title: Current understanding of treatment and management protocol for adult diabetic in-patients at a tertiary care hospital.
abstract: OBJECTIVE
  To assess the current understanding of treatment and management protocols for adult diabetic inpatients at a tertiary care hospital.
  
  
  METHODS
  This cross-sectional study, conducted at the Civil Hospital Karachi from July to September 2009, involved 450 participants, who were interviewed through a well-structured questionnaire regarding the patient's demography, clinical features, past medical history, type of diabetes mellitus, duration, associated complications, and also involved patient notes for laboratory tests and management. SPSSv15.0 was used for descriptive analysis.
  
  
  RESULTS
  The study population of 450 diabetics had 144 (32%) males and 306 (68%) females. Of the total, 435 (96.7%) patients had type 2 diabetes. There were 231 (51%) patients using insulin, 168 (37.3%) oral hypoglycaemic drugs, and 51 (11.3%) using both. Among patients using insulin, regular insulin usage stood at 30% followed by a combination of regular insulin and NPH (26.7%) and NPH alone at 6%. The most popular drug used was metformin (27.3%) and the least used drug was glitazones (4%). In the study population, 73.3% patients controlled their diabetes with diet, and 24.7% with regular exercise.
  
  
  CONCLUSIONS
  Majority of the study population had type 2 diabetes with a female preponderance. Insulin was prescribed for half the patients. Metformin was the most frequently used oral hypoglycaemic drug.
authors: Department of Pharmacology, Dow University of Health Sciences, Karachi, Pakistan.
authors: Nida
authors: N
authors: Waki
authors: Adil
authors: A
authors: Memon
authors: Muhammad Owais
authors: MO
authors: Khan
authors: Hina
authors: H
authors: Faruqi
authors: Sara
authors: S
authors: Masood
authors: Mariam
authors: M
authors: Rauf
authors: Rabeea
authors: R
authors: Mirza
authors: Samrah
authors: S
authors: Zaigham
authors: Fatima
authors: F
authors: Asgher
authors: Hira
authors: H
authors: Amjad
authors: Urooba
authors: U
authors: Nadeem
authors: Sadia
authors: S
authors: Farooq
authors: Haroon
authors: H
authors: Ali
authors: Fuad
authors: F
authors: Sheikh
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002985:Clinical Protocols; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000628:therapy*; D019468:Disease Management; D005260:Female; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D010154:Pakistan; D011795:Surveys and Questionnaires
chemical_list: D007004:Hypoglycemic Agents