HOW WELL IS TYPE 2 DIABETIC PATIENTS MANAGED (in regards to Diabetic Nephropathy) AT THE SOPD MEDICAL CLINIC, CWM HOSPITAL?

Diabetes Mellitus with renal impairment is a common diagnosis to encounter. It's the principal cause of End-stage renal failure at CWMH from August 2004 to August 2006 ESRD Admissions. Most of these ESRD patients did not receive hemodialysis due to financial constraints.
This study's aim was to assess quality of care given to type 2 diabetics at SOPD Medical Clinics, regarding diabetic nephropathy. It was a retrospective, descriptive study that looked at screening of microalbuminuria; glycemic control; SBP and DBP control; Enalapril dosage and usage; and lipid-lowering agent.
There were 105 Type 2 diabetics' folders among those who came in the month of July 2008. A data collection form was used to obtain the variables, and Epi info was use to analyze the data, including chi-square, degree of freedom and p value. Results showed that there was no screening of microalbuminuria at CWMH SOPD Clinics among the cohort. Most of patients had abnormal results, indicating that they had poor glycemic control and blood pressure control. Enalapril was used in 70% of the study population with different daily dosages. Commonest reason for not using Enalapril was not documented. Adherence to Guidelines is the best choice in the management of diabetes through aggressively control of glucose and blood pressure (DCCT/UKPDS); and usage of ACEI or ARB (BENEDICT and DETAIL).