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

Abstract

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.

Predictors of Poor Plasma Glucose Maintenance in Type II Diabetic People with Ophthalmic Complication: The Case of Dessie Hospitals in Ethiopia

“…30 On the other hand, this prevalence was lower compared to findings of Tikur Anbessa hospital (80%), 22 Saudi Arabia (74.9%), 24 Bangladesh (82%), 18 and India (78.2%). 17 A thirty-three 33 percent reduction in poor plasma glucose maintenance was observed among those with a diploma compared to those with no education, which is in line with studies in Debre Tabor referral hospital, 19 and Bangladesh. 18 Possible justification for this might be that medication and practice of lifestyle and recommendations require knowledge or intellectual stimulation, which educated people have.…”

“…The prevalence of poor plasma glucose maintenance was 65.1% which is supported by studies in Gondar hospital (60.5%), 28 Nekemte Referral Hospital, 20 Debre Tabor referral hospital (71.4%), 19 Ethiopian tertiary hospitals (68.3%), 15 and Morocco (66.3%). 21 However, this result was higher than in Ambo hospital (50%), 29 and China (49.3%).…”

“…Studies conducted in Ethiopian hospitals, ie, Debre Tabor, Tikur Anbessa and Nekemte and outside Ethiopia in Saudi Arabia and Morocco. [19][20][21][22]24 Possible justification might be the fact that long duration of diabetes decreases insulin hormone production by the pancreas or results in target cell resistance. 32 The association of insulin medication use with poor plasma glucose maintenance is consistent with studies done in India, Tikur Anbessa hospital (Ethiopia), and Morocco.…”

“…2,14 In spite of the significance of better plasma glucose maintenance, scholars showed the existence of inadequate plasma glucose maintenance in Ethiopia. 15,16 A large amount of literature disclosed that inadequate plasma glucose maintenance is associated with female sex, 15,17,18 low educational level, [18][19][20] age <65, 17,18 longer duration of diabetes, 17,18,[20][21][22][23][24] insulin treatment, 17,[20][21][22][23] obesity, 15,17,24 inadequate physical activity, 24 and diet. 19 The association between inadequate plasma glucose maintenance and living standards, medical parameters, and therapeutic options at local levels has not been well studied.…”

Poor Glycemic Control and Its Contributing Factors Among Type 2 Diabetes Patients at Adama Hospital Medical College in East Ethiopia

“…11 Poor glycemic control is a major public health issue among patients with type 2 diabetes mellitus and a significant risk factor for the progression of diabetic complications. [12][13][14] Poor glycemic control is a common problem in different parts of the world. Observational studies were conducted worldwide and revealed the magnitude of poor glycemic control ranges from 50.1% to 91.8%.…”