<p>Glycemic Control, Diabetes Complications and Their Determinants Among Ambulatory Diabetes Mellitus Patients in Southwest Ethiopia: A Prospective Cross-Sectional Study</p>

Objective To assess the rate of glycemic control and associated factors among type 2 diabetes mellitus patients at Dilchora Referral Hospital, Dire Dawa, Eastern Ethiopia. Methods A cross-sectional study was conducted from 13 May to 16 August 2019. Type 2 diabetic patients on follow up at Dilchora Referral Hospital who fulfilled the inclusion criteria of the study were included. Systematic random sampling was used to select study participants. Data was collected by a face-to-face interview and review of medical records. The primary outcome was the level of blood glucose during three consecutive visits. Poor glycemic control was defined as a blood sugar level of more than 154 mg/dL based on the average of measurements from three consecutive visits. Multivariate logistic regression analysis was used to identify determinants of glycemic control. Result A total of 394 participants responded to the interview and were included in the final analysis. The overall prevalence of poor glycemic control was 45.2% (95%CI: 40.6%-50.0%). Patients who were on oral anti-diabetic drug plus insulin had more than two times greater chance of poor glycemic control than patients on oral anti-diabetic drug alone: 2.177(95%CI:1.10–4.29). The odds of poor glycemic control in patients who did not understand the pharmacist’s instructions was two times higher than patients with good understanding of instructions 1.86(95%CI: 1.10–3.13). Patients who had poor level of practice were found to have poor glycemic control: 1.69(95% CI: 1.13–2.55). Conclusion The overall prevalence of poor glycemic control was high among type 2 diabetes patients. Oral anti-diabetic drugs in combination with insulin, lack of understanding of pharmacist’s advice, and poor practice of diabetic patients were significant factors of poor glycemic control. Pharmacists should reassure the understanding of patients before discharge during counseling. Optimization of the dose of antidiabetic medications and combination of oral hypoglycemic agents should be considered.

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Level of Adherence to the Dietary Recommendation and Glycemic Control Among Patients with Type 2 Diabetes Mellitus in Eastern Ethiopia: A Cross-Sectional Study

Diabetes Metabolic Syndrome and Obesity Targets and Therapy ◽

10.2147/dmso.s256738 ◽

2020 ◽

Vol Volume 13 ◽

pp. 2605-2612

Author(s):

Ammas Siraj Mohammed ◽

Fuad Adem ◽

Yohannes Tadiwos ◽

Nigist Alemayehu Woldekidan ◽

Amsalu Degu

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Glycemic Control ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Eastern Ethiopia ◽

Dietary Recommendation

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Association between self-care management practices and glycemic control of patients with type 2 diabetes mellitus in Saud Arabia: A cross –sectional study

Saudi Journal of Biological Sciences ◽

10.1016/j.sjbs.2021.01.047 ◽

2021 ◽

Author(s):

Abdulaziz Alodhayani ◽

Khalid M. Almutairi ◽

Jason M. Vinluan ◽

Turky H. Almigbal ◽

Wadi B. Alonazi ◽

...

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Glycemic Control ◽

Care Management ◽

Management Practices ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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Glycemic control and its associated factors among patients with diabetes mellitus: a cross-sectional study in Bangladesh

Nutrition & Food Science ◽

10.1108/nfs-09-2020-0343 ◽

2020 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Hasan Mahmud Reza ◽

Towhid Hasan ◽

Marjia Sultana ◽

Md. Omar Faruque

Keyword(s):

Diabetes Mellitus ◽

Glycemic Control ◽

Glycosylated Hemoglobin ◽

Cross Sectional Study ◽

Poor Glycemic Control ◽

Diabetic Patients ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Content Type

Purpose Diabetes mellitus is becoming a growing concern worldwide. Hence, the purpose of this study is to assess the magnitude of poor glycemic control and to identify the determinants of poor glycemic control among diabetic patients attending a tertiary care hospital in Bangladesh. Design/methodology/approach This cross-sectional study was conducted among 732 diabetes patients seeking care at the outpatient department of Bangladesh Institute of Health Sciences Hospital, Dhaka, Bangladesh. Information, including glycemic status, was collected from patients’ medical records using a structured questionnaire. Findings About 87.6% of the patients were found to have poor glycemic control (glycosylated hemoglobin = 7%). Variables that were significant in bivariate analysis were put into a multivariate model where the factors associated with poor glycemic control were patients aged 41–60 years (odds ratio (OR)=2.26; 95% confidence interval (CI): 1.19–4.32, p = 0.013), suffering from diabetes for > 7 years (OR = 1.84; 95% CI: 1.12–2.99, p = 0.015), using insulin (OR = 2.34; 95% CI: 1.23–4.47; p = 0.010) or diet alone (OR = 0.20; 95% CI: 0.05–0.80, p = 0.023) as a type of diabetes treatment and proper use of medicine (OR = 0.37; 95% CI: 0.17–0.82, p = 0.015). Originality/value The high prevalence of poor glycemic control among diabetic patients is evident; therefore, strategic management and proper attention focusing on the predictors of poor glycemic control are necessary to reduce the long-term complications of diabetes.

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Prevalence of Diabetes Mellitus and Its Risk Factors among Individuals Aged 15 Years and Above in Mizan-Aman Town, Southwest Ethiopia, 2016: A Cross Sectional Study

International Journal of Endocrinology ◽

10.1155/2018/9317987 ◽

2018 ◽

Vol 2018 ◽

pp. 1-7 ◽

Cited By ~ 23

Author(s):

Shiferaw Birhanu Aynalem ◽

Ayalew Jejaw Zeleke

Keyword(s):

Diabetes Mellitus ◽

Risk Factors ◽

Total Cholesterol ◽

Smoking Habit ◽

Cross Sectional Study ◽

Noncommunicable Disease ◽

Sectional Study ◽

Cross Sectional ◽

Southwest Ethiopia ◽

Prevalence Of Diabetes Mellitus

Introduction. Diabetes mellitus (DM), which is related to cardiovascular disease, is one of the main global health problems. In Ethiopia, information about this disease is known to be scarce. Objective. To assess the prevalence of diabetes mellitus and its risk factors among individuals aged 15 years and above. Methods. A community-based cross sectional study was carried out from January 01 to March 30, 2016 in Mizan-Aman town, southwest Ethiopia. A multistage sampling technique was used to select study participants. The World Health Organization (WHO) stepwise approach for noncommunicable disease surveillance was deployed to collect data. Total cholesterol and triglyceride level measurements were done using the HumaStar 80 chemistry analyzer. Glucose meter was used to check fasting venous blood glucose level. Descriptive and logistic regression analyses were used. Results. A total of 402 participants were included in the study. The prevalence of DM was found to be 6.5% (26 out of 402). Of which, the proportion of previously undiagnosed diabetes mellitus was 88.5%. The prevalence of prediabetes was also found to be 15.9%. The waist circumference (WC), body mass index, smoking habit, hypertension, and total cholesterol level were significantly associated with diabetes mellitus. Conclusion. In this study, higher prevalence of diabetes mellitus was observed than the IDFA-projected estimate of DM for Ethiopia. Modifiable associated risk factors were also identified. Therefore, targeting the prevention strategy to such modifiable risk factors might reduce the prevalence of diabetes mellitus and screening of DM particularly in those individuals having high WC, history of smoking habit, and hypertension needs attention.

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