title: Control of type 2 diabetes in King Abdulaziz Housing City (Iskan) population, Saudi Arabia.
abstract: OBJECTIVE
  To assess the level of control and prevalence of type 2 diabetes in King Abdulaziz Housing City (Iskan) population of Saudi Arabia.
  
  
  METHODS
  Retrospective cross-sectional study conducted in a primary-care setting. All Type 2 diabetics referred to our diabetes center between January 2011 and January 2015 were identified, and their computerized records reviewed. Glycated hemoglobin levels (HbA1c), low-density lipoprotein (LDL), blood pressure (BP), and the albumin-creatinine ratio (ACR) were noted and the patients categorized accordingly. Demographic data (age and gender) were also documented. Inactive patients (not seen for more than 2 years) were excluded.
  
  
  RESULTS
  The overall prevalence of type 2 diabetes for all age groups in ISKAN population was 3.25%. About 56% of the diabetics were female and 70% were aged between 18 and 59 years. The rate of uncontrolled diabetes was 59.3%. Males were more likely to have uncontrolled diabetes (odds ratio: 1.44, CI: 1.17-1.76, P = 0.0004). Forty percent of the diabetics had an LDL above target (≥2.6 mmol/l) while 25.9% had uncontrolled hypertension (BP ≥ 140/90). Of those who had an ACR test done within the last year (59.3%), the rate of micro- and macro-albuminuria was 8.8% and 2.5%, respectively.
  
  
  CONCLUSIONS
  The overall prevalence of type 2 diabetes in our community seems lower than the previously reported national figures. An alarming number of diabetics in our population have an uncontrolled disease. More stringent diabetes annual review and recall program is needed to control diabetes and reduce complications.
authors.affiliation: Department of Family Medicine, Iskan Clinics, NGHA, Riyadh, Kingdom of Saudi Arabia.
authors.forename: Thamer A
authors.initials: TA
authors.lastname: Alsulaiman
authors.affiliation: Department of Family Medicine, Iskan Clinics, NGHA, Riyadh, Kingdom of Saudi Arabia.
authors.forename: Hejab A
authors.initials: HA
authors.lastname: Al-Ajmi
authors.affiliation: Department of Family Medicine, Iskan Clinics, NGHA, Riyadh, Kingdom of Saudi Arabia.
authors.forename: Saeed M
authors.initials: SM
authors.lastname: Al-Qahtani
authors.affiliation: Department of Family Medicine, Iskan Clinics, NGHA, Riyadh, Kingdom of Saudi Arabia.
authors.forename: Intisar M
authors.initials: IM
authors.lastname: Fadlallah
authors.affiliation: Department of Family Medicine, Iskan Clinics, NGHA, Riyadh, Kingdom of Saudi Arabia.
authors.forename: Nashwa E
authors.initials: NE
authors.lastname: Nawar
authors.affiliation: Department of Family Medicine, Iskan Clinics, NGHA, Riyadh, Kingdom of Saudi Arabia.
authors.forename: Reem E
authors.initials: RE
authors.lastname: Shukerallah
authors.affiliation: Department of Family Medicine, Iskan Clinics, NGHA, Riyadh, Kingdom of Saudi Arabia.
authors.forename: Sadaf R
authors.initials: SR
authors.lastname: Nadeem
authors.affiliation: Department of Family Medicine, Iskan Clinics, NGHA, Riyadh, Kingdom of Saudi Arabia.
authors.forename: Nora M
authors.initials: NM
authors.lastname: Al-Weheedy
authors.affiliation: Department of Pharmaceutical Care, NGHA, Riyadh, Kingdom of Saudi Arabia.
authors.forename: Khalid A
authors.initials: KA
authors.lastname: Al-Sulaiman
authors.affiliation: Department of Family Medicine, Iskan Clinics, NGHA, Riyadh, Kingdom of Saudi Arabia.
authors.forename: Adel A
authors.initials: AA
authors.lastname: Hassan
authors.affiliation: Department of Family Medicine, Iskan Clinics, NGHA, Riyadh, Kingdom of Saudi Arabia.
authors.forename: Ayman A
authors.initials: AA
authors.lastname: Shahin
authors.affiliation: Department of Family Medicine, Iskan Clinics, NGHA, Riyadh, Kingdom of Saudi Arabia.
authors.forename: Tamer M
authors.initials: TM
authors.lastname: Kolib
keywords: Diabetes; Saudi Arabia; glycemic control; prevalence