Endocrine Abstracts

Introduction: Basic medical care to patients with diabetes mellitus (DM) in Kyrgyzstan is on the primary care level, in family medicine centers.

Methods: We have analyzed, in a random order histories of diseases of 928 outpatients observed and registered patients with diabetes in primary health care clinics, in Bishkek.

Results: The basic amount of patients were women 656 (70.7%), and men 272 (29.3%) respectively. The mean age was 63.8 (±10.5) in range 29–89 years. Glycemic status of patients was determined by following tests: fasting glucose, glucose 2 h after eating, and glycated hemoglobin (HbA1c). Examination of blood glucose was performed in all patients of our study after getting informed consent. The result of our study showed the mean value of glucose 8.71 mmol/l (±3.04), where we discovered 318 (34.3%) compensated patients vs 610 (65.7%) decompensated patients. Situation of blood glucose evaluation after a meal and HbA1c of patients with diabetes mellitus in Kyrgyzstan is in a poor condition, as primary care physicians do not pay enough attention to this analysis. In result of our investigation there were evaluated only 82 (8.84%) patients by blood glucose test after meal: which showed 5 (6.1%) – compensated and 77 (93.9%) – decompensated. No less important analysis is the evaluation of HbA1c which was examined only in 222 (23.9%) patients, with mean value of HbA1c – 8.44% (±3.7%), where we revealed 58 (26.1%) compensated patients vs 164 (73.9%) decompensated.

Conclusions: Thus, my results proved that the quality of primary care of diabetic patients in Kyrgyzstan requires improvement and perfection. It is recommended to introduce clear standards of diagnostic services.