title: Effective factors in controlling diabetes progression among patients in the northwest of Iran.
abstract: BACKGROUND
  Diabetes is the fifth leading cause of death in the world. Hence, we investigated the factors affecting disease control among diabetic patients referred to Imam Reza Hospital (central hospital in the Northwest of Iran).
  
  
  METHODS
  One hundred and eight diabetic patients were evaluated. Patient's main medications including insulin, metformin, glibenclamide, and glytazon were registered and the levels of fasting blood sugar (FBS), glucose 2 h postprandial (pp), and hemoglobin A1c (HbA1c) were measured. All risk factors were evaluated by using a questionnaire completed by the patients.
  
  
  RESULTS
  The average of HbA1c, FBS, and glucose 2 h pp was 7.33%, 159 mg/dl, and 233.03 mg/dl, respectively. In patients whose disease was controlled, the family history of the disease, the type of medication, and the visits to family physician had a significant association with disease control. The average mean of HbA1c among patients with controlled and uncontrolled disease was 5.93% and 8.63 % respectively.
  
  
  CONCLUSIONS
  Less stress, education, and weekly exercise had an essential role in controlling the disease in diabetic patients from the Northwest of Iran and noncompliance with the prescribed diet by the physician and lack of timely medicine intake were the main reasons for uncontrolled disease.
authors.affiliation: Department of Laboratory Sciences, Faculty of Paramedicine, Biotechnology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Asgharzadeh
authors.affiliation: Department of General Medicine, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Iran.
authors.forename: Sajjad
authors.initials: S
authors.lastname: Pourasghary
authors.affiliation: Laboratory Department, Emam Reza Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Behrooz
authors.initials: B
authors.lastname: Pourasghary
authors.affiliation: Department of Laboratory Sciences, Faculty of Paramedicine, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Manouchehr
authors.initials: M
authors.lastname: Nourazarian
authors.affiliation: Drug Applied Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Hossein Samadi
authors.initials: HS
authors.lastname: Kafil
keywords: Control; diabetes; effective factors; hemoglobin A1c; treatment