Managing diabetes mellitus in a Lebanese primary care centre. Working towards change.

S. Major, I. Salti, A. Masri, W. Van Lerberghe, M. Boelaert, M. Khogali

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)


OBJECTIVES: Demand for medical care in Lebanon is dominated by diseases, such as diabetes. Quality of documentation of care given to these patients in a primary care centre, prior to and after introducing a diabetes initiative (DI) is reported. METHODS: Chart audit of diabetic patients attending an inner city health centre in Beirut, during 1/6/94-30/8/96 was conducted. DI was introduced in 1/1/97, and audit repeated six months later. RESULTS: First and second audits identified 213 and 162 patients respectively. Audit I showed poor recording for almost all parameters; example: family history (3%), smoking status (11%), hypertension (9%), dyslipidaemia (4%), BMI (nil), blood pressure (46%), foot exam (16%), HbA1c (nil), serum cholesterol and triglyceride (27%) and urine analysis (12%). Audit II revealed an improvement in the recording of most parameters, risk factors such as: smoking status, hypertension, hyperlipidaemia (98-99%), physical examination: BMI (39%), foot and peripheral circulation (91-92%), blood pressure (87%). Over half the patients had undergone a complete metabolic workup. CONCLUSION: Over the short period of time, there appears to have been an important improvement in the documentation of medical care for these diabetic patients. Effects of this change in terms of clinical outcomes is currently being assessed.

Original languageEnglish
Pages (from-to)182-188
Number of pages7
JournalLe Journal médical libanais. The Lebanese medical journal
Issue number4
Publication statusPublished - 1998
Externally publishedYes

ASJC Scopus subject areas

  • General Medicine


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