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Purpose of the Study :Diabetics is a chronic metabolic disorder associated with high blood glucose level, it causes various co-morbidities. Family physicians are responsible for diagnosing and treating the majority of people with diabetes mellitus and its associated co-morbidities. This study aims to screen the influence of comorbidities treatment on diabetic management in tertiary care hospital.

Methodology : Demographic details of patient, present disease condition, drugs prescribed was collected from case report and their care takers were interviewed for their past medication history, family history and their priorities on diabetic care.

Results :Out of 152 cases 61.8% were males and 38.1 % were females. The majority of patients belong to 51-60 years age group. When we combined all co morbidities into single score, we found the expected relationship the greater the number of co-morbities the lower the scores for diabetes prioritization and diabetes management. Different co-morbid conditions are responsible for the progression of the disease. Hypertension, Coronary artery disease, Chronic kidney disease has more effect on diabetic management.

Conclusion :This study confirms the need for comprehensive guidelines to effectively care for patients with multiple diseases. Hence effective standard guidelines are needed for the management of diabetes and its comorbidities.


Keywords

Co-Morbidities, Coronary Artery Disease, Diabetes Mellitus and Hypertension.
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