Current Practice in the Management of Type 2 Diabetes in Indonesia: Results from the International Diabetes Management Practices Study (IDMPS)

Increasing obesity, sedentary lifestyle and aging population have significantly contributed to the explosion of type-2 diabetes. In addition, the consequences of its complications have caused substantial morbidity and mortality. The major goal of diabetes treatment is to achieve good metabolic control, thus preventing the onset of the long-term complications. Unfortunately, there is still insufficient data on the quality of care of diabetic patients especially on type-2 diabetic patients in Indonesia. This study focused on diabetic patients seen by general practitioners, internists and endocrinologists, to assess its management, HbA1c achievement, and resources used. This study was part of The International Diabetes Management Practices Study (IDMPS) wave 2006, which was a cross-sectional study and also longitudinal follow up. Sixty eight physicians, consisted of 48 general practitioners (GPs)/internists and 20 endocrinologists, have reported 674 patients with type-2 diabetes mellitus who are currently receiving varied diabetes mellitus treatment. Among those patients, 21 patients only treated with lifestyle modification, 523 patients received only Oral Glycaemic Lowering Drug (OGLD), and 130 patients received insulin with or without OGLD. The average HbA1c in this study was 8.27% and only 37.4% reached the target value of HbA1c less than 7%. The majority of patients did not attain the recommended glycaemic target. This indicates the presence of a gap between recommendations of most recent guidelines and the actual practices.