title: Comparison of achievement of NICE targets in type 2 diabetes in Riyadh, Saudi Arabia and Grimsby, United Kingdom: an audit.
abstract: OBJECTIVE
  To compare the achievement of NICE guidelines for diabetic care at two hospitals in Riyadh, Saudi Arabia and Grimsby, United Kingdom.
  
  
  METHODS
  Electronic records of type 2 diabetic patients followed up at internal medicine clinics at King Abdulaziz Medical City (KAMC), Riyadh, Saudi Arabia and Diana Princess of Wales Hospital (DPWH), Grimsby, United Kingdom were studied and compared for meeting the NICE standards of diabetic care regarding HbAlc, lipid profile, hypertension and urine dipstick testing and control.
  
  
  RESULTS
  Out of 100 patients studied at each hospital, yearly blood pressure recording, HbA1c, lipid profile and urine dipstick testing were done in 95, 89, 84, 51 and 100, 81, 92, 95 percent at KAMC and DPWH, respectively. Patients achieving the NICE targets for overall, systolic, diastolic blood pressure and HbA1c screening at the two hospitals were 53, 55, 18 and 46, 39, 35 % respectively. For lipid profile, those who achieved the NICE targets for total cholesterol and LDL-C for two hospitals were 54, 51 and 71, 75% respectively.
  
  
  CONCLUSIONS
  NICE standards of diabetic care are not met in many of the patients in Saudi Arabia as well as United Kingdom, indicating that these standards are easy to recommend than to achieve. There is a need to investigate the reasons for this failure so as to adopt realistic targets and better multidisciplinary approach to achieve them.
authors: Department of Medicine, King Fahad National Guard Hospital, King Abdulaziz Medical, City, Riyadh, Saudi Arabia.
authors: Abdalla
authors: A
authors: Dirar
authors: Fathi
authors: F
authors: Aburawi
authors: Salih
authors: S
authors: Bin Salih
authors: Muhammad
authors: M
authors: Yousuf
mesh_terms: D001794:Blood Pressure / Q000502:physiology; D015331:Cohort Studies; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D006442:Glycated Hemoglobin / Q000378:metabolism; D019983:Guideline Adherence; D006801:Humans; D008055:Lipids / Q000097:blood; D008485:Medical Audit; D010808:Physical Examination; D017410:Practice Guidelines as Topic; D012529:Saudi Arabia; D006113:United Kingdom
chemical_list: D006442:Glycated Hemoglobin; D008055:Lipids; C517652:hemoglobin A1c protein, human