Volume : 08, Issue : 06, June – 2021

Title:

03.ASSESSMENT OF MANAGING PREDIABETES IN PRIMARY HEALTH CARE IN RIYADH REGION

Authors :

Fahad Khalid Albahili, Faisal Fahad Alomari, Khaled Alnashmi Alanazi

Abstract :

Aim: To assess the knowledge of PCPs on the current prediabetes guidelines, their evaluation of current lifestyle and pharmacological interventions and identify the gap between recommendations and practices.
Methods: A cross-sectional study was conducted using a survey questionnaire that was distributed to PCPs in primary health care centers in Riyadh, Saudi Arabia. The survey questionnaire included questions on the PCPs knowledge of risk factors warranting screening for prediabetes, required laboratory tests, management practices, attitudes and beliefs regarding prediabetes and its management.
Results: A total of 225 PCPs participated in the survey, 133 (59.1%) males and 92 (40.9%) females, 190 (84.4%) were Saudis. One hundred and fifty-seven (69.8%) of the respondents were family medicine residents. There were only 49 (21.8%) of respondents who identified all 8 possible risk factors. Only 8 of 10 respondents correctly answered the upper and lower limit of FBS and HbA1c. Majority (>95.0%) of the respondents recommended weight loss, diet modification and exercise for prediabetes, but only 182 (80.9%) recommend metformin as part of the management for prediabetes. Eight-one respondents (36.0%) considered aggressive management for prediabetes. Seven in 10 respondents believed that interventions such as more time for doctors to spend counselling patients, provision of more educational resources, improved access to diabetes prevention programs, improved nutrition resources and improved weight loss programs will improve the management and treatment of prediabetic patients. There were no significant differences in the knowledge of risk factors and management across gender, nationality, length of experience, and specialty.
Conclusion: This study shows a substantial gap in the knowledge to practices and attitudes of our PCPs in the screening and management of prediabetes. There is a need for an institutional reform to update and educate PCPs on the screening guidelines set by reputable organizations such as the ADA to translate knowledge into good clinical practice and attitude. There is also a need to address the PCPs concern on the potential interventions and programs that they deemed necessary to improve the management and treatment of prediabetic patients.
Keywords: prediabetes, management, knowledge gap, primary health care, practice guidelines

Cite This Article:

Please cite this article in press Fahad Khalid Albahili et al., Assessment Of Managing Prediabetes In Primary Health Care In Riyadh Region.., Indo Am. J. P. Sci, 2021; 08(06).

Number of Downloads : 10

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