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DOI: 10.1055/s-0038-1676189
Achievement of 3B goals among T2DM patients: An experience from Central Nepal
Publication History
Received: 18 August 2017
Accepted: 02 December 2017
Publication Date:
22 November 2018 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00041241/201801/lookinside/thumbnails/10-1055-s-0038-1676189-1.jpg)
Background:Management of type 2 diabetes mellitus (T2DM) requires comprehensive control of three metabolic parameters: blood glucose, blood pressure (BP), and blood lipid commonly known as 3B. We studied the prevalence of patients reaching the 3B goals in Nepalese context.
Materials and Methods:Patients aged 30 years or above who presented in Dhulikhel Hospital outpatient clinic of internal medicine department of Dhulikhel Hospital with a diagnosis of T2DM diagnosed at least for 6 months were enrolled in this cross-sectional, observational study. Patients with any major illness, surgery, or diabetic ketoacidosis in last 6 months, use of glucocorticoids, post-transplant diabetes, and gestational diabetes were excluded. The study was conducted during the period between January 2015 and June 2015. Chi-square test was used to compare qualitative variables. The nonparametric test (2 independent sample tests) was used for quantitative variables.
Results:One hundred and fifty study participants had a mean age of 56 ± 11.88 years, body mass index of 23.97 4.72kg/m 2, and an HbA1c of 8.02 ± 1.78%. The proportion of patients with good glycemic control (HbA1c >7%) was 30%. Only 26% patients had achieved targets for both systolic and diastolic BP (>130/80) and 35% patients had achieved the target of LDL less than 100. In this study, 32 (21.33%) patients had control of blood glucose and blood lipid, whereas 26 (17.33%) patients had control of blood glucose and BP. Likewise, only 19 (12.67%) patients met the target of blood glucose, BP, and blood lipid control.
Conclusion:Our data showed that only 13% of patients achieved the 3B goals. Our study highlights the urgent unmet need, to improve the quality of diabetes care in our center which may be a representative of the country.
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