Poor Glycaemic Control and It’s Risk Factors Among Diabetes Patients in An Urban Area of Western India

Abstract

Introduction: Diabetes is a major public health problem worldwide including India. Poor glycaemic control is a major risk factor for the development of diabetes-related complications. Hence, monitoring and achieving good glycaemic control is critical to reducing the risk of complications and improving outcomes in people with diabetes. This study conducted to determine the prevalence of poor glycaemic control and to identify the factors associated with poor glycaemic control. Methodology: This cross-sectional descriptive study conducted in an urban area among those patients having diabetes since more than five years. All participants were interviewed and tested for HbA1c. Cases with good glycaemic control (HbA1c <7%) were compared with those with poor glycaemic control (HbA1c ≥7%). Multivariate analysis was conducted to find out independent determinants. Results: Out of 632 cases, poor glycaemic control was found in 81.3% cases. Multivariate logistic regression indicated that living without a spouse (p 0.036), Female gender (p 0.032), MBI >23(kg/m2) (p <0.001), poor medication adherence (p 0.022), and high perceived stress level (p 0.011) were independent predictors of poor glycaemic control. More than 10 years duration of diabetes was found to be associated with good glycaemic control (p 0.016) Conclusion: There are a high proportion of patients with poor glycaemic control. Higher BMI, poor drug adherence and higher stress level are independently associated with poor glycaemic control.