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Year : 2018  |  Volume : 6  |  Issue : 1  |  Page : 34-39

Achievement of 3B goals among T2DM patients: An experience from Central Nepal

Department of Internal Medicine, Kathmandu University Hospital, Dhulikhel, Nepal

Correspondence Address:
Hari Kumar Shrestha
lecturer, Department of Internal Medicine, Kathmandu University Hospital, Dhulikhel, P.O. Box No.: 11008
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/JSHD.JSHD_29_17

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Background: Management of type 2 diabetes mellitus (T2DM) requires comprehensive control of three metabolic parameters: blood glucose, blood pressure (BP), and blood lipid commonly known as 3B. We studied the prevalence of patients reaching the 3B goals in Nepalese context. Materials and Methods: Patients aged 30 years or above who presented in Dhulikhel Hospital outpatient clinic of internal medicine department of Dhulikhel Hospital with a diagnosis of T2DM diagnosed at least for 6 months were enrolled in this cross-sectional, observational study. Patients with any major illness, surgery, or diabetic ketoacidosis in last 6 months, use of glucocorticoids, post-transplant diabetes, and gestational diabetes were excluded. The study was conducted during the period between January 2015 and June 2015. Chi-square test was used to compare qualitative variables. The nonparametric test (2 independent sample tests) was used for quantitative variables. Results: One hundred and fifty study participants had a mean age of 56±11.88 years, body mass index of 23.97 4.72kg/m2, and an HbA1c of 8.02±1.78%. The proportion of patients with good glycemic control (HbA1c <7%) was 30%. Only 26% patients had achieved targets for both systolic and diastolic BP (<130/80) and 35% patients had achieved the target of LDL less than 100. In this study, 32 (21.33%) patients had control of blood glucose and blood lipid, whereas 26 (17.33%) patients had control of blood glucose and BP. Likewise, only 19 (12.67%) patients met the target of blood glucose, BP, and blood lipid control. Conclusion: Our data showed that only 13% of patients achieved the 3B goals. Our study highlights the urgent unmet need, to improve the quality of diabetes care in our center which may be a representative of the country.

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