Muhammad Saeed Siddiqui, Makki Ahmad Ali, Muhammad Zakaria, Muhammad Aziz.
Haemoglobin A1C; Prevalence Of Controlled Diabetes In Registered Diabetic Patients With Haemoglobin A1C (HBA1C) < 7 Of Three Selected MOH Primary Health Care Centers Of Makkah.
Professional Med J Jan ;24(8):1162-6.

Objectives: Our aim was to determine the prevalence of controlled diabetes on the basis of HbA1c test (Hb ≤ 7 ) in registered diabetic population in three Primary Health Centers of Ministry of Health Makkah al Mukarrahma. Study Design: Retrospective review of medical records of registered adult Saudi patients with type 2 diabetes. Setting: Three Primary Health Centers of Ministry of Health Makkah al Mukarrahma. Period: 20 June 2015 to 31 December 2015. Methods: The sample size calculated was 354 patients with confidence level of 95% and confidence interval of 5. The cut of values adjusted for all diabetes mellitus patients was, haemogloblin A1c (HBA1c) ≤ 7. Three last readings were recorded and to be declared as controlled diabetic case (valid control), last two readings were required to be within this normal limit. Data was processed on Microsoft Excel and SPSS-23 software. Results: Overall the age range was 21–79 (58) years and a mean of +/- SD of 56.67 +/- 11.97. Male were 206 and female 148 in number. Hb A1c test entries recorded in 292. On the basis of set HbA1c criteria no valid control entry was found in one PHC while in other two, there were 15 (4.23% prevalence) valid control entries. Valid control results were found significant (P < 0.05). Conclusion: Very low Prevalence of controlled diabetes on bases of HbA1c test in Primary Health Centers indicate noncompliance of this test in our study group. Guidelines of the Ministry of Health regarding care of diabetic patients in Primary Health Care should be followed to achieve the recommended outcome.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com