MEDICINSKI GLASNIK

210
Medicinski Glasnik, Volumen 6, Number 2, August 2009
Clinical review of lipids control level for Diabetes Mellitus type 2
patients done by Family Medicine Teams in Zenica, Bosnia and
Hercegovina
Larisa Gavran 1 , Selmira Brkić 2
1 Family Medicine Teaching Centre Travnička, Health Centre Zenica, 2 Medical Faculty University of Tuzla; Bosnia and Herzegovina
ABSTRACT
Aim To assess the effect of the implementation of the guidelines for Diabetes Mellitus (DM) in the
Family Medicine Teams (FMT) in Zenica municipality using a special flowchart designed for diabetes
(SFD) to control lipids level improvement in DM type 2 patients.
Methods The review was conducted among 853 DM Type 2 patients older than 18. In 19 FMTs in Zenica
we checked patients’ charts made two years before (2003- 2005) and two years after (2005- 2007)
the implementation of guidelines for DM. We divided all the stablsihed values of lipids and all the FMT
on the basis of the acievement of an optimal level (cholesterol < 4.5 mmol/L; LDL- cholesterol < 2.5;
triglyceride < 1.7 mmol/L) and failure to achieve the optimal level (cholesterol > 4.5 mmol/L; LDL-
cholesterol > 2.5 mmol/L; TG > 1.7 mmol/L).
Results A total number of 853 DM Type 2 patients’ records were analysed, 46 per one FMT. Four out
of 19 FMT leaders (21%) were men and 15 (79%) were women. The average age was 46. 6 years. A
statistically significant improvement for optimal level of LDL - cholesterol (19 vs. 531; p