title: [An audit of type 2 diabetes management in a diabetes center in Marrakech].
abstract: OBJECTIVE
  The purpose of this study was to examine current practices among endocrinologists at the University Hospital of Marrakech (Morocco), focusing on the management of type 2 diabetes in adults.
  
  
  METHODS
  A clinical audit of diabetic patient care was performed. The audit was based on a retrospective analysis of 46 medical records during 2011 (including monitoring examinations and non-drug prescriptions during the previous year). 27 medical visits during March 2012 were also observed. Data on physicians' perceptions and proposals for improvement were collected through semi-structured interviews. Quality of care was assessed based on current recommendations.
  
  
  RESULTS
  Data analysis revealed a gap between theory and practice. Glycated hemoglobin levels (measured every six months) were recorded in 59% of cases, while patients' hemodynamic status, weight and height were recorded in 30% of cases. The results of complication screening were recorded in half of the cases. Observations of consultations showed that patient adherence was assessed in 97% of the consultations while foot examinations were performed in just 18% of cases.
  
  
  CONCLUSIONS
  The audit was both a challenge for the diabetes unit and an opportunity to promote self-assessment. This new approach may help to improve the quality of care provided to diabetic patients in our hospital.
authors.affiliation: laboratoire d'épidémiologie, laboratoire PCIM, Faculté de médecine et de pharmacie de Marrakech, Marrakech, Maroc. dr.sebbani@gmail.com
authors.forename: Majda
authors.initials: M
authors.lastname: Sebbani
authors.forename: Latifa
authors.initials: L
authors.lastname: Adarmouch
authors.forename: Nawal
authors.initials: N
authors.lastname: Elansari
authors.forename: Ghizlane
authors.initials: G
authors.lastname: Elmghari
authors.forename: Mohamed
authors.initials: M
authors.lastname: Amine
mesh_terms: D054869:Clinical Audit; D048909:Diabetes Complications / Q000517:prevention & control; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009018:Morocco; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D012189:Retrospective Studies