Paper Title
Adherence To The American Diabetes Association Standards Of Care In Saudi Arabia, 2012

Abstract
AIM: To assess the adherence and achievement of the American Diabetic Association (ADA) Standard of Care for patients with type 2 diabetes Methods: cross-sectional retrospective epidemiological study conducted on 324 patients during the period (June-August 2012G) by reviewing the files of patients with diabetes type 2 attending the chronic disease clinic in a primary care center in SA. RESULTS: It was found that 54.9% of patients were males, 59% in the age group 40-<60 years and all had positive family of type 2 diabetes. (95.4%) had associated co-morbid. Among 64.5% of the patients with a mean BMI of 31.85�5.92. Desirable total cholesterol level and triglycerides were found among 73.5 % & 70.7 % of patients respectively. Optimal levels of LDL and high HDL levels were found among 37.3% & 17.9%, respectively. Foot and retinopathy screening were done among 64.8% & 49.7%, respectively .More than half of the patients (51.5%) were on both insulin and oral hypoglycemic drugs (OHD), 24.7% on insulin alone and 23.8% on OHD alone. The majority of patients (86.7%) were receiving Statins and ACE. 83.3%, 73.5% & 70.7% of patients had achieved controlled blood pressure, desirable cholesterol level, and desirable triglyceride level, respectively. About 35.5% had achieved HbA1C target. And only 12.3% & 5.2% of patients had normal BMI and fasting blood glucose level, respectively. CONCLUSION: Assessment of both the processes and outcome indicators showed variable percentage of achievement and adherence to the standard although it is satisfactory to some extent but improvements are necessary. [N. Al-Mousa, MBBS, SBFM, ABFM, CQIPS; A. Sabra. Adherence to the American Diabetes Association Standards of Care In Saudi Arabia, 2012. J Am Sci 2013;9(2):446-451]. (ISSN: 1545-1003). ttp://www.jofamericanscience.org. 61 Keywords- diabetes, quality, measures, Saudi Arabia