الفهرس 
Chapter 1: Diabetes mellitus type 2.Only 14 pages are availabe for public view
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Abstract
This is across section study followed by intervention study carried out on 200 type 2 diabetic patient who attended the primary health care centres Ramlet Bolak and Aladawya .
The main objectives of the study were to assess:
Knowledge and practice of diabetic patients type 2 as regarding self care .
A cross sectional interventional study was carried out on 200 diabetic patients attending the out-patient clinic in a primary health care units in West Cairo city by initial assessment of awareness, initial examination and initial investigations (HbA1c, FBS and post prandial blood glucose) .Then health education messages were delivered and after six months reassessment of knowledge regarding self-care and investigations were done.
The results of this study show significant relation between diabetes self-care and glycemic control. As there is statistical significant difference between controlled and uncontrolled group as regarding sex , ,education, occupation, residence and presence of diabetic relatives.(p value <.05), the uncontrolled cases are more among females 74.05%,non educated group 55. 6% living in semiurban area 48.1 % and had diabetic relatives up to three relatives 41.1% . Also the study shows that high significant difference between controlled and uncontrolled group as regarding their knowledge about complication of diabetes ,symptoms of hypoglycemia, and follow up by fundus examination.
The study also shows that there is high statistical significant difference between controlled and uncontrolled group as regarding BMI (the obesity is more in the uncontrolled group (60.7%).
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The study also shows that there is statistically high significant difference between controlled and uncontrolled group regarding to increase thirst ,dry mouth , frequent urination at night ,morning headache , fainting or loss of consciousness as the higher percentage is present among the uncontrolled groups .(79.1% ,76.5% ,34.8%,64.5% ,43.6% ,50% ,36.07%) respectively .
Also the study shows that there is statistical significant difference between controlled and uncontrolled group as regarding follow diet regimen and having written instructions about diet regimen (42.8%of controlled versus26.5% of uncontrolled patients) .As the high percentage of patients following diet regimen and having written instructions about diet regimen are present among controlled groups.
The present study also shows that: there is increase in number of controlled patients as regarding parameters of adequate control after intervention in comparison with before the intervention .
The study shows also that: there is statistical significant improvement of all parameters of control of diabetes after intervention.
The study shows also that: there is increase in percentage of right answers about knowledge of patient as regarding self-control of diabetes is present after the education program except for the values of normal FBS which reported decrease the answer (from 42% to 30%).
This means that: with increasing levels of knowledge about self care, good diabetic control will be achieved on the near and far levels.
So it is recommended to give attention to diabetic patients for early detection and proper treatment, proper management of diabetes through glycemic &blood pressure control and management of obesity to prevent and delay occurrence of complications.
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It is also recommended that arrangement to increase health education of diabetic patients type 2 as regards to self care .
It is also recommended that: self-management skills and knowledge of diabetes should be assessed at least annually and the family physician should provide or encourage continuing education.