Glycaemic control for people with type 2 diabetes in Saudi Arabia – an urgent need for a review of management plan

Alramadan, Mohammed J.; Magliano, Dianna J.; Almigbal, Turky H.; Batais, Mohammed Ali; Afroz, Afsana; Alramadhan, Hesham J.; Mahfoud, Waad Faozi; Alragas, Adel Mehmas; Billah, Baki

doi:10.1186/s12902-018-0292-9

Cited by 59 publications

(89 citation statements)

References 57 publications

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“…For the majority of patients, a healthy diet is related to the high-level consumption of carbohydrates, whereas for others high protein must be consumed to control the effect and level of diabetes. Alramadan et al [6] demonstrated that the majority of the people were prone to unhealthy lifestyles leading towards other healthrelated issues such as obesity. This has provided them greater difficulties in controlling their sugar and blood levels.…”

Section: Discussionmentioning

confidence: 99%

“…The prevalence of diabetes in developing countries is relatively high. In fact, Saudi Arabia as a developing country has the highest diabetes prevalence in both regional and global landscapes [6]. The state invested about 1,142 million dollars for overcoming the progressive disease in the country which is tremendously affecting its workforce.…”

Section: Introductionmentioning

confidence: 99%

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Knowledge about Diabetes and Glycemic Control among Diabetic Patients in Saudi Arabia

Abouammoh

Alshamrani

2020

Journal of Diabetes Research

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The prevalence of diabetes in various regions has attracted significant attention of the medical experts. The prevalence of diabetes is expected to increase in the future due to changes in lifestyle and unhealthy diets of individuals. The objective of the study is to identify the extent of knowledge related to diabetes and glycemic controls in various diabetic patients living in Saudi Arabia. A total of 435 patients were recruited using a random sampling technique, while following a cross-sectional design. Patients’ knowledge was tested using the Michigan Diabetes Knowledge Test. Findings of the study illustrated that the problem was common among middle-aged male patients. A significant amount of knowledge related to the consumption of medicines, insulin, healthy diet, etc. was found among diabetic patients. Despite the fact that people have adequate knowledge, valuable attention is yet required to provide necessary counselling to people living in Saudi Arabia that may help them to control health risks and mortality.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Knowledge about Diabetes and Glycemic Control among Diabetic Patients in Saudi Arabia

Abouammoh

Alshamrani

2020

Journal of Diabetes Research

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“…About three-fourths of participants had inadequate glycaemic control (≥ 7%). Multivariable analysis showed that age ≤ 60 years, longer duration of diabetes, low household income, low intake of fruits and vegetable, low level of physical activity, high waist-hip ratio, low adherence to medication, and using injectable medications were independent risk factors for inadequate glycaemic control [16]. Among 480 subjects with self-reported diabetes in Phase I of INDIAB (2008 -2010), good glycemic control (HbA1c <7%) was observed only in 31.1% of urban and 30.8% of rural subjects.…”

Section: International Journal Of Medical Research and Reviewmentioning

confidence: 99%

Glycemic control amongst diabetic subjects on insulin therapy: Still off target!

Shetty¹,

Ramachandrappa²

2019

Int J Med Res Rev

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Introduction:Prevalence of diabetes is increasing worldwide. Good glycemic control is essential for prevention of complications of diabetes. Despite of availability of multiple medications, it is difficult to achieve good glycemic control. Insulin therapy is considered to be the best option available for attaining glycemic control. But, whether insulin therapy has achieved it is an important question to be addressed. Objective: To assess the glycemic control in subjects with diabetes on insulin therapy. Materials and Methods: A cross-sectional study was done at Karnataka Institute of Endocrinology and research, Bangalore, in 448 diabetic patients who were on insulin therapy as a part of their diabetic therapy. Data collected was analyzed using SPSS 22 version software. Results: Majority of the subjects were men (61.38%) and in the age group of > 60 years (44.9%). Many of the subjects on insulin therapy had duration of diabetes > 5 years, with 36.4% having duration of 10-20 years, while another 36% had duration of 5 -10 years. Premixed insulin (81.47%) was the most commonly used insulin regimen. 82.6% of the subjects were on conventional insulin and only 13.2% were on insulin analogues. Insulin syringe was the most commonly used delivery device, with 64.7% of subjects using it, while insulin pen was used by 33.5% subjects. Despite of insulin therapy, the glycemic control was poor and 81.4% had HbA1c >8%. Only 5.7% of the subjects had HbA1c <7%. 94.9% of the subjects reported that they were regular with their insulin therapy. Only 20.1% adjusted the insulin dose by self. Conclusions: The present study has found that despite being on insulin therapy, large percentage of subjects was unable to achieve good glycemic control.

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“…Cohen et al [191] Alramadan et al [167] Saudi Arabia, the US Low number of complications Bailey et al [189], Rolnick et al [181] Jamous et al [192], Palestine, the US…”

Section: Medical -Related Long Duration Of Diabetesmentioning

confidence: 99%

Living with Diabetes: Personal Interviews with Pakistani Women in Norway

Abuelmagd

Håkonsen

Mahmood

et al. 2017

J Immigrant Minority Health

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The prevalence of Type 2 diabetes (T2D) among Pakistani women in Norway is remarkably high. This study aims to assess how they live with the disease and their response to lifestyle and medical information. 120 Pakistani women living in Norway (mean age: 55.7 years) were personally interviewed about their T2D using a structured questionnaire (response rate: 95%). The participants were first-generation immigrants (mean residence time: 28.7 years) of whom 27% were illiterates. Poor health was reported by one-third, and 71% had developed macrovascular comorbidities. A majority reported physical inactivity and an unhealthy diet included religious fasting. One-third was not able to self-measure their blood glucose. There was a great variation in antidiabetic drug regimens and one-fourth had to use insulin in addition to tablets. Pakistani women in Norway showed suboptimal control of their T2D in terms of lifestyle habits, comorbidities and drug use. Low literacy and cultural factors seem to challenge adherence to lifestyle and medical information.

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Glycaemic control for people with type 2 diabetes in Saudi Arabia – an urgent need for a review of management plan

Cited by 59 publications

References 57 publications

Knowledge about Diabetes and Glycemic Control among Diabetic Patients in Saudi Arabia

Knowledge about Diabetes and Glycemic Control among Diabetic Patients in Saudi Arabia

Glycemic control amongst diabetic subjects on insulin therapy: Still off target!

Living with Diabetes: Personal Interviews with Pakistani Women in Norway

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