PMID- 28894404
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20201001
IS  - 1394-195X (Print)
IS  - 2180-4303 (Electronic)
IS  - 1394-195X (Linking)
VI  - 24
IP  - 2
DP  - 2017 Mar
TI  - An Internal Audit of Diabetes Care for Type 2 Diabetic Patients in a Public 
      Hospital Diabetes Clinic in Malaysia.
PG  - 55-60
LID - 10.21315/mjms2017.24.2.7 [doi]
AB  - INTRODUCTION: Earlier studies have identified a gap between guidelines and actual 
      clinical diabetes care in Malaysia. OBJECTIVE: We audited the quality of care for 
      patients with type 2 diabetes mellitus (T2DM) attending our diabetes clinic at a 
      public hospital. METHODS: A structured review of the outpatient clinic cards, 
      prescriptions and laboratory results was conducted for patients attending the 
      diabetes clinic at Sibu Hospital in October and November 2014. RESULTS: For the 
      total of 233 patients who were audited, the levels of fasting blood sugar, blood 
      pressure, body mass index and fasting lipid profile were satisfactory at 99.1%, 
      99.6%, 92.6% and 99.6% respectively. 79.7% of the subjects had had HbA1c 
      performed at least once over the previous six months. Only 25.8% had annual foot 
      screening, while the eye screening rate was 71.2% and the albuminuria screening 
      rate was 93.6%. For outcome measures, the mean (SD) HbA1c level was 9.2% (1.91%), 
      with 13 patients (6.7%) having HbA1c less than 6.5%; 36.4% of participants 
      achieved BP < 130/80 mmHg; and 69.4% had LDL < 2.6 mmol/L. The majority of the 
      patients were overweight or obese (91.4%). CONCLUSIONS: Overall, the performance 
      of diabetic care processes at our hospital was satisfactory, except for foot 
      examination. The glycaemic and weight control among the subjects were suboptimal 
      and warrant an optimised and comprehensive approach on the part of the 
      management.
FAU - Hieng, Yung Chun
AU  - Hieng YC
AD  - Department of Medicine, Sibu Hospital, Batu 5 (1/2), Jalan Oya Lama, Sibu, Sarawak, 
      Malaysia.
LA  - eng
PT  - Journal Article
DEP - 20170414
PL  - Malaysia
TA  - Malays J Med Sci
JT  - The Malaysian journal of medical sciences : MJMS
JID - 101126308
PMC - PMC5566062
OTO - NOTNLM
OT  - audit
OT  - diabetes clinic
OT  - public hospital
OT  - quality of care
OT  - type 2 diabetes mellitus
EDAT- 2017/09/13 06:00
MHDA- 2017/09/13 06:01
PMCR- 2017/03/01
CRDT- 2017/09/13 06:00
PHST- 2016/06/15 00:00 [received]
PHST- 2017/01/16 00:00 [accepted]
PHST- 2017/09/13 06:00 [entrez]
PHST- 2017/09/13 06:00 [pubmed]
PHST- 2017/09/13 06:01 [medline]
PHST- 2017/03/01 00:00 [pmc-release]
AID - 07mjms24022017_oa5 [pii]
AID - 10.21315/mjms2017.24.2.7 [doi]
PST - ppublish
SO  - Malays J Med Sci. 2017 Mar;24(2):55-60. doi: 10.21315/mjms2017.24.2.7. Epub 2017 
      Apr 14.