Background: Glycosylated hemoglobin (HbA1c) in diabetic patients reflects the average blood glucose level, and\r\nwill not be affected by variability in blood glucose in short time. Regular care of patients by medical staff could\r\neffectively control glycemic situation. The aim of this study was to assess the effect of medical care by general\r\nphysicians on glycemic control by measuring of HbA1c.\r\nMethods: In order to assess the effectiveness of National program for diabetes control and prevention in Iran, we\r\ncompare HbA1c, Fasting blood glucose (FBS), systolic and diastolic blood pressure in two groups of diabetic\r\npatients diagnosed in this program. The first group consisted of patients who received at least four visits by General\r\nPhysician (GP) during one year after the diagnosis, and second group were patients who did not visited by GPs or\r\nreceived 1ââ?¬â??3 visits.\r\nResults: After one year, 24.1% of patients did not receive any care, while 57.9% examined at least once a year.\r\nAmong visited patients, 23.5% received 1ââ?¬â??3 times medical care and 23.5% received four or more visits. HbA1c was\r\nsignificantly lowered in patients with appropriate care (four and more) compared with the non cared patients and\r\npatients with less than four cares.\r\nConclusion: Appropriate number of visits for each patient by GPs is an effective glycemic control in diabetic\r\npatients. Although this study provides a framework for medical care in diabetes, how to take care of these patients\r\ndepends on specific situation of each patient and should be determined for each of them individually
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