General medical practitioners in Pakistan fail to educate patients adequately about complications of diabetes. A major cause of concern for a developing country

The prevalence of diabetes in Pakistan is one of the highest reported worldwide. Proper education of patients regarding strategies to prevent complications of diabetes is an essential component of good management of diabetes. We conducted this study to determine the approach of general practitioners towards the management of diabetes. We carried out a cross-sectional survey of 100 randomly selected GPs from urban cities of Pakistan. A rigorously developed questionnaire was administered and contained questions on (1) diagnostic criteria, (2) health education, and management of a patient by non-pharmacological and (3) pharmacological treatment, and (4) appropriate referral of the patients to specialists. In total, 100 GPs were approached, and all consented to enrol; 70% were male. The average number of patients seen at each clinic was 30 patients per day, Only 38% of the GPs used the correct level of fasting blood glucose (≥ 126mg/dl) as the cut-off for diagnosing diabetes. The majority of GPs did not adequately educate their patients. Only 65% of the GPs interviewed gave advice about exercise, 38% about weight reduction, 26% about foot care, 26% about the complications, 9% about insulin use, 20% about hypoglycaemic events, and 23% about smoking cessation. It was concluded that GPs in Pakistan under-diagnose and under-educate patients with diabetes. Our findings highlight the need for appropriate diagnosis and management of diabetes, and prevention of its complications. Copyright © 2006 John Wiley & Sons, Ltd.

Duke Scholars

Author Tazeen Hasan Jafar Duke Global Health Institute