Glycemic control and associated factors among type 2 diabetic patients at Shanan Gibe Hospital, Southwest Ethiopia

Abstract

ObjectiveThe aim of this study was to assess the rate of glycemic control and factors affecting glycemic control in type 2 diabetic patients.ResultsA total of 174 type 2 diabetic patients were interviewed and were studied. Mean age of the patients was 48.98 ± 14.96 years (range 18–80 years). More than half (51.7%) of the patients were males. About a third of patients, 53 (30.5%), were on antidiabetic medications for less than 5 years. The most common prescribed antidiabetic medications were insulin, 48 (27.6%), and metformin 15 (8.6%). One hundred seven (61.5%) patients were on combination therapy (two drug treatment) and the remaining patients were on monotherapy. The majority, 103 (59.2%), of patients had uncontrolled blood glucose. A larger proportion of female patients, 54 (52.4%), had uncontrolled blood glucose than males. Level of education (p < 0.001) and duration of diabetes treatment (p < 0.001) were significantly associated with glycemic control. Adherence of patients to regular follow up (Adjusted Odds Ratio (AOR) = 2.42, 95% CI 1.08–5.44, p = 0.03) and diabetes treatment for 5–10 years (AOR = 4.64, 95% CI 1.79–12.06, p = 0.002) are found to be independent predictors of glycemic control among type 2 diabetes patients.

Level of self-care practice among diabetic patients in Ethiopia: a systematic review and meta-analysis

“…In the current meta-analysis, seven regions and one administrative town in the country were represented. Most studies took place in Oromia Region (n = 13) [2,17,22,25,28,29,35,37,48,49,51,52] and Amhara Region (n = 9) [4,16,20,27,34,38,44,46,53]; followed by Tigray Region (n = 4) [23,31,32,47], South Nation Nationality of People (SNNP), n = 3)) [21,26,33]; Addis Ababa (n = 4) [30,42,45,54]; Benishangul Gumuz region [24], and Harari region [1] (n = 1 each). Most studies dealt with self-monitoring of blood glucose (SMBG) (n = 21), followed by overall diabetes self-care (n = 16), assessment of dietary practice (n = 15), and engagement in physical activity (n = 14).…”

“…DM self-care activities are owned by patients and their families;, as a result, there should be consistent and effective measure for diabetes self-care through dietary and lifestyle modification complemented with supportive role of health care providers [4,[13][14][15]. Self-monitoring of glycemic combined with regular physical activity are considered as a cornerstone of diabetes cares to ensure patient participation in achieving and maintaining at recommended level of blood glucose [6,[16][17][18][19].…”

Effects of FamilyDoctor Concept and Doctor-Patient Interaction Satisfaction on Glycaemic Control among Type 2 Diabetes Mellitus Patients in the Northeast Region of Peninsular Malaysia

“…This study shows that satisfaction on doctor-patient interaction as well as the implementation of FDC were the important factors associated with T2DM patient's glycaemic control. The proportion of good glycaemic control among T2DM in Kelantan was still low as compared to another local study [12] and other countries such as Mexico, Brazil and Saudi Arabia [4,16,17]. However, the comparison must be made cautiously as other study used different cut-off point such as HbA1c of <7% to be defined as good glycaemic control as compared to this study which uses cut-off point ≤6.5%.…”

“…There are several significant factors associated with glycaemic control which has been revealed by many studies such as age, sex, duration of diabetes and educational level [4,[12][13][14][15][16]. However, to the best of our knowledge, there is scarce local evidence that examines the relationship between FDC implementation and doctor-patient interaction satisfaction towards glycaemic control among T2DM.…”

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

“…Despite, of the importance of good glycemic control evidence showed that there is poor glycemic control in Ethiopia [17][18][19][20]. Different studies evidenced that being unable to read and write, farmer, having poor medication adherence, duration with diabetics, and duration of diabetics treatment were the significant associated factors for poor glycemic control among type 2 diabetic patients [12,[20][21][22]. The aim of this study was to assess the level of glycemic control and its associated factors among type 2 diabetic patients attending their follow up at Debre Tabor General Hospital, Northwest Ethiopia.…”