WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Halla A. S. Yousif Ikzir*, Anwar Jameel Shamoon and Reem Fakhri Thanoon

ABSTRACT

Background: Achieving optimum glycemic control in patients with type 1 diabetes mellitus is important to delayand potentially prevent serious complications in the future. Multiple daily insulin injections, frequent bloodglucose checks, frequent consultations with medical professionals, and careful control of exercise, meal plans,social standing, and parental educational level are just a few of the many obstacles that facing type 1 diabetescontrol on a daily basis. Objectives: To determine whether glycemic control differs by different health caresettings of patients with Type I diabetes mellitus. Methods: An observational, descriptive, cross- sectional studywas adopted in order to achieve the objectives of the present study. The study includes two settings; the first onewas Al Wafa’a specialized endocrine center in Mosul city from which 100 patients with type 1 DM were selected,and the second one was different primary health care centers in Al Hamdanyia city from which 50 patients withtype 1 DM were selected. The study was conducted during the period between 1st of August 2023 and 15th ofMarch 2025. Pregnant women, aged more than 30 years and those attending the centers for less than 6 monthswere excluded from the study. The questionnaire consisted from five parts. Part one for demographic andanthropometric information. Part two for exercise level. Part three for blood sugar related information. Part fourfor diabetes complications. And part five for the doctor-patient interview. Results: The mean age of the studyparticipants is 13.47 ± 6.29 years. The majority of diabetic patients were females, having diabetes for more than 3years, having underweight category of body mass index. Statistically significant difference between the two-studysetting regarding; the age of attending patients (P value = 0.0059), duration of attending the center (P value<0.001), and patients’ body mass index (P value <0.006). Moreover; patients attending Al Wafa’a endocrine centerhad statistically significant more self-monitoring of blood sugar (P value <0.001) and more time of doctor-patientinterview (P value <0.001). While patients attending PHCCs had more hospital admissions (P value = 0.01).Conclusion: Patients attending the Al Wafa’a specialized endocrine center had better glycaemic control than thepatients attending the PHCC because its patients are; more self-monitoring their diabetes control, less hospitaladmission, longer doctor-patients interview and lastly; better body mass index improvement.