287 (Po) Glycaemic Control Among Greek Diabetic Patients In Primary Care

Conference: 
Author(s): 
A. Gikas1, A. Sotiropoulosý, P. Politakis1, E. Spanou1, S. Pappasý.
1Health Centre of Salamis and
ýDiabetes Centre of General Hospital of Nikea-Pireaus, Greece
Text: 
AIM:
To evaluate the level of glycaemic control among diabetic patients attending a primary care setting in Greece.
METHODS:
A random sample of 252 patients with diabetes (98% with type 2), attending a spontaneous visit in our Health Centre (from January 2003 to December 2004), was recruited. All patients were interviewed and blood was taken for glycosylated haemoglobin (HbA1c), which was used as index of glycaemic control. The characteristics of patients (112 men and 140 women) were a mean age of 65ñ10 years, a mean disease duration 9ñ7 years and a mean waist circumference of 106ñ17cm. Based on measured height and weight, 55% of the patients were obese (BMI>30 kg/mý) and 35% overweight (BMI=25-29.99 kg/mý). Statistical analyses were performed by using SPSS.
RESULTS:
The mean HbA1c in the whole population was 8.1ñ1.7%. Glycaemic control was optimal in 29.4% (HbA1c8.0%) of patients. In regard with mode of treatment, patients treated with diet only had the best glycaemic control, while the poorest control was seen in patients treated with a combination of oral hypoglycaemic agents and insulin (6.9ñ1.3% vs 9.2ñ1.8%, P=0.0001). Moreover, better glycaemic control was associated with duration of diabetes CONCLUSION:
Glycaemic control among Greek diabetic patients in primary care is largely suboptimal. Consequently, the efforts for strict glycaemic control should be intensified at primary care levels.
Literature: 
287 (PO) GLYCAEMIC CONTROL AMONG GREEK DIABETIC PATIENTS IN PRIMARY CARE