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Management and control of patients with type 2 diabetes mellitus in Lebanon: Results from the International Diabetes Management Practices Study (IDMPS)

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dc.contributor.author Azar S.T.
dc.contributor.author Malha L.P.
dc.contributor.author Zantout M.S.
dc.contributor.author Naja M.
dc.contributor.author Younes F.
dc.contributor.author Sawaya M.-T.
dc.contributor.editor
dc.date 2013
dc.date.accessioned 2017-10-05T15:40:17Z
dc.date.available 2017-10-05T15:40:17Z
dc.date.issued 2013
dc.identifier
dc.identifier.isbn
dc.identifier.issn 00239852
dc.identifier.uri http://hdl.handle.net/10938/17352
dc.description.abstract BACKGROUND : The IDMPS is a study to identify changes in diabetes treatment practice in several developing countries. This paper focuses on diabetes management and compliance with guidelines in a Middle Eastern country like Lebanon. METHODS : The cross-sectional data from the 2006 wave of two weeks duration on the Lebanese population along with the longitudinal data of a 9-month follow-up study were collected. RESULTS : A large proportion of Lebanese patients were not adequately controlled or followed up. A slight proportion was managed by diet and exercise alone while most patients were on two or more oral anti-hyperglycemics. Metformin was the most common monotherapy followed by sulfonylureas. 22.6percent of Lebanese patients were on insulin, most commonly basal insulin alone followed by premix insulin alone. Blood glucose self-monitoring was more frequently done by insulinized patients and was associated with better glycemic control. Glycemic control was reached in 29.6percent of type 2 patients (HbA1c 7percent) with poorest outcome for patients on insulin and was more frequently achieved in patients who had more frequent monitoring of HbA1c levels. CONCLUSION : For a proper assessment of diabetic control, maintaining adherence to international guidelines needs to be evaluated. Promoting patient education, improving physician knowledge with better implementation of guidelines is recommended.
dc.format.extent
dc.format.extent Pages: (127-131)
dc.language English
dc.publisher Lebanese Order of Physicians;
dc.relation.ispartof Publication Name: Journal Medical Libanais; Publication Year: 2013; Volume: 61; no. 3; Pages: (127-131);
dc.relation.ispartofseries
dc.relation.uri
dc.source Scopus
dc.subject.other
dc.title Management and control of patients with type 2 diabetes mellitus in Lebanon: Results from the International Diabetes Management Practices Study (IDMPS)
dc.type Article
dc.contributor.affiliation Azar, S.T., Department of Internal Medicine, Division of Endocrinology, American University of Beirut Medical Center, Beirut, Lebanon
dc.contributor.affiliation Malha, L.P., Department of Internal Medicine, Division of Endocrinology, American University of Beirut Medical Center, Beirut, Lebanon
dc.contributor.affiliation Zantout, M.S., Department of Internal Medicine, Division of Endocrinology, American University of Beirut Medical Center, Beirut, Lebanon
dc.contributor.affiliation Naja, M., Department of Internal Medicine, Division of Endocrinology, American University of Beirut Medical Center, Beirut, Lebanon
dc.contributor.affiliation Younes, F., Department of Internal Medicine, Division of Endocrinology, American University of Beirut Medical Center, Beirut, Lebanon
dc.contributor.affiliation Sawaya, M.-T., Department of Internal Medicine, Division of Endocrinology, American University of Beirut Medical Center, Beirut, Lebanon
dc.contributor.authorAddress Azar, S.T.; Department of Internal Medicine, Division of Endocrinology, American University of Beirut Medical Center, Beirut, Lebanon; email: sazar@aub.edu.lb
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Internal Medicine; Division: Endocrinology;
dc.contributor.authorDepartment Internal Medicine
dc.contributor.authorDivision Endocrinology
dc.contributor.authorEmail
dc.contributor.authorFaculty Faculty of Medicine
dc.contributor.authorInitials
dc.contributor.authorOrcidID
dc.contributor.authorReprintAddress
dc.contributor.authorResearcherID
dc.contributor.authorUniversity American University of Beirut Medical Center
dc.description.cited
dc.description.citedCount
dc.description.citedTotWOSCount
dc.description.citedWOSCount
dc.format.extentCount 5
dc.identifier.articleNo
dc.identifier.coden LMJJA
dc.identifier.pubmedID 24422361
dc.identifier.scopusID 84893412471
dc.identifier.url
dc.publisher.address
dc.relation.ispartofConference
dc.relation.ispartofConferenceCode
dc.relation.ispartofConferenceDate
dc.relation.ispartofConferenceHosting
dc.relation.ispartofConferenceLoc
dc.relation.ispartofConferenceSponsor
dc.relation.ispartofConferenceTitle
dc.relation.ispartofFundingAgency
dc.relation.ispartOfISOAbbr
dc.relation.ispartOfIssue 3
dc.relation.ispartOfPart
dc.relation.ispartofPubTitle Journal Medical Libanais
dc.relation.ispartofPubTitleAbbr J. Med. Liban.
dc.relation.ispartOfSpecialIssue
dc.relation.ispartOfSuppl
dc.relation.ispartOfVolume 61
dc.source.ID
dc.type.publication Journal
dc.subject.otherAuthKeyword Glycemic control
dc.subject.otherAuthKeyword HbA1c
dc.subject.otherAuthKeyword Lebanon
dc.subject.otherAuthKeyword Management
dc.subject.otherAuthKeyword Type 2 diabetes
dc.subject.otherChemCAS hemoglobin A1c, 62572-11-6
dc.subject.otherChemCAS insulin, 9004-10-8
dc.subject.otherChemCAS metformin, 1115-70-4, 657-24-9
dc.subject.otherChemCAS glycosylated hemoglobin, 9062-63-9
dc.subject.otherChemCAS Blood Glucose
dc.subject.otherChemCAS Hemoglobin A, Glycosylated
dc.subject.otherChemCAS Hypoglycemic Agents
dc.subject.otherChemCAS hemoglobin A1c protein, human
dc.subject.otherIndex hemoglobin A1c
dc.subject.otherIndex insulin
dc.subject.otherIndex metformin
dc.subject.otherIndex antidiabetic agent
dc.subject.otherIndex glycosylated hemoglobin
dc.subject.otherIndex hemoglobin A1c protein, human
dc.subject.otherIndex adult
dc.subject.otherIndex aged
dc.subject.otherIndex article
dc.subject.otherIndex blood glucose monitoring
dc.subject.otherIndex cross-sectional study
dc.subject.otherIndex diet
dc.subject.otherIndex exercise
dc.subject.otherIndex follow up
dc.subject.otherIndex glycemic control
dc.subject.otherIndex hemoglobin blood level
dc.subject.otherIndex human
dc.subject.otherIndex insulin dependent diabetes mellitus
dc.subject.otherIndex insulin treatment
dc.subject.otherIndex Lebanon
dc.subject.otherIndex longitudinal study
dc.subject.otherIndex major clinical study
dc.subject.otherIndex monotherapy
dc.subject.otherIndex multicenter study
dc.subject.otherIndex non insulin dependent diabetes mellitus
dc.subject.otherIndex observational study
dc.subject.otherIndex practice guideline
dc.subject.otherIndex treatment outcome
dc.subject.otherIndex blood
dc.subject.otherIndex developing country
dc.subject.otherIndex diabetic diet
dc.subject.otherIndex drug combination
dc.subject.otherIndex female
dc.subject.otherIndex glucose blood level
dc.subject.otherIndex male
dc.subject.otherIndex metabolism
dc.subject.otherIndex middle aged
dc.subject.otherIndex multimodality cancer therapy
dc.subject.otherIndex non insulin dependent diabetes mellitus
dc.subject.otherIndex patient compliance
dc.subject.otherIndex practice guideline
dc.subject.otherIndex Aged
dc.subject.otherIndex Blood Glucose
dc.subject.otherIndex Combined Modality Therapy
dc.subject.otherIndex Cross-Sectional Studies
dc.subject.otherIndex Developing Countries
dc.subject.otherIndex Diabetes Mellitus, Type 2
dc.subject.otherIndex Diabetic Diet
dc.subject.otherIndex Drug Therapy, Combination
dc.subject.otherIndex Female
dc.subject.otherIndex Guideline Adherence
dc.subject.otherIndex Hemoglobin A, Glycosylated
dc.subject.otherIndex Humans
dc.subject.otherIndex Hypoglycemic Agents
dc.subject.otherIndex Lebanon
dc.subject.otherIndex Longitudinal Studies
dc.subject.otherIndex Male
dc.subject.otherIndex Middle Aged
dc.subject.otherIndex Patient Compliance
dc.subject.otherKeywordPlus
dc.subject.otherWOS


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