Research shows gaps in SA's diabetes management programme

Most people living with diabetes in South Africa access treatment and care in primary healthcare facilities. Unfortunately, the clinics are often congested and patients have to wait in long queues to receive their medication during their monthly visits. To address these challenges, the National Department of Health initiated a programme in 2014 to improve access to medication and patient adherence.

We conducted an audit of the medical records of people with type 2 diabetes who were enrolled in the centralised chronic medicine dispensing and distribution programme at 23 primary healthcare facilities in the Tshwane District of the country’s capital city. The aim was to assess how well the patients were doing at the time. We looked at the most recent test results recorded in their files, namely, blood pressure and blood cholesterol.

To ensure that patients benefit fully from this programme, the selection criteria should be revised. Instead of using Fasting Plasma Glucose to determine whether a patient qualifies, the HbA1c should be used. Fasting Plasma Glucose is not a reliable indicator of how well a person with diabetes is doing because it measures blood sugar levels at a single point in time. In contrast, HbA1c provides an indication of blood sugar concentrations over the previous two to three months.

Diabetes is very curable with regular and diligent exercise... it's not a terminal illness as its made out to be... treatable and very curable without medication...everything in S.S.A is extensively exaggerated!

That's very true

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