Glycemic Control Rate in Type 2 Diabetes Mellitus Patients at a Public Referral Hospital in Rio de Janeiro, Brazil: Demographic and Clinical Factors

Lozovey, Natasha Reis; Lamback, Elisa Baranski; Mota, Raissa Barros; Caarls, Michelle Botelho; Neto, Leonardo Vieira

doi:10.14740/jem390w

Cited by 5 publications

(11 citation statements)

References 20 publications

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“…In the present study, 45.2% of the participants had poor glycemic control. The proportion of poor glycemic control was comparable to the results reported in Ambo, Brazil, Iran, and Jordan [ 11 , 17 , 31 , 32 ]. In other studies, carried out in Riyadh (67.7%), Al-Hasa (67.9%), Jazan (74%), Oman (65.0%), United Arab Emirates (69%), Kuwait (78.8%) and Rawalpindi (76%) [ 33 – 39 ], poor glycemic control was higher unlike the current study.…”

Section: Discussionsupporting

confidence: 85%

“…A multicenter study conducted in Eastern Europe, Asia, and Latin America showed that 96.4% of study participants had poor glycemic control [10]. Similarly, high proportions of T2DM patients with poor glycemic control ranging from 50% to 95.8% were reported in Brazil, south Indian, Karnataka, Uganda, Mthatha and Ghana [11][12][13][14][15]. In Ethiopia, hospital-based cross-sectional studies done at Gondar, Ambo, Jimma and Limmu indicated that 57.5%, 50%, 70.9%, 63.8% of participants had poor glycemic control, respectively [16][17][18][19].…”

Section: Introductionmentioning

confidence: 99%

“…Even though studies established the influence of glycemic control on the progression of diabetic complications, small proportion of DM populations achieve the target glycemic level [11,12,20,21]. Different factors have contributed to poor glycemic control including age, duration of the disease, type of treatment, patients' perception of health, educational level, occupation, and medication adherence [22][23][24][25].…”

Section: Introductionmentioning

confidence: 99%

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Rate of glycemic control and associated factors among type two diabetes mellitus patients in Ethiopia: A cross sectional study

et al. 2021

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Objective To assess the rate of glycemic control and associated factors among type 2 diabetes mellitus patients at Dilchora Referral Hospital, Dire Dawa, Eastern Ethiopia. Methods A cross-sectional study was conducted from 13 May to 16 August 2019. Type 2 diabetic patients on follow up at Dilchora Referral Hospital who fulfilled the inclusion criteria of the study were included. Systematic random sampling was used to select study participants. Data was collected by a face-to-face interview and review of medical records. The primary outcome was the level of blood glucose during three consecutive visits. Poor glycemic control was defined as a blood sugar level of more than 154 mg/dL based on the average of measurements from three consecutive visits. Multivariate logistic regression analysis was used to identify determinants of glycemic control. Result A total of 394 participants responded to the interview and were included in the final analysis. The overall prevalence of poor glycemic control was 45.2% (95%CI: 40.6%-50.0%). Patients who were on oral anti-diabetic drug plus insulin had more than two times greater chance of poor glycemic control than patients on oral anti-diabetic drug alone: 2.177(95%CI:1.10–4.29). The odds of poor glycemic control in patients who did not understand the pharmacist’s instructions was two times higher than patients with good understanding of instructions 1.86(95%CI: 1.10–3.13). Patients who had poor level of practice were found to have poor glycemic control: 1.69(95% CI: 1.13–2.55). Conclusion The overall prevalence of poor glycemic control was high among type 2 diabetes patients. Oral anti-diabetic drugs in combination with insulin, lack of understanding of pharmacist’s advice, and poor practice of diabetic patients were significant factors of poor glycemic control. Pharmacists should reassure the understanding of patients before discharge during counseling. Optimization of the dose of antidiabetic medications and combination of oral hypoglycemic agents should be considered.

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Section: Discussionsupporting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Rate of glycemic control and associated factors among type two diabetes mellitus patients in Ethiopia: A cross sectional study

et al. 2021

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“…This study was an assessment of glycemic control, insulin injection techniques, and adherence to medication among those on self-medication in a real-world situation in a lowand middle-income country. Glycemic control among insulindependent diabetic patients was less than that of 37.6% among all patients with diabetes reviewed in 2015 and that of around 50% found in developed countries [7,11,12]. This consistent level of poor control is alarming given the background of increasing load of diabetic patients in all hospitals across Bhutan [1,2].…”

Section: Discussionmentioning

confidence: 99%

Glycemic control, medication adherence, and injection practices among diabetic patients treated in the 3 tertiary referral hospitals in Bhutan: a call for more action

Dorji¹,

Lhamo²,

Tshering³

et al. 2018

Asian Biomedicine

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Background The burden of diabetes has increased rapidly with an increasing cost of treatment. Objectives To describe the glycemic control, injection practices, and treatment adherence among diabetic patients treated with insulin. Methods This cross-sectional study was conducted using a convenience sampling method at the 3 tertiary referral hospitals in Bhutan. Sociodemographic, injection practices, and clinical details were collected. Good glycemic control was defined as glycated hemoglobin A (HbA1c) <7% if available or fasting blood sugar 70–130 mg/dL and 2 h postprandial blood sugar <180 mg/dL if HbA1c values were unavailable. Medication adherence was assessed using the Morisky, Green and Levine (MGL) scale. The injection technique was assessed using a 10-item checklist. Results We studied 207 patients. Good glycemic control was achieved by only 58 (28.0%) of patients. Using the MGL scale score, the objective adherence with insulin therapy was mostly low to medium and a gross discordance was with self-declared adherence (P < 0.001). The injection technique was fair to poor in half of the participants. Those with good injection techniques also had good adherence to medication (P = 0.025, adjusted odds ratio = 4.4, 95% confidence interval 1.2–16.4). The majority (154, 74.4%) had self-injected insulin, while the remaining were dependent on their home caregivers. Forty percent of the participants used storage practices that were not recommended. The disposal of the used insulin needles was generally unsafe. Conclusions Glycemic control and adherence to insulin administration recommendations were poor. The injection technique needs to be improved and standardized, and methods of safe disposal of sharps need to be developed.

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“…4,5) In China, previous large-scale investigations have primarily been limited to patients' epidemiological status such as the prevalence of diabetes and rate of glycemic control. [6][7][8] A cross-sectional national survey in 2010 found that 39.7% of 98658 treated diabetic patients in China had adequate glycemic control, 6) a rate which was lower than that of Brazil (51%), Latin America (43.2%), and Denmark (49%). [9][10][11] Other studies assessed risk factors for adequate blood glucose control, focusing on the socioeconomic and demographic effects.…”

Section: Introductionmentioning

confidence: 99%

Predictors of Glycemic Control among Patients with Type 2 Diabetes in Western China: A Multi-center Cross Sectional Study

Xiang

Ren

Chen

et al. 2021

Biological & Pharmaceutical Bulletin

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Glycemic Control Rate in Type 2 Diabetes Mellitus Patients at a Public Referral Hospital in Rio de Janeiro, Brazil: Demographic and Clinical Factors

Abstract: Background: The aim of the study was to determine the rate of satisfactory glycemic control among patients with type 2 diabetes (T2D) followed up at a tertiary referral hospital in Brazil.

Cited by 5 publications

References 20 publications

Rate of glycemic control and associated factors among type two diabetes mellitus patients in Ethiopia: A cross sectional study

Rate of glycemic control and associated factors among type two diabetes mellitus patients in Ethiopia: A cross sectional study

Glycemic control, medication adherence, and injection practices among diabetic patients treated in the 3 tertiary referral hospitals in Bhutan: a call for more action

Predictors of Glycemic Control among Patients with Type 2 Diabetes in Western China: A Multi-center Cross Sectional Study

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