Sapporo Medical Journal

Abstract : Introduction: Diabetes mellitus is one of the major risk factors for cardiovascular disease. In Malaysia, a significant portion of diabetic patients being managed in the primary care setting. However, there is a lack of study done, particularly in the primary care setting in terms of the effect of glycaemic control intensification and early diabetic complications detection. Therefore, this study aims to establish a diabetes clinic in a private medical clinic in Muar, Malaysia, to create better awareness of diabetes, improving the overall glycaemic control, delays complications and subsequently improves the quality of life. Methodology: This is a cross-sectional study done on twenty-two diabetic patients over six months. Pre and post values of fasting blood sugar (FBS), glycated haemoglobin (HbA1c), lipid profile and other parameters were taken for comparison, mainly to determine improvement in glycaemic control. A diabetes awareness day was organized before starting the study to improve patient knowledge and awareness. Results: The study showed improvement in glycaemic control, especially in obese diabetic patients with a mean improvement of HbA1c by 1.4% over six months. A slight improvement was seen in the lipid parameters; however, paired t-test done indicates no much difference in the pre and post-intervention for all lab parameters Conclusion: This study showed that having an awareness campaign and a dedicated diabetes clinic can improve patient’s glycaemic control. Fur