Factors associated with glycemic control in type 2 diabetic patients in Saudi Arabia

Almetwazi, Mansour; Alwhaibi, Monira; Balkhi, Bander; Almohaini, Hissah; Alturki, Haya; Alhawassi, Tariq M.; Ata, Sondus; Alqahtani, Nasser; Alshammari, Thamir M.

doi:10.1016/j.jsps.2018.12.007

Cited by 20 publications

(23 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The prevalence of hypertension in this work was 60.7% and this less than Waly study [19] from Egypt who reported 68%. In contrast our result is high than Al Slail [23] and Almetwazi [24] studies from Saudi Arabia reported 45% and 54.53% respectively. Although there is marked reduction in risk of eye diseases among patients of diabetes over the last 30 years from 90% to less than 50% still it is great problem [25].…”

Section: Discussioncontrasting

confidence: 83%

Addition of Insulin to Treatment Regimen in Type 2 Diabetes: The Significance of Age and Duration among Sudanese Diabetic Patients

Abdelrahim¹,

Madani²,

Mahmoud³

et al. 2019

View full text Add to dashboard Cite

Background: Type 2 diabetes is a progressive disease and as the result of patient's age and diabetes duration, β-cell ability for insulin secretion deteriorates continually and finally fails to meet body requirement. Intensification of treatment drug regimen including addition of insulin is critical to maintain glycemic target and reduce developing of long-term complications. Objective: The main purpose of this study was to investigate the effect of diabetes duration and patients' age on addition of insulin to treatment regimen. Methods: A single centre, cross-sectional hospital-based study was done among 351 diabetes Mellitus (DM) patients visiting Ribat University Hospital Diabetic Clinic, Khartoum State, Sudan. Data was collected using constructed, validated and multiple-choice questionnaire. Results: From 351 patients enrolled in the study, female were 65.8% and male 34.2%. About 64.4% were on oral anti-diabetic; 35.6% on insulin; about 31.6% shifted to insulin when their ages above 40 years; and 22.8% when diabetes duration was above 5 years. Co-morbidity was 54.4% and 60.2% of patients had hypertension. Conclusion: Interactions between age and longer duration of diabetes were mostly significant reasons for transferring patients to insulin. Percent of insulin users and co-morbidity was within international range.

show abstract

Section: Discussioncontrasting

confidence: 83%

Addition of Insulin to Treatment Regimen in Type 2 Diabetes: The Significance of Age and Duration among Sudanese Diabetic Patients

Abdelrahim¹,

Madani²,

Mahmoud³

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Simple linear regression analyses showed that only perception of cyclical timeline, but not perceived insulin effectiveness, was a significant independent predictor of HbA1c (β= 0.22, p= 0.016) after controlling for demographic covariates (age, sex, education). In the hierarchical multiple linear regression, the model initially adjusted for age, sex and education (Model 1) based on previous literature 37,55. Model 1 was not significant (F (5, 109) = 1.37, p = 0.242, R 2 = 0.06).…”

Section: Resultsmentioning

confidence: 99%

<p>Illness Perceptions, HbA1c, And Adherence In Type 2 Diabetes In Saudi Arabia</p>

Alyami¹,

Serlachius²,

Mokhtar³

et al. 2019

PPA

View full text Add to dashboard Cite

PurposeLittle is known about predictors of adherence to diabetes medication in Saudi Arabia. This study aimed to investigate whether illness perceptions, beliefs about medicine, and God locus of health control beliefs were associated with adherence to medication and glycaemic control (HbA1c) in Saudi patients with type 2 diabetes (T2D).Patients and methodsA convenience sample of 115 adults with T2D were recruited from a diabetes outpatient clinic. Validated self-reported measures of adherence to medication, illness perceptions, beliefs about medicine, and God locus of health control were administered. Patients’ most recent HbA1c levels were extracted from medical records. Multivariable logistic and linear regressions were used to examine the association between illness perceptions, beliefs about medicine and adherence to medication and HbA1c.ResultsMore than two thirds of patients (69%) reported poor adherence to medication. All illness perceptions domains, beliefs about medicine, and God locus of health control beliefs were associated with adherence. Multivariable logistic regression revealed that older age (OR= 3.76, p= 0.023), worse consequences perceptions (OR= 0.21, p= 0.011), worse illness identity (OR= 0.23, p= 0.010), and greater illness coherence (OR= 3.24, p= 0.022) were independent predictors of adherence. Two thirds of patients (67%) had suboptimal HbA1c; and perceptions of a cyclical timeline and lower insulin effectiveness were associated with higher HbA1c. In multiple linear regression, perceptions of a cyclical timeline (β= 0.19, p= 0.040) were an independent significant predictor of HbA1c.ConclusionIn Saudi Arabia, patients’ perceptions of T2D, beliefs about medicine, and God locus of control beliefs are associated with adherence. These results inform the development of interventions based on the Common-Sense Model (CSM) to encourage improved adherence and glycaemic control among Saudi patients with T2D. Further research with larger and more diverse samples is warranted to expand the generalizability of these findings.

show abstract

“…Uncontrolled diabetes can lead to life-threatening complications including both micro and macrovascular complications such as cardiovascular diseases, retinopathy, end-stage renal disease, and neuropathy [ 9 ]. The prevalence of diabetes and its complications is rising exponentially in China [ 10 ], Ireland [ 11 ] and northern Africa [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Knowledge of chronic complications of diabetes among persons living with type 2 diabetes mellitus in northern Ghana

et al. 2020

View full text Add to dashboard Cite

Introduction Diabetes mellitus is a complex disease that affects many organ systems, leading to concerns about deteriorating population health status and ever-increasing healthcare expenditure. Many people with diabetes do not achieve optimal glycaemic control and other metabolic indices, leading to a heightened risk of developing complications. Adequate knowledge of diabetes complications is a prerequisite for risk-factor reduction and prevention of the consequences of the disease. Therefore, this study aimed to evaluate the knowledge of chronic complications of diabetes among persons living with type 2 diabetes mellitus in northern Ghana. Method A descriptive cross-sectional study was conducted among 320 patients with type 2 diabetes mellitus in northern Ghana. The consecutive sampling technique was employed to recruit participants from September to November 2018. Data analysis was performed using IBM statistical package for social science version 23. Descriptive statistics such as frequencies and percentages were used. Both bivariate and multivariate logistic regression analysis were employed to determine associations between knowledge of diabetes complications and demographic/clinical characteristics of participants, at 95% confidence interval with statistical significance at P <0.05. Results The majority of participants (54.1%) had inadequate knowledge and 45.9% had adequate knowledge of diabetes complications. The factors associated with inadequate level of knowledge were female gender [AOR = 0.29 (95%CI: 0.14–0.56), p<0.001], older age [AOR = 0.45 (95%CI:0.20–0.99), p = 0.049], primary education [AOR = 0.13 (95%CI: 0.03–0.51), p = 0.004], no formal education [AOR = 0.16 (95%CI: 0.05–0.50), p = 0.002], rural dwellers [AOR = 0.50 (95%CI: 0.27–0.95), p = 0.033] and unknown family history diabetes [AOR = 0.38 (95%CI: 0.17–0.82), p = 0.014]. Conclusion More than half of the studied population had inadequate knowledge of diabetes complications. Female gender, rural dwellers, and low education level were factors positively associated with inadequate knowledge of diabetes complications. A multisectoral approach is needed, where the government of Ghana together with other sectors of the economy such as the health, education and local government sectors work collaboratively in the development of locally tailored diabetes education programmes to promote healthy self-care behaviours relevant for the prevention of diabetes and its complications.

show abstract

Factors associated with glycemic control in type 2 diabetic patients in Saudi Arabia

Cited by 20 publications

References 30 publications

Addition of Insulin to Treatment Regimen in Type 2 Diabetes: The Significance of Age and Duration among Sudanese Diabetic Patients

Addition of Insulin to Treatment Regimen in Type 2 Diabetes: The Significance of Age and Duration among Sudanese Diabetic Patients

<p>Illness Perceptions, HbA1c, And Adherence In Type 2 Diabetes In Saudi Arabia</p>

Knowledge of chronic complications of diabetes among persons living with type 2 diabetes mellitus in northern Ghana

Contact Info

Product

Resources

About