Effective factors in controlling diabetes progression among patients in the northwest of Iran

Diabetes is the  fth leading cause of death in the world. Hence, we investigated the factors affecting disease control
among diabetic patients referred to Imam Reza Hospital (central hospital in the Northwest of Iran). Materials and Methods: One hundred
and eight diabetic patients were evaluated. Patient’s main medications including insulin, metformin, glibenclamide, and glytazon were
registered and the levels of fasting blood sugar (FBS), glucose 2 h postprandial (pp), and hemoglobin A1c (HbA1c) were measured. All
risk factors were evaluated by using a questionnaire completed by the patients. Results: The average of HbA1c, FBS, and glucose 2 h
pp was 7.33%, 159 mg/dl, and 233.03 mg/dl, respectively. In patients whose disease was controlled, the family history of the disease,
the type of medication, and the visits to family physician had a signi cant association with disease control. The average mean of HbA1c
among patients with controlled and uncontrolled disease was 5.93% and 8.63 % respectively. Conclusion: Less stress, education, and
weekly exercise had an essential role in controlling the disease in diabetic patients from the Northwest of Iran and noncompliance with
the prescribed diet by the physician and lack of timely medicine intake were the main reasons for uncontrolled disease