Quality of metabolic control in patients with diabetes type I

Background: Epidemiology studies show a strong relationship between glycemia and diabetic complications. In order to achieve a long term near normal glucose control, intensive insulin therapy isrequired. To reach this goal, patients should be guided by frequent self monitoring of blood glucose and measurement of HbAc1 three to four times per year. This study was designed in order to find the tools to achieve metabolic control in type I diabetic patients.
Methods: Medical records of 145 diabetic patients were evaluated and compared with world wide studies.
Findings: Among 145 subjects 11.7% were received intensive insulin therapy, 29.6% of them had a glucometer for frequent self monitoring of blood glucose and HbA1c was regularly determined in 33% of patients. Among the studied subjects, 48.5% of them had some form of dyslipidemia and 19.5% developed microalbuminuria.
Conclusions: Our findings indicated that our patients with type I diabetes are far from standard insulin therapy in comparison with other world wide studies (p<0.001). We need to develop alternative and simple strategies to improve the outcome. Education programs for diabetic patients and facilities such as complete insurance coverage for providing the best route for insulin therapy and monitoring of the patients are recommended.

Keywords
Diabetes type I , long-time complications , Blood glucose , Metabolic control , Insulin