title: DiabCare 2013: A cross-sectional study of hospital based diabetes care delivery and prevention of diabetes related complications in Malaysia.
abstract: The aim of the study was to re-evaluate the relationship between hospital based diabetes care delivery and prevention of complications.
  
  
  
  DiabCare is an observational, non-interventional, cross-sectional study of hospital-based outpatient diabetes care.
  
  
  
  A total of 1668 patients participated in the study: mean age 57.8 ± 11.0 years, duration of diabetes 13.0 ± 8.6 years, and duration of insulin treatment 5.6 ± 5.5 years. Mean weight was 74.3 ± 16.6 kg (BMI 29.1 ± 5.8 kg/m2). The majority of patients were female (53.6%) and the largest ethnic group was Malay (51.3%), followed by Indian (21.9%) and Chinese (20.1%). The percentage of patients with HbA1c < 6.5% (< 42 mmol/mol) and < 7.0% (< 53 mmol/mol) was 12.2% and 23.8%, respectively (mean HbA1c 8.52 ± 2.01% [70 ± 22 mmol/mol]). The proportion of patients using insulin was 65% at a total daily dose of 60 ± 37 IU. One or more episodes of hypoglycaemia were reported by 39% (n=658) of patients within the previous three months. The risk of any hypoglycaemia was associated with the use of insulin (odds ratio [OR 3.26, 95% CI 2.59-4.09]), and total daily insulin dose (OR 1.04, 95% CI 1.01-1.07 per 10 IU increase). Mean HbA1c had not changed significantly between DiabCare cohorts 2008 and 2013 (p=0.08).
  
  
  
  Despite evidence of improving processes of diabetes care, glycaemic control and the prevalence of many diabetes related complications were unchanged.
authors: Universiti Sains Malaysia, Kota Bharu, Malaysia. mafauzy@usm.my.
authors: M
authors: M
authors: Mafauzy
authors: Hospital Putrajaya, Putrajaya, Wilayah Persekutuan Putrajaya, Malaysia.
authors: H
authors: H
authors: Zanariah
authors: Novo Nordisk Pharma Operations (BASEA) Sdn. Bhd, Kuala Lumpur, Malaysia.
authors: A
authors: A
authors: Nazeri
authors: Universiti Malaya Medical Centre, Kuala Lumpur, Malaysia.
authors: S P
authors: SP
authors: Chan
mesh_terms: D000368:Aged; D001786:Blood Glucose; D003430:Cross-Sectional Studies; D003695:Delivery of Health Care; D048909:Diabetes Complications / Q000628:therapy*; D003920:Diabetes Mellitus / Q000175:diagnosis / Q000188:drug therapy*; D005260:Female; D006442:Glycated Hemoglobin; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D007328:Insulin / Q000627:therapeutic use*; D008296:Malaysia; D008875:Middle Aged
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents; D007328:Insulin