Predictors of poor glycemic control among patients with type 2 diabetes on follow-up care at a tertiary healthcare setting in Ethiopia

BMC Res Notes. 2019 Apr 4;12(1):207. doi: 10.1186/s13104-019-4248-6.

Abstract

Objective: Contemporary clinical guidelines endorsed that glycemic control is the ultimate goal in the management patients with diabetes. The aim of this study was to assess the prevalence of glycemic control and to identify predictors of poor glycemic control in patients with type 2 diabetes (T2D). A cross-sectional study was conducted among systematically selected 357 diabetic patients. Data were collected through direct patients' interviews and medical chart review. Binary logistic regression analyses were performed and analyzed using SPSS version 22.0.

Results: Participants' mean age was (± SD) 56.1 ± 11.6 years. Nearly four in five (77.9%) of the participants had comorbidities, mainly of hypertension, and 60.2% had diabetic complications, mainly diabetes neuropathy. Poor glycemic control was found in 68.3% of the participants with a mean (± SD) FBG of 174.1 ± 48.9 mg/dL. Being female gender, having greater body mass index and low medication adherence was significantly associated with poor glycemic control. In conclusion, the overall aspects of glycemic control level of patients were far from the standards. Being female, greater body mass index and poor medication adherence were predictors of poor glycemic control. In response to this finding, an aggressive intervention that targets in improving the glycemic control is required.

Keywords: Ethiopia; Fasting blood glucose; Glycemic control; Predictors; Type 2 diabetes.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Blood Glucose / metabolism
  • Body Mass Index
  • Comorbidity
  • Cross-Sectional Studies
  • Diabetes Mellitus, Type 2 / blood
  • Diabetes Mellitus, Type 2 / diagnosis*
  • Diabetes Mellitus, Type 2 / drug therapy
  • Diabetes Mellitus, Type 2 / physiopathology
  • Diabetic Neuropathies / blood
  • Diabetic Neuropathies / diagnosis*
  • Diabetic Neuropathies / drug therapy
  • Diabetic Neuropathies / physiopathology
  • Ethiopia
  • Female
  • Humans
  • Hyperglycemia / blood
  • Hyperglycemia / diagnosis*
  • Hyperglycemia / drug therapy
  • Hyperglycemia / physiopathology
  • Hypertension / blood
  • Hypertension / diagnosis*
  • Hypertension / drug therapy
  • Hypertension / physiopathology
  • Hypoglycemic Agents / therapeutic use*
  • Logistic Models
  • Male
  • Medication Adherence / statistics & numerical data
  • Middle Aged
  • Sex Factors
  • Tertiary Healthcare

Substances

  • Blood Glucose
  • Hypoglycemic Agents