Objectives
Assess and evaluate the diabetes patients care at Uva Wellassa
(Bibila)
1. Glycaemic control status
2. Prevalence of Diabetes Complications
Study Sample
All the registered Diabetes patients at Bibila District hospital
irrespective of age, sex and ethnicity
Methodology
To gather the patients, the message was disseminated to the
community through the public address system with the assistance
of MOH, Bibila.
All the patients were requested to attend
to the special Diabetes clinic at Bibila District Hospital
on 22nd Nov. with the latest Fasting Blood Sugar report (FBS
within the 30 days from the day of screening).
The patients who were not brought the FBS,
the blood sugar level assessed on the spot at the time of
complication screening.
During the programme out of 50 patients
whom were selected randomly subjected to HbA1c level assessment
and another randomly selected 302 patients were assessed with
Serum Creatinine level.
All the diabetes patients were screened
for diabetes complications such as peripheral neuropathy,
peripheral vascular disease, retinopathy and hypertension
Diabetes retinopathy were screened by the
consolation eye surgeon after papillary dilatation through
the “slit lamp”. Peripheral neuropathy were screened
by using the Weinsteine monofilament.
Full assessment of peripheral vascular
disease for each and every patient were performed by the consultant
surgeon.
Patients oral hygiene with special relevance
to periodontitis and gingivitis were screened by dental surgeon.
All the patients were educated about the
diabetes and its complications healthy lifestyle, diet advice,
etc by the specially trained nurses from the Monaragala Diabetes
clinic.
Every patients were offered with low sugar
plain tea and brand crackers as a refreshment in this regard
special refreshment and health education center established
by the nursing officers from the Monaragala Diabetes clinic
at the programme venue.
Specimens of Sugar cane jaggery (In
Uwa Wellassa jaggery is commonly using by the villagers as
a sugar substitute for plain tea drinking and people were
also in the belief that jaggery is safer than sugar in blood
sugar control.) also displayed and patients were convinced
that the jaggery is equally bad as sugar in diabetic.
Health information leaflets related to
diabetes diet foot care and diabetes retinopathy were also
distributed each and every patients at the end of the group
discussion about the disease.
Regional director of health services Dr.
V T S K Siriwardena and Director of the District Hospital at
Monaragala Dr. V S Weerasinghe were also attended to this
mass screening programme.
Follow up
Selected patients were subsequently referred to Monaragala
District Hospital and Colombo General Hospital and Eye Hospital,
Colombo and dental institute of Colombo for further management.
Outcome
Regional director of Health services Dr. V T S K Siriwardena
requested and asked us to coordinate and implement more programmes
in Monaragala District in future also. And he assured his
cooperation and assistance in this regard. |
