Yıl: 2018 Cilt: 10 Sayı: 2 Sayfa Aralığı: 198 - 202 Metin Dili: İngilizce DOI: 10.18521/ktd.345149 İndeks Tarihi: 22-02-2020

Analysis of the Type 2 Diabetic Patients Followed in a University Clinic

Öz:
Objective: The aim of present study was to determine the effects of factors todiabetic regulation; such as, awareness of the disease, compliance with treatment,awareness of HbA1c target, in T2DM patients whom followed up in our clinic.Methods: Patients with T2DM were enrolled to this retrospective study. Patient‘sdata were obtained and recorded from institutional database. As well as bloodpressure, anthropometric measurements, physical examination signs, andlaboratory parameters were recorded. Study population grouped into twoaccording to HbA1c level; well-regulated T2DM group with a HbA1c lower than8% and poorly-controlled T2DM group with a HbA1c 8% or greater.Results: A total of 150 patients with T2DM (72 men and 78 women) enrolled.Waist circumference, body mass index, duration of diabetes, LDL-cholesterol ,total cholesterol, triglyceride and serum creatinine were significantly lower inwell-controlled compared to poorly-controlled diabetic subjects (all p<0.05). Rateof well-regulated subjects was higher in patients living in urban compared tosubjects living in rural area (p=0.01). Diabetic regulation rate was significantlyhigher in patients acknowledge the diabetic medications, in self-monitoring bloodglucose, in subjects aware of HbA1c target, and free of diabetic complications;neuropathy, nephropathy, and diabetic foot (all p<0.05).Conclusions: Striking result of present study is that most important factorsassociated with better diabetic control were self monitoring of blood glucose,awareness of treatment target and acknowledgement of the diabetic medications;which all could be achieved by education and participation of the patient to thetherapeutic process.
Anahtar Kelime:

Konular: Tıbbi Araştırmalar Deneysel Genel ve Dahili Tıp

Üniversite Kliniğimizde İzlenen Tip 2 Diyabetik Hastaların Analizi

Öz:
Amaç: Bu çalışmanın amacı kliniğimizde izlenen tip 2 diyabetik hastalarda hastalığın farkında olma, tedaviye uyum, hedef Hb A1c düzeyini bilme gibi kan şekeri regülasyonunu etkileyebilecek faktörleri belirlemektir. Gereç ve Yöntem: Kliniğimizde izlenen tip 2 diyabetik hastalar çalışmaya alındı. Hasta verileri hastane veri tabanı ve dosyalardan elde edildi. Antropometrik ölçümler, kan basıncı, fizik muayene bulguları ve laboratuvar sonuçları kaydedildi. HbA1c seviyesine göre (%8‘in altı ve üstü) hastalar iyi kontrollü ve kötü kontrollü diyabetikler olarak 2 gruba ayrıldı. Bulgular: Toplamda 150 hasta (72‘si erkek ve 78‘i bayan) çalışmaya alındı. Bel çevresi, beden kitle indeksi, diyabet süresi, LDL- kolesterol, total kolesterol, trigliserid ve serum kreatinini iyi kontrollü diyabetiklerde kötü kontrollü olanlara kıyasla anlamlı derecede düşüktü (hepsi için p<0.05). Kentsel alanda yaşan hastalarda iyi kontrol oranı kırsalda yaşayanlardan belirgin olarak daha fazlaydı (p=0.01). İlaçlarını tanıyanlarda, kan şekerini evde kendi ölçenlerde, hedef HbA1c düzeyinin farkında olanlarda ve diyabetik nefropati, nöropati ve diyabetik ayak bulunmayanlarda diyabetik regülasyon anlamlı derecede daha iyiydi (hepsi için p<0.05). Sonuç: Bu çalışma daha iyi diyabetik kontrol için, en önemli faktörlerin kendi kendine ölçümlerle kan şekerini takip etmek, tedavi hedef değerlerinin farkında olmak ve kullandığı ilaçları bilmek olduğunu göstermiştir. Bu faktörlerin hepsine iyi bir hasta eğitimi ve hastaların tedavi sürecine katılımları ile elde edilebileceğini düşünmekteyiz.
Anahtar Kelime:

Konular: Tıbbi Araştırmalar Deneysel Genel ve Dahili Tıp
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA kocak m, Aktas G, Erkuş E, TASLAMACIOĞLU DUMAN T, ATAK B, ŞAVLI H (2018). Analysis of the Type 2 Diabetic Patients Followed in a University Clinic. , 198 - 202. 10.18521/ktd.345149
Chicago kocak mehmet zahid,Aktas Gulali,Erkuş Edip,TASLAMACIOĞLU DUMAN TUBA,ATAK Burcin Meryem,ŞAVLI Haluk Analysis of the Type 2 Diabetic Patients Followed in a University Clinic. (2018): 198 - 202. 10.18521/ktd.345149
MLA kocak mehmet zahid,Aktas Gulali,Erkuş Edip,TASLAMACIOĞLU DUMAN TUBA,ATAK Burcin Meryem,ŞAVLI Haluk Analysis of the Type 2 Diabetic Patients Followed in a University Clinic. , 2018, ss.198 - 202. 10.18521/ktd.345149
AMA kocak m,Aktas G,Erkuş E,TASLAMACIOĞLU DUMAN T,ATAK B,ŞAVLI H Analysis of the Type 2 Diabetic Patients Followed in a University Clinic. . 2018; 198 - 202. 10.18521/ktd.345149
Vancouver kocak m,Aktas G,Erkuş E,TASLAMACIOĞLU DUMAN T,ATAK B,ŞAVLI H Analysis of the Type 2 Diabetic Patients Followed in a University Clinic. . 2018; 198 - 202. 10.18521/ktd.345149
IEEE kocak m,Aktas G,Erkuş E,TASLAMACIOĞLU DUMAN T,ATAK B,ŞAVLI H "Analysis of the Type 2 Diabetic Patients Followed in a University Clinic." , ss.198 - 202, 2018. 10.18521/ktd.345149
ISNAD kocak, mehmet zahid vd. "Analysis of the Type 2 Diabetic Patients Followed in a University Clinic". (2018), 198-202. https://doi.org/10.18521/ktd.345149
APA kocak m, Aktas G, Erkuş E, TASLAMACIOĞLU DUMAN T, ATAK B, ŞAVLI H (2018). Analysis of the Type 2 Diabetic Patients Followed in a University Clinic. KONURALP TIP DERGİSİ, 10(2), 198 - 202. 10.18521/ktd.345149
Chicago kocak mehmet zahid,Aktas Gulali,Erkuş Edip,TASLAMACIOĞLU DUMAN TUBA,ATAK Burcin Meryem,ŞAVLI Haluk Analysis of the Type 2 Diabetic Patients Followed in a University Clinic. KONURALP TIP DERGİSİ 10, no.2 (2018): 198 - 202. 10.18521/ktd.345149
MLA kocak mehmet zahid,Aktas Gulali,Erkuş Edip,TASLAMACIOĞLU DUMAN TUBA,ATAK Burcin Meryem,ŞAVLI Haluk Analysis of the Type 2 Diabetic Patients Followed in a University Clinic. KONURALP TIP DERGİSİ, vol.10, no.2, 2018, ss.198 - 202. 10.18521/ktd.345149
AMA kocak m,Aktas G,Erkuş E,TASLAMACIOĞLU DUMAN T,ATAK B,ŞAVLI H Analysis of the Type 2 Diabetic Patients Followed in a University Clinic. KONURALP TIP DERGİSİ. 2018; 10(2): 198 - 202. 10.18521/ktd.345149
Vancouver kocak m,Aktas G,Erkuş E,TASLAMACIOĞLU DUMAN T,ATAK B,ŞAVLI H Analysis of the Type 2 Diabetic Patients Followed in a University Clinic. KONURALP TIP DERGİSİ. 2018; 10(2): 198 - 202. 10.18521/ktd.345149
IEEE kocak m,Aktas G,Erkuş E,TASLAMACIOĞLU DUMAN T,ATAK B,ŞAVLI H "Analysis of the Type 2 Diabetic Patients Followed in a University Clinic." KONURALP TIP DERGİSİ, 10, ss.198 - 202, 2018. 10.18521/ktd.345149
ISNAD kocak, mehmet zahid vd. "Analysis of the Type 2 Diabetic Patients Followed in a University Clinic". KONURALP TIP DERGİSİ 10/2 (2018), 198-202. https://doi.org/10.18521/ktd.345149