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Ibrahim Alali and Bachar Afandi
Damascus University, Damascus, Syria United Arab Emirates University, UAE
ScientificTracks Abstracts: J Endocr Disord Surg
Background: In Syria, a country at war for one-decade, medical care has been severely affected by shortages in medications, resources, food, and physicians. Objectives: This study reviews the quality of care for patients with type-1 diabetes (T1D) receiving treatment in a private endocrinology service in Raqqa City, Syria. Patients and Method: A cross-sectional medical record review for patients with T1D followed-up at a private clinic run by a certified endocrinologist in Raqqa, Syria. All medical records were evaluated for patients’ characteristics and multiple diabetes care indicators. Results: One hundred and ninety-seven patients with T1D were evaluated; 109 (55.3%) patients were females. The median age of participants was 16 (1.7–42) years, median duration of diabetes was 4 (0–27) years, and mean hemoglobin was A1C, 9.1% (8.7–9.5%). One hundred and twenty-five (63.5%) patients used premixed insulin. Eighty-one (42.4%) patients performed regular self-monitoring of blood glucose (SMBG) at least twice daily. Episodes of hypoglycemia and diabetic ketoacidosis (DKA) were reported in 62.4 and 54.4% of patients, respectively. There were significant correlations between the incidence of DKA and female gender and premixed insulin regimens. Conclusion: In this private endocrine practice in Raqqa City, Syria, the majority of patients are treated with premixed insulin. Only a minority have their glycosylated A1c monitored regularly. Our unprivileged population is poorly controlled with increased risk of hypoglycemia and admissions with diabetic ketoacidosis. Recent publications: 1. Diagnostic Dilemma in Two Cases of Hyperandrogenism DOI:10.1155/2018/9041018 2. Comparison between Fine Needle Aspiration Cytology of Thyroid Nodules and Histology after Surgical Excision DOI:10.16966/2380-548X.152 3. Two Cases of Pituitary Stalk Interruption Syndrome in Syrian Children DOI:10.1155/2020/2039649.
Ibrahim Alali graduated from Damascus university 2018 with Master's degree in endocrinology. He is working in a my private clinic preparing a research in Autoimmune disease prevalence in type 1 diabetes.
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