Table 2 Diabetes care practices among primary care physicians in Southeast Nigeria
Diabetes Care Domain | Number (n = 64) | Percent (%) |
|---|---|---|
Clinical evaluation of new DM patients | ||
Blood pressure | 64 | 100.0 |
Body mass index | 14 | 21.9 |
Waist circumference | 9 | 14.1 |
Foot examination | 12 | 18.8 |
Laboratory evaluation of new DM patients | ||
Urinalysis | 49 | 76.6 |
Glycated hemoglobin (A1c) | 17 | 26.5 |
Electrolytes, urea and creatinine | 48 | 75.0 |
Lipid profile | 44 | 68.8 |
Electrocardiogram | 13 | 20.3 |
Counseling provided to DM patients | ||
Lifestyle modification | 54 | 84.4 |
Hypoglycemia | 25 | 39.1 |
Medication adherence | 51 | 79.7 |
Self monitoring of blood glucose | 19 | 29.7 |
Foot care education | 18 | 28.1 |
Glycemic and cardiometabolic monitoring | ||
Fasting glucose | 64 | 100 |
Post prandial glucose | 19 | 29.7 |
Glycated hemoglobin (A1c) | 11 | 17.2 |
Weight | 20 | 31.3 |
Screening for complications | ||
Annual Serum creatinine | 15 | 23.4 |
Annual lipid profile | 18 | 28.1 |
Annual dilated eye examination | 14 | 21.9 |
Annual microalbuminuria testing | 0 | 0 |
Annual comprehensive foot examination | 8 | 12.5 |
Referral to diabetologist | ||
For poor glycemic control | 20 | 31.3 |
When complications are detected | 29 | 45.3 |
When complications are advanced | 50 | 78.1 |
Others | ||
Screen asymptomatic adults for diabetes in routine practice | 37 | 57.8 |
Desire periodic diabetes management workshop | 61 | 95.3 |