title: Five-year comparison of diabetic control between community diabetic center and primary health-care centers.
abstract: BACKGROUND
  Hyperglycemia is the most important factor for development of complications. A high level of hemoglobin A1c (HbA1c) is linked with such complications of diabetes.
  
  
  OBJECTIVE
  The aim of this study was to compare diabetic care between community diabetic center (CDC) and primary health centers.
  
  
  METHODS
  This was a retrospective cohort study conducted at King Abdulaziz Medical City for National Guard Health Affairs at Riyadh, Saudi Arabia.
  
  
  METHODS
  Data were retrieved from electronic medical records for diabetes mellitus Type 2 patients who were treated at two settings: CDCs and primary healthcare.
  
  
  METHODS
  SPSS (V21) was used to analyze the univariate and bivariate analysis, Student'st-test for continuous variables and Chi-square test for binary variables were used.Pvalue was set as statistically significant if it is <0.05.
  
  
  RESULTS
  The mean difference for HbA1c from first to last visits increased significantly +0.2 ± 1.67 withP= 0.002 while the low-density lipoprotein (LDL) on the other way around improved by decrease of -0.159 ± 0.74 andP< 0.000. Body mass index (BMI) among the sample increased by +0.134 ± 1.57 with no significant,P= 0.078. Among the sample, 39.5% improved their HbA1c while 56.8% deteriorated and 3.6% of the samples' readings remain the same. 55.3% of the sample improved in LDL and 52.4% in the high-density lipoprotein while 53.7% improved in triglycerides. The BMI was improved among 43.4% of diabetic patients.
  
  
  CONCLUSIONS
  The 5-year management of diabetic patients failed to improve the A1c or BMI, at both CDC and primary health-care centers.
authors.affiliation: Department of Family Medicine and Primary Healthcare, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia; National and Gulf Center for Evidence Based Health Practice, College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, Kingdom of Saudi Arabia; King Abdullah International Medical Research Center, Riyadh, Kingdom of Saudi Arabia.
authors.forename: Mazen S
authors.initials: MS
authors.lastname: Ferwana
authors.affiliation: King Saud University, Riyadh, Kingdom of Saudi Arabia.
authors.forename: Abdulaziz
authors.initials: A
authors.lastname: Alshamlan
authors.affiliation: National and Gulf Center for Evidence Based Health Practice, College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, Kingdom of Saudi Arabia; King Abdullah International Medical Research Center, Riyadh, Kingdom of Saudi Arabia.
authors.forename: Wedad
authors.initials: W
authors.lastname: Al Madani
authors.affiliation: Department of Family Medicine and Primary Healthcare, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia; National and Gulf Center for Evidence Based Health Practice, College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, Kingdom of Saudi Arabia; King Abdullah International Medical Research Center, Riyadh, Kingdom of Saudi Arabia.
authors.forename: Bader
authors.initials: B
authors.lastname: Al Khateeb
authors.affiliation: Department of Community and Environmental Health, College of Public Health and Health Informatics King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia.
authors.forename: Amen
authors.initials: A
authors.lastname: Bawazir
keywords: Body mass index; diabetes center; diabetes mellitus; diabetic control; hemoglobin A1c; primary healthcare