Primary Care Based Intervention Improves Glycated Haemoglobin Level in Type 2 Diabetes Patients: A Pilot Study

middle-income countries [2].Type 2 diabetes comprises 90% of people with diabetes around the world, and is largely the result of excess body weight and physical inactivity [2].The overall diabetes prevalence was 15.1% among Tunisian adults [3].A study was conducted in Tunisia about the knowledge of type 2 diabetic patients and their condition in order to evaluate the quality of diabetes education in primary health care units in Sousse in 2003.It found that knowledge was satisfactory in only 59% of the patients [4].Only, 16.7% of type 2 diabetes patients were considered well controlled [5].Medication often has an important role to play but, effective management includes lifestyle measures such as a healthy diet, physical activity, maintaining appropriate weight and not smoking [1].Furthermore, patients find it difficult to implement and sustain the treatment and lifestyle advice given by healthcare professionals [6][7].This may in part relate to traditional approaches to management in which patients are passive recipients of care.The acquisition of the relevant skills for successful self management may play a key role in tackling beliefs about health and optimizing metabolic control, risk factors, and quality of life [8][9].Such programs are characterized by the use of multidisciplinary teams that provide integrated approaches to care, evidence-based care algorithms, and information systems that allow frequent tracking of patient-oriented outcomes and the adjustment of treatments [10][11].These programs should target not only glycated hemoglobin levels but also cardiovascular risk reduction.In this context, several educational programs have been developed in developed countries [12][13].However, there are few programs in North Africa and particularly in Tunisia.That's why we propose to implement an intervention study which objective was to improve the quality of care through glycemic control in type 2 diabetic patients.