Determinants of glycemic control among persons with type 2 diabetes mellitus in Niger Delta

Chukwuani, Ufuoma; Godwin, Yovwin D; Kester, A Digban; Ngozi, J Chukwuebuni

doi:10.4103/1118-8561.196361

Cited by 31 publications

(38 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…to day management of patients and adjustment of medications.Females and younger patients had non-statistical higher rates of poor control. This is similar to previous studies[5] [15] [16][28] …”

supporting

confidence: 93%

“…The rate of poor glycemic control in the index study is within the range reported in Nigeria and the sub-continent [5]- [11] [21] [23] [25]. Unlike in most of these studies, we used fasting blood glucose as an indicator of control instead of HbA1C.…”

Section: Discussionmentioning

confidence: 95%

“…Poor glycemic control is a risk factor for both micro and macro vascular complications of diabetes. It is also a major factor in the burden of the disease and has been documented in several studies from Sub-Saharan Africa [5]- [11].…”

Section: Introductionmentioning

confidence: 97%

“…Good glycemic control has been defined in type 2 diabetes as fasting plasma glucose level of between 80 and 110 mg/dl [19]. Poor glycemic control has been related to factors such as modality of treatment, age, gender, access to care, diet, obesity, systolic blood pressure, physical activity and level of knowledge of patients and their care givers [5] [6] [12] [14] [15] [17]. In many Nigerian communities, there is a high rate of herbal-medication use as well as poor knowledge attitude and practice of diabetes [4] [5] [6] [20].…”

Section: Introductionmentioning

confidence: 99%

“…In Iran more than 64.4% of the patients have poor overall glycemic control [16]. In sub-Saharan Africa including Nigeria this figure has consistently remained high [5] [7] [12] [23] [24]. A study from the Niger Delta region of Nigeria reported a rate of 55% [5] while others have reported rates ranging from34% -65.7% [5] [6] [11] [23] [24].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Glycemic Control among Medical Outpatients in Enugu: A Cross Sectional Survey

Onodugo¹,

Ezeala-Adikaibe²,

Anyim³

et al. 2019

JDM

View full text Add to dashboard Cite

Background: Diabetes in Nigeria presents a rising public health challenge and many cases are probably undetected. Poor glycemic control is a risk factor to both micro and macro vascular complications of diabetes and a major factor in the burden of the disease world-wide. The aim of the present study was to determine the pattern of glycemic control among adult diabetes patients attending a medical outpatient clinic in Enugu. Methods: Using a semi-structured questionnaire, we conducted a cross sectional descriptive study of patients with diabetes attending the medical out-patient clinic of one of the tertiary Hospitals in Enugu, Nigeria. Good glycemic control was defined as fasting blood glucose of less than 100 mg/dl. Study duration was 6 months. Statistical analyses were done using SPSS software. Results: A total of 119 participants were recruited for the study: 74 (62.2%) females and 45 males (37.8%) with a mean age of 62.2 (11.7) years. The mean systolic and diastolic blood pressure was 138.4 (24.3) mmHg and 81.2 (12.9) mmHg respectively. Eight (6.7%) had a documented history of diabetes-related coma in the past. The mean fasting blood glucose was 127.9 (22.4) mg/dl. Good, fair and poor glycemic control was achieved in 16.8%, 30.3% and 63% (52.9%) respectively. Correlation statistics showed that low level of adherence and abstaining from alcohol/tobacco are correlated with poor glycemic control. Conclusion: Majority (52.9%) of patients with diabetes attending a tertiary health center in Enugu, Nigeria has poor glycemic control status. Medication adherence and substance use are correlated with poor control.

show abstract

supporting

confidence: 93%

Section: Discussionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Glycemic Control among Medical Outpatients in Enugu: A Cross Sectional Survey

Onodugo¹,

Ezeala-Adikaibe²,

Anyim³

et al. 2019

JDM

View full text Add to dashboard Cite

show abstract

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

et al. 2020

View full text Add to dashboard Cite

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.

show abstract