adherence to icmr guidelines for the management of type 2 diabetes mellitus in a tertiary care hospital

Background: adherence to type 2 diabetes mellitus (t2dm) guidelines helps achieve glycemic control and minimize complications. this study evaluated the adherence to the indian council of medical research (icmr) guidelines for the management of t2dm.methods: in this cross-sectional observational study, 250 prescriptions of t2dm were collected to assess their adherence to icmr guidelines.results: the mean hba1c of the patients was 8.39%. ideal fasting plasma glucose, postprandial plasma glucose, hba1c, and blood pressure levels were achieved in 23.2%, 16.4%, 17.2%, and 46.4% of the prescriptions, respectively. foot care, lifestyle modification, tobacco cessation, and hba1c advice within the last 6 months were present in 8, 164, 7, and 104 prescriptions, respectively. eye examination was advised in 44% of the prescriptions. when indicated, initiation or intensification of anti-diabetic drugs, aspirin, and anti-hypertensive drugs was done in 86.8%, 37.4%, and 98% of the prescriptions, respectively.conclusion: adherence was low for glycemic control, foot care advice, initiation of aspirin, and anti-diabetic drugs according to bmi. guidelines were frequently adhered to for blood pressure control, advice for lifestyle modifications, initiation or intensification of anti-diabetic and anti-hypertensive drugs. the study inferred the need for better adherence to icmr guidelines, which could be achieved by their periodic revision in light of new research evidence.