Assessment of factors associated with poor glycemic control among patients with Type II Diabetes mellitus

Kakade, Ashutosh; Mohanty, Ipseeta Ray; Rai, Sandeep

doi:10.15761/iod.1000209

Cited by 31 publications

(38 citation statements)

References 10 publications

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“…Diabetic patients who have good dietary adherence were 2.4 times more likely to have good glycemic control as compared with those who have poor dietary adherence. This finding is consistent with the study conducted at Suluh Hospital, Ethiopia and India [ 18 , 36 ].…”

Section: Discussionsupporting

confidence: 93%

“…The result of this study showed that the level of glycemic control among type II diabetic patients is 71.4% which is consistent with the finding at Dessie Referral Hospital (70.8%), Jimma University Teaching Hospital (70.9%), Turkey (67.5), Myanmar (72.1%), and Saudi Arabia (74.9%) [ 12 , 20 , [30] , [31] , [32] ]. On the other hand, it is below than the study conducted at Tikur Anbessa Hospital (80%), South Africa (83.8%), Kenya (81.6%), India (91.8%), and Palestine (80.5%) [ [33] , [34] , [35] , [36] , [37] ]. On the other hand, it is higher than the study done at Zambia (61.3%), Limmu Genet Hospital (63.8%), Suhul Hospital (63.5%), Nigeria (55%), Ayider Specialized hospital (48.7%) and Shenen Gibe Hospital (59.2%) [ 21 , [38] , [39] , [40] , [41] , [42] ].…”

Section: Discussionmentioning

confidence: 80%

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

et al. 2020

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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 and its associated factors among diabetic patients. So, this study aimed 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, 2017. Totally, 413 diabetic patients 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. A p-value <0.05 was used to declare statistical significance. Result 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 (able to read and write; AOR = 3.0, 95%CI (1.5, 5.7), (primary education; AOR = 4.5, 95%CI (1.8, 10.9), and (secondary education; 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 to had good glycemic control. Conclusion Poor glycemic control was high. Educational status, family history of DM, duration of DM, and dietary adherence were the associated factors of glycemic control. Appropriate attention shall be given for glycemic control especially for patients with a longer duration. Health promotion related to medical recommendations is a cross-cutting intervention for diabetic patients and should be provided for all type II diabetic patients.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 80%

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

et al. 2020

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“…Diabetic patients who can read and write, learnt primary school and achieve college and above educational status are 3, 4 and 5.7 times more likely to have good glycemic control as compared with those who couldn't read and write respectively. This is consistent with study conducted at Dessie Referral Hospital, Jimma University Teaching Hospital and Shenen Gibie Hospital [20,21,[30][31][32][33][34][35][36][37][38][39]. The reason might be educational status may affect patients adherence to medical recommendations.…”

Section: Discussionsupporting

confidence: 85%

“…The result of this study showed that the level of glycemic control among type II diabetic patients is 71.4% which is consistent with the study done at Dessie Referral hospital (70.8%), Jimma University teaching Hospital (70.9%), Turkey (67.5), Myanmar (72.1%), and Saudi Arabia (74.9%) (12,20,(30)(31)(32). Whereas it is below than the study conducted at TikurAnbessa hospital (80%), South Africa (83.8%), Kenya (81.6%), India (91.8%) and Palestine (80.5%) (33)(34)(35)(36)(37).On the other hand, it is higher than the study done at Zambia (61.3%), Limmu Genet Hospital (63.8%), Suhul Hospital (63.5%), Nigeria (55%), Ayider Specialized hospital (48.7%) and Shenen Gibe Hospital (59.2%) (21,(38)(39)(40)(41)(42). The possible justification for the discrepancy might be the difference in quality of care given for the patients in different hospitals that studies were conducted and the method used to assess the glycemic level.…”

Section: Discussionmentioning

confidence: 65%

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

2020

J Diabetes Endocrinol Res;

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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.

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“…This discrepancy might be due to the study population characteristics, study design and the kind of medication they were given. Besides, the pooled prevalence of poor glycemic control among diabetic patients is lower than a study conducted in Bangladish 82% (19), manipal/India 78.2% (20), 78.6% , Kenya 91.8% (21), Saudi Arabia 74.9% (22). This variation could be due to the measurement tool used for the outcome determination.…”

Section: R E S I D E N C Ementioning

confidence: 71%

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

Teklehaimanot

Berhe

Welearegawi

2019

Preprint

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Introduction The 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. Methods Different 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. Results A 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. Conclusion The 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. Keywords: Poor glycemic control, diabetes, Fasting blood glucose, glycated hemoglobin, Ethiopia.

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Assessment of factors associated with poor glycemic control among patients with Type II Diabetes mellitus

Cited by 31 publications

References 10 publications

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

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

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

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

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