In the pilot phase included 381 patients with mean age of 57.54 ± 12.12 years and most them were old adult. Also, 67.5% of patients were female and 85.3% of subjects among the population were married. In total, 17(4.5%) of subjects were cigarette and/or opium and/or water pipe users. The majority of patients did not have regular job and income. The details of baseline demographic variables of the patients are reported in Table 1.
Table 2 shows the most of the patients have DM type 2 (94.5%) and more than half have hypertension also, more than 70 % of patients have Overweight or obese. Sixty-three percent of the patients had a positive family history of DM in their first relatives, and hypertension with 43.3% had the first rank among past medical histories. More than 90% of our patients did not have a history of admission to hospital, but in those with a positive admission history, a range of some other background diseases were found. More details on the medical records of our patients are presented in Table 2.
In Table 3, the scales of adherence to self-care in patients are presented. More than 60% of subjects respected to do regular laboratory test and the annual eye exam had the second rank self-care factor with 60% frequency, which was followed by daily foot exam (58.3%), self-capillary plasma glucose monitoring (56.0%) and regular physician visit (52.0%), respectively.
Table 4 presented the details anthropometric values, blood pressure in sitting and supine position, heart rate, and raspatory rate. So, the average of the BMI, systolic blood pressure, and diastolic blood pressure in sitting position was 28.17 ± 5.12 kg/m2, 127.31±16.52 mmHg, and 79.72±8.94 mmHg, respectively.
The primary symptoms and their duration that were guided to diagnoses DM shows in Table 5
Polydipsia and polyuria were most frequent symptoms Moreover, 43.6% of the patients had two symptoms before being diagnosed with DM, and the majority of patients had symptoms of DM less than six months.
The baseline laboratory values and glucose statistics and target of the patients demonstrated in Table 6 and Table 7, respectively. The mean of pre and post prandial plasma glucose higher than normal range and more 60 % of patients were higher than target range moreover A1C showed their PG were high in three months ago. Also, the lipid profile showed the men the triglycerides was high. The renal function of patients was mild distributed.
Table 7 presents the treatment regimen of our patients. In total, 145 (38.1% of the) subjects used insulin, and 312(81.9%) of patients used oral agents. LANTUSâ (Insulin glargine) was most common, that used by 74 (19.5%) of subjects. Then, came the following insulins, 67 (17.6%), 45 (11.8%), 15 (3.9%), 11 (2.9%), 9 (2.4%), and 1(0.3%) of patients used NovoRapidâ (insulin aspart), NovoMix® (biphasic insulin aspart 30/70), Toujeo® (insulin glargine injection), Apidra® (insulin glulisine), and LEVEMIR® (insulin detemir), respectively. In oral medications, more than half patients used metformin as the most frequent oral agent. Two oral agents were the most popular regimen in our patients, however one oral agent (32.3%) regimens was second common strategy treatment.