Cause and complications of

uncontrolled diabetes in type 2 patients

Author: Wareesha Urooj
Co-Authors: Mahrukh Khalid, Mehwish Waseen, Rimsha Nasir, Zara Irshad

Abstract
Background: Controlling blood glucose levels is essential in patients with diabetes to prevent long-term complications. Uncontrolled
blood glucose levels despite of diverse range of therapies is a major concern to be focused on in diabetic type II patients.
Objective: The purpose of this study is to determine the barriers to diabetes type II management in terms of patient's diet, disease and
treatment knowledge and compliance and to suggest measures and strategies to overcome them.
Methodology:
The main target and sources of the data were welfare trust hospitals. For this purpose a questionnaire was designed .It was an
observational study conducted on 50 patients with their consent to whom discussions were made. Results were generated on the basis
of recorded data and observations.
Result:
Reason of progressive complications in diabetes 2 patients is uncontrolled blood glucose levels due to deficiency of awareness
regarding diet and medication, poor self-management, non-compliance and rare visits to the physicians.
Conclusion: Collaborative work of healthcare providers is required in the management and control of type 2 diabetes.

Introduction
Diabetes is a metabolic disorder characterized by high
blood glucose levels due to lack of ability to produce
insulin by the body or insulin resistance or both of
these.(1) Diabetes, if not controlled, leads to various
chronic complications, such as neuropathy, kidney
disease, retinopathy and other vision disorders. (2) By
special care provision to the patients, these
consequences can be delayed or minimized.(3)
Methods
A comprehensive questionnaire was designed for
investigating the cause of uncontrolled diabetes.
The observation was carried out by interacting
individually with 50 type 2 diabetic patients having
fasting glucose levels >140mg/dL from different
welfare trust hospitals.

Results
The review carried out on self management, complications and education related to diabetes in type 2 patients shows that 88.20%
patients were satisfied with their therapy and 80.40% patients were explained about their disease and treatment by their physicians.
Despite this, patients are having consequences due to uncontrolled diabetes.

Complications EXERCISE
Neuropathy,
64.70%

Vision Daily
Hypertension,
41.20%
Disturbance, 19.60%
37.30% Do not
exercise Not
49.00% regularly
31.40%

MEASURES YES NO

Had Meal Plan 9.80% 90.2%

Had Diet Counseling 41.2% 58.80%

Had Medication Counseling 49% 51%

Discussion Conclusions
Uncontrolled diabetes results in early on set and Primary cause of uncontrolled diabetes and progressive
development of complications in patients. Despite the fact complications in type 2 patients is the scarcity of awareness
that physicians are providing sufficient healthcare delivery, about disease, treatment, diet and lack of motivation for
there is progress in complications like neuropathy, self-management that may be overcome by special care
hypertension and vision disturbances. The influential factors through collaborative work of health care providers
include inadequate awareness about disease related including physicians, dieticians, nurses and pharmacists.
consequences, poor self-management, and non-adherence to
the medication, which was disclosed by most of the
attendants of patients. There is a necessity of a team work of
healthcare providers in which physicians encourage patients Bibliography
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PHYSICIAN Patient DIETICIAN

PHARMACIST