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In Turkey, only 55% of patients with type 2 diabetes have been diagnosed, and 91% of these patients have been receiving treatment. The rate of patients reaching the treatment target is 50%. The pandemic has also affected diabetic patients. It is aimed to determine the characteristics of patients with type 2 diabetes (HbA1c >=10) with poor metabolic control and to evaluate the extent to which metabolic control can be achieved in 12 months.
Patients who applied to Istanbul Medeniyet University Goztepe Prof. Dr. Suleyman Yalcin City Hospital Diabetes Polyclinics and have an HbA1c levels of >= 10% in their examinations will be admitted to the study. Detailed history, including medication usage and previous blood tests will be questioned. The patients will be asked to complete questionnaires about their eating patterns (mindful eating questionnaire), their physical activities (General practice physical activity questionnaire), and whether the participants have depression (Beck depression questionnaire). Anthropometric measurements will be taken, and biochemical data will be recorded. Patients will be grouped according to their previous HbA1c values as a) newly diagnosed, b) those whose diabetes was previously controlled, c) those whose diabetes was previously not at the target range but now worsened, and d) those whose diabetes was poorly controlled from the beginning. Diabetes follow-up will be continued by their respective physicians. The patients will be called again three months after their enrollment to record the most recent biochemical data. Patient characteristics (age, gender, educational status, depression status, eating awareness, exercise characteristics) will be evaluated in accordance with the predetermined HbA1c groups. Again, according to the patient groups, the difference in HbA1c after three months, the frequency of reaching the target, and possible factors associated with the findings will be evaluated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Newly diagnosed diabetes | Patients who have been diagnosed with type 2 diabetes within a month | ||
| Had controlled diabetes before | Patients who had at least two HbA1c levels =<%7,5 before enrollment | ||
| Had moderately uncontrolled diabetes | Patients who had at least two HbA1c levels between %7,5 and %9,49 before enrollment | ||
| Had poorly controlled diabetes | Patients who had at least two HbA1c levels above %9,5 before enrollment |
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| Measure | Description | Time Frame |
|---|---|---|
| Changes in HbA1c levels after 12 months treatment | Changes in HbA1c levels after 12 months treatment according to the predetermined HbA1c groups. | twelve months |
| percentage of patients who reached the HbA1c target of equal to or below 7% | Comparison of the patient groups in their success in reaching the HbA1c target of equal to or below 7% | twelve months |
| Measure | Description | Time Frame |
|---|---|---|
| The effect of education on the HbA1c changes | Educational status may have an impact on HbA1c reduction. Participants who have reached the HbA1c target are compared in terms of their educational level and those who have not. | twelve months |
| The effect of depression on the HbA1c changes |
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Inclusion Criteria:
Exclusion Criteria:
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Patients who have been diagnosed
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| Name | Affiliation | Role |
|---|---|---|
| Ayse N Erbakan | Goztepe Prof Dr Suleyman Yalcın City Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Istanbul Goztepe Prof. Dr. Suleyman Yalcin City Hospital | Istanbul | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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The Beck Depression Index will be used to compare participants who reach the HbA1c target and those who do not |
| twelve months |
| The effect of the level of physical activity on the HbA1c changes | Physical activity is graded into 4 levels. Levels will be compared in participants who reach target HbA1c level and who do not | twelve months |
| The effect of weight loss on the HbA1c changes | The effect of weight loss on reaching HbA1c target of 7% will be compared | twelve months |
| D004700 | Endocrine System Diseases |