Demonstration and assessment of the treatment of diabetic patients in the rural area of Paionia

Aim The aim of this study is to demonstrate the medical treatment of Diabetes Mellitus (D.M.) under which the diabetic population of Paionia is treated and the compliance of the patients in the treatment.

Material-Method We examined the medical files of a representative sample of diabetic greek adults who attended the General Hospital of Goumenissa. Patients were from 42 till 78 years old (Mean Age: 68, S.D.:16). From 480 diabetic patients (168 men/312 women) 108 (22,5%) had family history of D.M.

Results Concerning the treatment of diabetic patients 46 (10men/36women) were treated conservatively 36 received treatment only for after-lunch hyperglycemia 28 (6men/22women) with repaglinide and 8 female patients were treated with rosiglitasone. 72 (30men/42women) received diguanide, 136 (62men/74women) sulfonylurea, 66 (24men/42women) received a combination of diguanide and sulfonylurea and 98 (32men/66women) received insulin. We must add that 10 patients (2/8) received a combination of diguanide and repaglinide, 2 female patients a combination of diguanide and rosiglitasone, 8 patients (2/6) a combination of sulfonylurea and repaglinide, 2 female patients a combination of diguanide, sulfonylurea and repaglinide, 2 female patients received a combination of insulin and repaglinide and 2 female patients a combination of insulin and rosiglitasone.

Among these patients 306 had optimum glucose control and 174 had unbalanced glucose levels.

Conclusion This study demonstrated a sub-optimal follow-up. The prevalence of D.M. is much higher among women. In women treatment of D.M. is harder due to the lack of exercise, the daily stress, the denial on complying with our dietary instructions while a crucial role is displayed by the neglect of elder patients from their family.