الفهرس 
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Abstract
Introduction: Diabetes mellitus is one of the fastest growing health emergencies all over the world and in Egypt. Diabetes is diagnosed and followed up by measuring levels of FBG, PPBG, RBG or HbA1c. Glycosylated hemoglobin (HbA1c) is an important measure for control of diabetes. Optimal glycemic control is difficult to obtain in clinical practice. There are several factors affecting glycemic control related to patient, physicians caring for diabetics and infrastructure visited by diabetic patients especially primary health care facilities. It has been appreciated that diabetes care in the community is a vital component in the PHC. Family physicians in primary healthcare settings are the first line of contact with most diabetic patients. The Aim of this study: was to explore factors affecting glycemic control of diabetic patients visiting primary health care facilities. Materials and methods: This study was a cross sectional study was conducted on patients visiting primary health care facilities in Mansoura district We studied 302 diabetic patients from 24 primary health care facilities in Mansoura district chosen by simple random sample, also studied, and 34 physicians caring for them. Patients were evaluated by history taking and clinical examination. HbA1c was tested. Information about physicians and infrastructure were collected. Data were analyzed by SPSS version 16. Results: We found a statistically significant relationship between education and occupation of patients and control of DM. Smoking can affect diabetes control negatively. Practicing physical exercise is important for control of diabetes. Resources of infrastructure had role in control of DM. Metformin availability, its availability all the time and lipids and other investigations availability had positive correlation for control of DM. Physicians can affect diabetes control by their residence, older age, participation in DM training, early graduation year, longer durations since started dealing with diabetics and following guidelines