Self-care and glycaemic control: a cross-sectional study

Imseeh, Sawsan; Mikki, Nahed; Ghandour, Rula; Giacaman, Rita; Norberg, Margareta; Jerdén, Lars; Stenlund, Hans; Husseini, Abdullatif

doi:10.1016/s0140-6736(13)62591-x

Cited by 2 publications

(7 citation statements)

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“…Previous studies from the Middle East region reported lower glycemic control rate than our findings (20%-36%) [24,26,[29][30][31]. Imseeh et al found that only 20% of T2DM patients were glycemic controlled [2]. In their study, the majority of patients were females (67.8%).…”

Section: Discussioncontrasting

confidence: 73%

“…Diabetes mellitus (DM) is a common chronic metabolic disorder that affects nearly 8.8% of the total world population [1]. The prevalence of DM in Palestine increases every year and has become one of the main leading causes of morbidity and mortality [2,3]. Reports from the Ministry of Health (MOH) revealed that the prevalence rate of DM among Palestinians in Gaza strip is 1,540 per 100,000 of the population.…”

Section: Introductionmentioning

confidence: 99%

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Assessment of Medication Adherence and its Association with Glycemic Control among Type-2 Diabetes Mellitus Patients in Gaza-Palestine

Mr¹,

Hz²

2018

Clin Exp Pharmacol

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Background: Diabetes mellitus is a serious health problem. It is considered the third leading cause of deaths among chronic diseases in the Gaza Strip, Palestine. Among diabetic patients, T2DM constitute the majority (92.2%). Medication adherence is a key determinant of therapeutic success. No studies have previously investigated medication adherence among T2DM patients in Gaza. Objectives: To assess medication adherence and its association with glycemic control among T2DM patients. Setting: Al-Rimal Martyr's clinic in Gaza, Palestine. Methods: A cross-sectional study with a convenience sample of 148 T2DM patients. The study used MMAS-8, last value of the HbA1c test, MDKT and BMQ to assess medication adherence, glycemic control, DM-related knowledge and beliefs about medicines, respectively. Main outcome measures: Level of medication adherence and rate of glycemic control. Results: The mean age of the patients was 59.4 ± 8.6 years. More than half of the patients (52%) were females. The mean adherence score was 5.5 ± 1.4. Approximately 52.7% of patients were non-adherent. 83 patients (56.1%) were poor glycemic controlled. Poor glycemic control was significantly associated with non-adherence. 95 patients (64.2%) had a low level of knowledge about DM. The mean scores of BMQ scales were 17.8 ± 3.62, 12.4 ± 3.63, 12.5 ± 3.50, 12.3 ± 2.79 for specific-necessity scale, specific-concerns scale, general-harm scale, general-overuse scale, respectively. Medication non-adherence was significantly associated with unmarried status, diet noncompliance status, and education about DM and patients' negative beliefs about medicines as a whole. Conclusion: Most patients were medication non-adherents and poor glycemic controlled. Improving patients' medication adherence may improve glycemic control.

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Section: Discussioncontrasting

confidence: 73%

Section: Introductionmentioning

confidence: 99%

Assessment of Medication Adherence and its Association with Glycemic Control among Type-2 Diabetes Mellitus Patients in Gaza-Palestine

Mr¹,

Hz²

2018

Clin Exp Pharmacol

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“…However, with the exception of sex, all these associations disappeared in the adjusted analysis. Some previous research also did not support the role of the socio-demographic characteristics as determinants of glycaemic control ( 14 , 35 ). Female patients were more likely to have uncontrolled and poor glycaemic control than males.…”

Section: Discussionmentioning

confidence: 80%

“…However, poor glycaemic control is widely reported. Several studies showed low frequencies of good glycaemic control among T2DM patients ( 10 – 14 ). A multinational study that involved insulin-treated type 2 diabetics from 28 countries showed that the failure to achieve optimal glycaemic control is a global issue ( 15 ).…”

mentioning

confidence: 99%

“…The importance of self-management concurs with several studies that demonstrated that glycaemic control could be achieved through medication adherence as well as the engagement in a set of self-care practices ( 20 , 21 ). However, some studies could not show the impact of some self-care practices on diabetes control ( 11 , 12 , 14 ). For instance, in a Malaysian study among type 2 diabetics, self-care behaviours like exercise and dietary engagement were not associated with glycaemic control status ( 11 ).…”

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confidence: 99%

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Glycaemic control status among type 2 diabetic patients and the role of their diabetes coping behaviours: a clinic-based study in Tripoli, Libya

Ashur

Shah

Bosseri

et al. 2016

Libyan Journal of Medicine

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BackgroundAchieving good glycaemic control is important in diabetes management. However, poor glycaemic control is widely reported. This article assessed the prevalence of uncontrolled and poor glycaemic control among Libyans with type 2 diabetes and examined the relative contribution of diabetes coping behaviours to their glycaemic control status.MethodsA cross-sectional study was undertaken in 2013 in a large diabetes centre in Tripoli. The study included 523 respondents. Diabetes coping behaviours were measured using the revised version of the Summary of Diabetes Self-Care Activities measure (SDSCA) and the eight-item Morisky Medication Adherence Scale (MMAS-8©), while glycaemic control status was based on the HbA1c level.ResultsMean HbA1c was 8.9 (±2.1), and of the 523 patients, only 114 (21.8%) attained the glycaemic control target of HbAc1 of less than 7.0%. Females (OR=1.74, 95% CI=1.03–2.91), patients on insulin and oral hypoglycaemic agents (OR=1.92, 95% CI=1.05–3.54), patients on insulin (OR=3.14, 95% CI=1.66–6.03), and low-medication adherents (OR=2.25, 95% CI=1.36–3.73) were more likely to have uncontrolled and poor glycaemic control, while exercise contributed to glycaemic control status as a protective factor (OR=0.85, 95% CI=0.77–0.94).ConclusionThe findings from this study showed the considerable burden of uncontrolled and poor glycaemic control in one of the largest diabetes care settings in Libya. Medication adherence as well as exercise promotion programs would help in reducing the magnitude of poor glycaemic control.

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Self-care and glycaemic control: a cross-sectional study

Cited by 2 publications

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Assessment of Medication Adherence and its Association with Glycemic Control among Type-2 Diabetes Mellitus Patients in Gaza-Palestine

Assessment of Medication Adherence and its Association with Glycemic Control among Type-2 Diabetes Mellitus Patients in Gaza-Palestine

Glycaemic control status among type 2 diabetic patients and the role of their diabetes coping behaviours: a clinic-based study in Tripoli, Libya

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