PREVELANCE OF GLYCEMIC CONTROL IN EGYPT.

Background:- Diabetes mellitus (DM) is a metabolic disorder characterised by chronic high blood glucose levels with disturbance of carbohydrate, fat and protein metabolism resulting from defects in insulin secretion, insulin resistance or both. The global prevalence of DM among adults aged 20?79years would increase from 6.4% (affecting 285 million adults) in 2010 to 7.7% (439 million adults) by 2030. From year 2010 to 2030, there would be a 69% increase in numbers of adults with DM in developing countries and a 20% increase in developed countries. Studies by (Porapakkham et al.,2008) and (Margaret et al.,2013) the proportions of population affected by DM were increasing inthe countries, which have higher proportion of ageing societies. The prevalence of diabetes was lowest (8.5%) in the 30?39age group and increased steadily with age to 22.7% for those who were more than 60 years old. Therefore, the burden due to DM is likely to rise steadily in because of population ageing Results:- Of all patients the percentage of type 1 DM was 35.5% and type 2DM was 64.5% Of all the patients with DM, 56.4% reported the use of oral hypoglycemic agents,(43.6%) insulin with or without combination therapy Assessment of medical history showed that 18.6% of patients had hypertension , 9.6% of patients had dyslipidemia , 8.5% of patients had liver disease (50% fatty liver -20% hepatitis c positive - and10% cirrhosis) ,4.3% of patients had hypothyrodism .and 59% has no association Conclusion:- the proportion of patients with poor glycemic control was high, which is nearly comparable to that reported from many countries. Longer duration of diabetes, and not adherent to diabetes selfcare management behaviors were associated with poor glycemic control. An educational program that emphasizes lifestyle modification with importance of adherence to treatment regimen would be of great benefit in poor glycemiccontrol see more