scholarly journals Level of Glycemic Control and Its Associated Factors among Type II Diabetic Patients in Debre Tabor General Hospital, Northwest Ethiopia

2020 ◽  
Keyword(s):  
Family History ◽  
Glycemic Control ◽  
Associated Factors ◽  
Educational Status ◽  
Poor Glycemic Control ◽  
Diabetic Patients ◽  
Dietary Adherence ◽  
Type Ii ◽  
Debre Tabor ◽  
History Of

Introduction: Poor glycemic control is the major risk factor for the development of acute and chronic diabetes complications. There are limited studies on the level of glycemic control among diabetes and its associated factors. So, the aim of this study was to assess the level of glycemic control and its associated factors among type II DM patients in Debre Tabor General Hospital.Methods: An institution based cross-sectional study was conducted from November 1-30, 2017on 413 diabetic patients who were selected by systematic random sampling. The three months average fasting blood glucose was used to determine glycemic control. Regressions were fitted to identify associated factors. P-value <0.05 was used to declare statistical significance. Results: A total of 398 study participants were participated in the study with a response rate of 96.4%. Among 398 type II DM patients, 284 (71.4%) had poor glycemic control. patient’s educational status (AOR= 3.0, 95%CI (1.5, 5.7), (AOR= 4.5, 95%CI (1.8, 10.9), and (AOR= 5.7, 95% CI (2.9, 11.2)))), family history of DM (AOR= 2.3, 95%CI (1.4, 3.9)), Duration of DM since diagnosis (AOR= 0.3, 95% CI (0.1, 0.9)), and Dietary adherence(AOR= 2.4, 95% CI (1.4, 4.1)) were associated factors of glycemic control.Conclusion: Poor glycemic control was high. Educational status, family history of DM, duration of DM, and dietary adherence were independent predictors of glycemic control. Appropriate attention should be given for glycemic control especially for patients with a longer duration. Health promotion should be cross-cutting intervention for DM patients about medical recommendations.

scholarly journals Level of glycemic control and its associated factors among type II diabetic patients in debre tabor general hospital, northwest Ethiopia

2020 ◽  
Vol 8 ◽  
pp. 100056
Author(s):  
Alemayehu Digssie Gebermariam ◽  
Sofonyas Abebaw Tiruneh ◽  
Asnakew Achaw Ayele ◽  
Henok Getachew Tegegn ◽  
Belete Achamyelew Ayele ◽  
...  
Keyword(s):  
Glycemic Control ◽  
General Hospital ◽  
Associated Factors ◽  
Northwest Ethiopia ◽  
Diabetic Patients ◽  
Type Ii ◽  
Debre Tabor

scholarly journals Poor glycemic control and associated factors among diabetic patients in Ethiopia; A Systemic review and meta-analysis

2019 ◽  
Author(s):  
Berhane Fseha Teklehaimanot ◽  
Abadi kidanemariam Berhe ◽  
Gebrehiwot Gebremariam Welearegawi
Keyword(s):  
Glycemic Control ◽  
Low Income ◽  
Associated Factors ◽  
Meta Analysis ◽  
Group Analysis ◽  
Poor Glycemic Control ◽  
Systemic Review ◽  
Cochrane Library ◽  
Diabetic Patients ◽  
Optimum Level

AbstractIntroductionThe major global public health problems now days are diabetes especially the burden is high in low income countries including Ethiopia due to the limited resource for screening and early diagnosis of the diabetes. To prevent diabetic complications including organ damage and micro vascular complications blood glucose level should be maintained at an optimum level. However there was no pooled national picture on poor glycemic control and its associated factors.MethodsDifferent data base searching engine including PubMed, Google scholar, the Cochrane library, MEDLINE,, HINARY and African journal online (AJOL) were used. The Joanna Briggs Critical Appraisal Tools and Newcastle Ottawa scale for assessing the quality of cross sectional studies were used for quality assessment. The meta-analysis was conducted using STATA 14 software. I2 statistic and egger weighted regression were used to assess heterogeneity and publication bias.ResultsA total of 134 studies were identified from different database searching engines and other sources. After removing for duplication, absence of abstract and review of the full text 12 studies were including in the meta-analysis. The pooled prevalence of poor glycemic control among diabetic patients in Ethiopia is 64.72% with 95% confidence interval 63.16-66.28%. The sub group analysis of poor glycemic control among diabetic patients in different region of the country shows consistent and high prevalence of poor glycemic control ranging from 62.5% in Tigray region to 65.6% in Oromia region of the country. Residence, dyslipidemia and diet adherence were significantly association with poor glycemic control among diabetic patients in Ethiopia.ConclusionThe prevalence of poor glycemic control among diabetic patients was high in Ethiopia and consistent across different regions of the country. The most important factors associated with poor glycemic factor among diabetic patients were being rural residence, having dyslipidemia and not adhering to dietary plan.

Pre-Dialysis Glycemic Control is An Independent Predictor of Mortality Intype Ii Diabetic Patients on Continuous Ambulatory Peritoneal Dialysis

1999 ◽  
Vol 19 (2_suppl) ◽  
pp. 179-183 ◽  
Author(s):  
Mai-Szu Wu ◽  
Chun-Chen Yu ◽  
Ching-Herng Wu ◽  
Jeng Yi Haung ◽  
Mei-Lin Leu ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Glycemic Control ◽  
Serum Albumin ◽  
Poor Glycemic Control ◽  
Control Group ◽  
Diabetic Patients ◽  
Type Ii ◽  
Good Glycemic Control ◽  
Cholesterol Levels ◽  
Significant Difference

Objective To evaluate the impact of pre-dialysis glycemic control on clinical outcomes for type II diabetic patients on continuous ambulatory peritoneal dialysis (CAPO). Materials and Methods One hundred and one type II diabetic patients receiving CAPO for at least 3 months were enrolled in a single institute. The patients were classified into two groups according to status of glycemic control. In the good glycemic control group, more than 50% of blood glucose determinations were within 3.3 11.0 mmol/L and glycosylated hemoglobin (HbA 1 C) levels were within 5% -10% at all times. In the poor glycemic control group, less than 50% of blood glucose determinations were within 3.3 -11.0 mmol/L, or HbA1C levels were above 10% at least 6 months before peritoneal dialysis was started. In addition to glycemic control status, pre-dialysis serum albumin, cholesterol levels, residual renal function, peritoneal membrane function, and modes of glycemic control were also recorded. Results The patients with good glycemic control had significantly better survival than those with poor glycemic control (p < 0.01). There was no significant difference in pre-dialysis morbidity between two groups. No significant differences were observed in patient survival between patients with serum albumin above 30 g/L and those with serum albumin under 30 g/L; between those with cholesterol levels above or below 5.2 mmol/L; and between those with different peritoneal membrane solute transport characteristics as evaluated by a peritoneal equilibration test (PET). Furthermore, there was no significant difference in survival between patients who controlled blood sugar by diet and those who controlled it by insulin. Cardiovascular disease and infection are the major causes of death in both groups. Although good glycemic control predicts better survival, it does not change the pattern of mortality in diabetic patients maintained on CAPO. Conclusions Glycemic control before starting dialysis is a predictor of survival for type II diabetic patients on CAPO. Patients with poor glycemic control predialysis are associated with increased morbidity and shortened survival.

scholarly journals Rate of glycemic control and associated factors among type two diabetes mellitus patients in Ethiopia: A cross sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0251506
Author(s):  
Shambel Nigussie ◽  
Nigussie Birhan ◽  
Firehiwot Amare ◽  
Getnet Mengistu ◽  
Fuad Adem ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Glycemic Control ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Poor Glycemic Control ◽  
Diabetic Patients ◽  
Sectional Study ◽  
Cross Sectional

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.

scholarly journals Knowledge Of Glaucoma And Associated Factors Among Adults In Gish Abay Town, Northwest Ethiopia

2019 ◽  
Author(s):  
Zewdu Yenegeta Bizuneh ◽  
Ayanaw Tsega ◽  
Yezinash Addis ◽  
Fisseha Admassu
Keyword(s):  
Family History ◽  
Associated Factors ◽  
Positive Family History ◽  
Public Health Problem ◽  
Educational Status ◽  
Income Level ◽  
Northwest Ethiopia ◽  
Good Knowledge ◽  
History Of ◽  
Eye Examination

Abstract Background Glaucoma is a global public health problem and it is the leading cause of irreversible blindness worldwide. Even though public knowledge of glaucoma is a key for early case identification and prevention of blindness, it is unknown in the study area, making provision of interventions difficult. Therefore, this study was intended to assess knowledge of glaucoma and associated factors among adults in Gish Abay town, Northwest Ethiopia, 2018Methods A Community based cross - sectional design study with systematic random sampling technique was used to select 630 adults. The study was conducted from April to May, 2018. Data was entered into Epi Info version 7 and was analysed by Statistical Package for Social Sciences version 23. Binary logistic regression model and adjusted odds ratio with 95% confidence level was used to identify the significant factors associated with knowledge of glaucoma. Variables with P–value ≤ 0.05 was considered statistically significant.Results About 594 adults were participated with a response rate of 94%. Above half of (52%) the participants were females with median age of 28 years. The proportion of good knowledge was demonstrated in 16.8% [95% CI; 14.0, 19.9]. Educational status: primary education [AOR; 2.89: 1.41, 5.90], secondary education [AOR; 3.03: 1.47, 6.24] college and above [AOR; 5.18: 2.21, 12.13], history of eye examination [AOR; 6.52: 3.37, 12.63]; family history of glaucoma [AOR; 12.08: 4.13, 35.30] and higher income level [AOR; 3.11: 1.55, 6.25] were positively associated with good knowledge of glaucoma.Conclusions The proportion of good knowledge of glaucoma was low. Higher educational status, positive family history of glaucoma, eye examination and higher income level were significantly associated with knowledge of glaucoma. Key words: Knowledge, Glaucoma, Associated factors, Gish Abay, Ethiopia.

scholarly journals Factors Associated with Level of Patient Activation and Its Role to Glycemic Control and among Adults with Type II Diabetes Attending Diabetic Clinic at Hospitals in Addis Ababa

2019 ◽  
pp. 1-11
Author(s):  
Selomon Assefa ◽  
Kedir Endris ◽  
Demeke Ashencho ◽  
Mebrahtu Eyasu
Keyword(s):  
Physical Activity ◽  
Glycemic Control ◽  
Addis Ababa ◽  
Patient Activation ◽  
Educational Status ◽  
Poor Glycemic Control ◽  
Type Ii ◽  
Meal Planning ◽  
Study Participants ◽  
Planning Knowledge

Introduction: Lifestyle interventions as supper arranging and exercise assume a significant job in a Diabetes Self-Management Education (DSME) program. The impact of poly-pharmacy on way of life changes, for example, nourishment and exercise isn't surely known. Deciding and evaluating patient's dimension of enactment and its association with physical action level, supper arranging, and poly-pharmacy in patients with Type II diabetes is a significant standard for Diabetes Self-Management mediations.                 Objective:  The aim of this study was to determine patient activation levels and associated factors among type II diabetic patents attending diabetic clinic at hospitals in Addis Ababa.     Methods: Institutional based cross-sectional examination configuration was led. This investigation was led on 423 Type II diabetic patients going to diabetic facilities at emergency clinics in Addis Ababa. Study members were chosen by utilizing orderly arbitrary examining procedure. A pre-tried organized survey was utilized to gather the information. Understanding Activation Measure (PAM-13) was utilized to survey tolerant actuation levels. Information were entered and dissected utilizing SPSS rendition 23 for windows. Concentrate members' qualities were portrayed as far as mean (Standard deviation) and recurrence (extent). Bivariate examination and various calculated relapse investigations were completed to recognize free factors related with patient enactment among sort II diabetes patients.         Results: The mean (SD) age of the study participants was 55.7(±9.8) years.  Majority of the study participants, 319 (77.8%) had low meal planning knowledge, 62.4% of patients involved in low physical activity and 82.2% had poor glycemic control. About 75.6% of the patients had low activation and the remaining 24.4% had high activation. The independent factors associated with lower activation were Illiterate educational status (AOR=2.4, 95% CI: 1.5-3.3), low physical activity (AOR=1.8, 95% CI: 1.4-2.9), low meal planning knowledge (AOR=1.5, 95% CI: 1.3-2.4), chronic comorbidities (AOR=2.1, 95% CI: 1.6-3.9) and poor glycemic control (AOR = 4.2, 95% CI: 2.4–7.5). Conclusions: The findings revealed that majority of diabetic II patients had low activation; indicating patients had low knowledge and understanding regarding the influence of lifestyle in diabetes management. Illiterate educational status, low physical activity, low meal planning knowledge, chronic comorbidities and poor glycemic control were significantly associated with lower activation.

Predialysis Glycemic Control is An Independent Predictor of Clinical Outcome in Type Ii Diabetics on Continuous Ambula Tory Peritoneal Dialysis

1997 ◽  
Vol 17 (3) ◽  
pp. 262-268 ◽  
Author(s):  
Chun-Chen Yu ◽  
Mai-Szu Wu ◽  
Ching-Herng Wu ◽  
Chih-Wei Yang ◽  
Jeng-Yi Huang ◽  
...  
Keyword(s):  
Glycemic Control ◽  
Patient Survival ◽  
Poor Glycemic Control ◽  
Diabetic Patients ◽  
Type Ii ◽  
Peritoneal Membrane ◽  
Good Glycemic Control ◽  
Cholesterol Levels ◽  
Significant Difference ◽  
Type Ii Diabetics

Objective To evaluate the correlation between predialysis glycemic control and clinical outcomes for type II diabetic patients on continuous ambulatory peritoneal dialysis (CAPD). Design Sixty type II diabetic patients on CAPD were classified into 2 groups according to the status of glycemic control. In group G (good glycemic control), more than 50% of blood glucose determinations were within 3.3 11 mmol/L and the glycosylated hemoglobin (HbA 1 C) level was within 5 -10% at all times. In group P (poor glycemic control), fewer than 50% of blood glucose determinations were within 3.3 -11 mmol/L or HbA 1 C level was above 10% at least once during the follow-up duration. In addition to glycemic control status, predialysis serum albumin, cholesterol levels, residual renal function, peritoneal membrane function, and the modes of glycemic control were also recorded. Setting Dialysis Unit, Department of Nephrology of a single university hospital. Patients From February 1988 to October 1995, 60 type II diabetic patients receiving CAPD for at least 3 months were enrolled. Main Outcome Measures Morbidities before and during the dialysis period, patient survival, and causes of mortality. Results The patients with good glycemic control had significantly better survival than patients with poor glycemic control (p < 0.01). There was no significant difference in predialysis morbidity between the two groups. No significant differences were observed in patient survival between the patients with serum albumin greater than 30 g/L and those with less than 30 g/L (p = 0.77), with cholesterol levels greater or less than 5.18 mmol/L (p = 0.73), and with different peritoneal membrane solutetrans port characteristics evaluated by peritoneal equilibration test (p = 0.12). Furthermore, there was no significant difference in survival whether the patients controlled blood sugar by diet or with insulin (p = 0.33). Cardiovascular disease and infection were the major causes of death in both groups. Although good glycemic control predicts better survival, it does not change the pattern of mortality in diabetics maintained on CAPD. Conclusions Glycemic control before starting dialysis is a predictor of survival for type II diabetics on CAPD. Patients with poor glycemic control predialysis are associated with increased morbidity and shortened survival.

scholarly journals Erectile dysfunction and associated factors among diabetic patients at, Hawassa, Southern, Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maradona Zeleke ◽  
Dejene Hailu ◽  
Deresse Daka
Keyword(s):  
Erectile Dysfunction ◽  
Glycemic Control ◽  
Associated Factors ◽  
Poor Glycemic Control ◽  
Southern Ethiopia ◽  
Diabetic Patients ◽  
Diabetes Diagnosis ◽  
Drinking Alcohol ◽  
Cross Sectional ◽  
Number Of Patients

Abstract Background Erectile dysfunction is an inability to initiate and have a persistent erection firm enough to have satisfying sexual intercourse. The prevalence of erectile dysfunction in diabetic men is considerably high, but it is often underdiagnosed and under-managed. Objective This study aimed to determine erectile dysfunction and associated factors among diabetic patients at, Hawassa, Southern, Ethiopia. Methods The institution-based cross-sectional study was conducted on 352 adult male diabetic patients randomly selected from Adare general and Hawassa comprehensive specialized hospitals using a simple random sampling technique. The number of patients to be selected from each hospital was proportionally assigned based on the total population of diabetes mellitus patients following chronic care during the study period. The descriptive statistics and multiple logistic regressions (bivariate and multivariate analysis) were carried out. Result The prevalence of erectile dysfunction was 72.2% (95%CI, 1.76–3.68). After adjusting all factors, old age, diabetes duration, drinking alcohol, and poor glycemic control had shown significant association with erectile dysfunction. Conclusion The occurrence of erectile dysfunction in this study community is very high. Drinking alcohol, poor glycemic control, age, and duration of diabetes were predictors of erectile dysfunction in this study area. Assessment and management of erectile dysfunction in the diabetic clinic should be part of routine medical care during follow-up visits with diabetic patients. Healthcare providers should emphasize screening and treating older patients and those who have had a diabetes diagnosis for a longer duration.

scholarly journals Diabetes Mellitus Complications and Associated Factors Among Adult Diabetic Patients in Selected Hospitals of West Ethiopia

2019 ◽  
Vol 13 (1) ◽  
pp. 41-48 ◽  
Author(s):  
Ayana Tadesse Korsa ◽  
Edao Sado Genemo ◽  
Habte Gebeyehu Bayisa ◽  
Mohammed Gebre Dedefo
Keyword(s):  
Diabetes Mellitus ◽  
Family History ◽  
Chronic Diseases ◽  
Low Income ◽  
Associated Factors ◽  
Diabetic Patients ◽  
Type 2 Dm ◽  
History Of

Background / Introduction: The prevalence of type 1 and type 2 diabetes mellitus (DM) is increasing worldwide. The prevalence might even be higher in low-income countries. As a result, type 1 and type 2 DM and their complications are imposing a high burden on patients (e.g. hospitalization, disability and death). In Ethiopia, there are limited studies focusing on the complications of type 1 and type 2 DM. Thus, we assessed the prevalence of type 1 and type 2 DM complications and associated factors in selected hospitals in western Ethiopia. Methods: This cross-sectional study included 257 adult patients with DM attending the chronic care clinics of Nedjo general and Nekemte referral hospitals. The study was carried out between March 1 and April 30, 2016 using a pre-tested self-administered questionnaire and chart review. Results: Of the 257 patients, 87 (33.9%) had ≥1 DM complication. Acute and chronic complications accounted for 9.3% and 24.5% of the total DM patients, respectively. The age of the patients (p=0.024), family history of DM (p=0.038), DM duration (p=0.015), DM regimen (p=0.041), and the occurrence of other chronic diseases (p=0.006) were significantly associated with DM complications. Conclusion: The findings of this study revealed that 1 out of 3 adults with DM have ≥1 complication in our chronic ambulatory care clinics. Diabetic keto-acidosis was the most common acute complication whereas hypertension was the most common chronic complication. The presence of DM complications was associated with the age of the patients, duration of DM, family history of DM, DM regimen and the presence of other chronic diseases.

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