@article{Dauod_2018, title={Glycemic control among type 2 diabetic patients attending the Family Medicine Health Center and the Diabetic Health Center in Erbil, Iraq: a comparative study}, volume={22}, url={https://zjms.hmu.edu.krd/index.php/zjms/article/view/593}, DOI={10.15218/zjms.2018.043}, abstractNote={<p><strong>Background and objective:</strong> Type 2 diabetes mellitus constitutes a universal growing community health problem particularly in developing countries. This study aimed to determine and compare the rate of the glycemic control and other biochemical parameters of type 2 diabetic patients treated in a primary health center and the diabetic center.</p> <p><strong>Methods:</strong> A cross-sectional study was carried out on a sample of 300 adult patient’s aged ≥18 years with type 2 diabetes who attended Brayati family medicine center and the diabetic center in Erbil city during the period from the 1<sup>st </sup>of January 2015 to the 28th of February 2016.</p> <p><strong>Results:</strong> The mean hemoglobin A1c among patients of the diabetes center was significantly higher than that among patients of the Brayati center (8.28% and 7.21%, respectively) (<em>P</em> <0.001) and the means of triglycerides, total cholesterol, and LDL were significantly higher among patients of the diabetes center compared with Brayati center (<em>P</em> <0.001). Half of the patients at Brayati center had controlled diabetes compared with only 24.7% of patients at the diabetes center (<em>P</em> <0.001), and 50% of the Brayati center sample had equal or more than three controlled risk factors compared with only one-quarter of the diabetes center sample (<em>P</em> <0.001). Logistic regression analysis showed that being a patient in Brayati center (compared with diabetes center) (<em>P</em> <0.001; OR = 3.1), diabetes duration of less than five years (<em>P</em> <0.001; OR = 3), and controlled lipid profile (<em>P</em> = 0.004; OR = 2.5) were significantly associated with diabetes control.</p> <p><strong>Conclusion: </strong>Type 2 diabetes can be effectively managed at primary health care, and good glycemic control can be achieved by a greater effort of the health care providers. Reorganizing primary care practice and shifting toward family medicine practice is necessary.</p>}, number={3}, journal={Zanco Journal of Medical Sciences (Zanco J Med Sci)}, author={Dauod, Ali Shakir}, year={2018}, month={Dec.}, pages={332–341} }