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

Authors:
Mr. Gebre Teklemariam Demoz, MSc
Mr. Gebre Teklemariam Demoz, MSc
Department of Clinical Pharmacy, School of pharmacy, Aksum University
Lecturer and Clinical Preceptor
Clinical pharmacy and pharmacy practice
Aksum, Tigray | Ethiopia
Alem Gebremariam
Alem Gebremariam
Madawalabu University
Helen Yifter
Helen Yifter
Addis Ababa University
Addis Ababa | Ethiopia
Minyahil Alebachew
Minyahil Alebachew
School of Pharmacy

BMC Res Notes 2019 Apr 4;12(1):207. Epub 2019 Apr 4.

School of Pharmacy, Addis Ababa University, Addis Ababa, Ethiopia.

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.

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http://dx.doi.org/10.1186/s13104-019-4248-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6449968PMC
April 2019
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