Introduction: Diabetes mellitus (DM) is a major public health problem. Evidence has shown
that aggressive control of hyperglycemia and associated risk factors reduces the risk of both
macro vascular and micro vascular complications.
Objectives: The aim of this study was to determine the proportion of diabetes patients
reaching the targets recommended by The American Diabetes Association (ADA) standards
for diabetes care.
Methods and Materials: This is a retrospective study, conducted at the diabetes outpatient
clinics at TMC. For 628 patients with diabetes with at least two clinic visits in the 24 months
before August 2010, we assessed measurement and control of HbA1c, blood pressure, and
lipid, the data were collected in a specially designed data sheet, and analyzed using SPSS
program. Results: 628 patients were studied. The mean age was 49.6±11.8years; average
duration of diabetes was 6.5±5.0years; The mean last HbA1c was 8.2±2.4%. 75.1%attained a
systolic blood pressure of <140 and 75.7%attained a diastolic blood pressure of <90 mmHg.
Only 30.8%had LDL cholesterol of < 100 mg/dl & 49.0%had a triglyceride level of < 150
mg/dl. The rate of annual foot examination, retinal examination screening, and urine micro
albumin screening were low Conclusions: This study demonstrates a low rate of diabetes
care targets achievement among patients with type 2 diabetes treated at TMC.
Keywords: Glycemic Control, Diabetes Type 2, Libya, TMC, targets, standards, quality of
care; Tertiary care