ASSESSMENT OF DIABETES CARE MANAGEMENT IN PRIMARY CLINICS: ADHERENCE TO AMERICAN DIABETES ASSOCIATION GUIDELINES

Farah Tareq Younus*, ‏Khalid Jameel Salih and Abdulhakem Nafea Khattab

ABSTRACT

Objective: In Iraq, the prevalence of diabetes mellitus is rapidly increasing. Given the significance of preventing diabetic complications, effective diabetes control is paramount. The primary objective of this study was to assess diabetes care in primary clinics within Iraq, utilizing the guidelines established by the American Diabetes Association (ADA). Methods: This study perform in Nineveh city in Iraq conducted a retrospective research study. A total of 200 patients were randomly selected from primary care clinic records. An evaluation checklist was developed based on the treatment guidelines outlined by the American Diabetes Association (ADA), which included assessments of the patient's medical history, physical examination, laboratory results, and referrals. Results: The results revealed that elements meeting the ADA targets for overall care in Nineveh city were as follows: medical history (44.9%), physical examination (59.6%), laboratory evaluation (36.3%), and referrals (19.3%). Other subelement indicators such as referral to diabetes self-management education clinics (10%), dental examination (2%), regular monitoring of HbA1c (33.5%), and blood pressure determination (100%) were documented with adherence to ADA standards. Conclusions: The effectiveness of the management plan depends on the diabetes management criteria. The majority of the components that were looked at don't fully adhere to the ADA standard. Sustained observation and introspection are advised.

Keywords: American Diabetes Association standards, diabetic patients, laboratory evaluation, medical history, physical examination, referrals.