. During the last year.I 42.3 percent
(n=69) lipid profiles were done in the medical clinics while 22.3 percent (n=78) lipid
profiles were done in the diabetic clinic (p 0.05). Out of all lipid profiles done in last year,
88.5 percent (n 0.05). In follow up clinic visits weighing was done 52.1 percent (n=182) in
the diabetic clinic and only 1.2 percent (n=2) in medical clinics (p 005) . Foot examination
was done in 22.1 percent (n 0.05). Patient' knowledge about diabetes was poor on aspects
such as curability of the disease, importance of diet and exercise and symptoms of hypo and
hyperglycaemia. HbAlc levels, FBS, PPBS, Lipid profiles and Blood pressure values did not
meet the guideline recommendations irrespective of the clinic. Patient compliance was not
satisfactory in both clinics
