Poor glycemic control and its associated factors among diabetes patients attending public hospitals in West Shewa Zone, Oromia, Ethiopia: An Institutional based cross-sectional study

Abstract

Purpose Diabetes mellitus (DM) is increasing at an alarming rate throughout the world and its complications of has become a major public health concern in all countries. Glycemic control is the most important predictor for DM related complications and deaths. However information on glycemic control remains scarce in Ethiopia including our study area. Hence, the aim of this study was to assess the magnitude and factors associated with poor glycemic control among diabetic outpatients at West Shewa public Hospitals, Ethiopia. Methods A facility-based cross-sectional study was conducted from June 01 to September 30, 2020. Poor glycemic control was assessed by glycated hemoglobin level and a systematic random sampling method was employed to select participants. An interviewer-administered structured questionnaire was used and the data entered into Epi data version 3.1 and exported into SPSS version 22 for analysis. Logistic regression was conducted to identify predictors of poor glycemic control. A p-value of <0.05 was considered statistically significant. Results A total of 390 participants were involved in the study with mean age of 46.45 (±15.6) years. The study finding showed that the prevalence of poor glycemic control was found to be 63.8%. Age of ≥50 years (AOR = 2.77; 95% CI: 0.15,0.85), being single (AOR = 2.55; 95% CI: 0.179,.857), having high low-density lipoprotein cholesterol (AOR = 3.44; 95% CI: 1.65, 7.12), being female gender (AOR = 2.4; 95%CI: 0.31,0.816), alcohol intake (AOR = 1.88; 95% CI: 1.135, 3.1) and presence of diabetic peripheral neuropathy (AOR = 1.24; 1.1,1.39) were associated with poor glycemic control. Conclusion About two-thirds of participants had poor blood glucose control. Increased age, high low-density lipoprotein cholesterol, family history of diabetes, being single, being female, diabetic peripheral neuropathy and alcohol intake were associated with poor glycemic control. Hence, effort should be made towards reducing these factors among DM patients by the concerned body.

Poor Self-Care Practices and Being Urban Resident Strongly Predict Chronic Complications Among Patients with Type 2 Diabetes in Eastern Ethiopia: A Hospital-Based Cross-Sectional Study

“…11,26 The similarity could be attributed to the presence of a significant proportion of patients with similar co-morbid conditions and suboptimal glycemic control across the studies, typically associated with chronic complications in T2D patients. 25,51,52 However, the result of this study was lower than other studies conducted in northern Ethiopia, and Nairobi, Kenya. 12,34,53,54 This could be because more than three-quarters of the patients in the current study had shorter diabetes durations, which may minimize the likelihood of chronic complications, and other potential risk factors such as alcohol and smoking were not present.…”

Glycemic Control for Type 2 Diabetes Mellitus Patients: A Systematic Review

“…The determinant factors of glycemic control varied as well based on the evaluation of different factors between studies. However, we noted that the prevalence of poor glycemic control in the two previous studies [ 12 , 14 ] was high regardless of the assessment measure for glycemic control used in each study.…”

“…It should be noted that the study defined poor glycemic control at mean fasting blood glucose levels above 130 mg/dL. The factors reported to be determinants of glycemic control included low education, rural residence, and longer duration of diabetes; all these factors were associated with poor glycemic control [ 12 ]. These findings reveal that the prevalence of glycemic control can vary even in the same country due to variation in the study region, the definition of the glycemic control value, and the type of diabetes.…”

“…Rigorous recording and controlling of the level of blood glucose is essential to diabetes care and management in order to delay and reduce the incidence of complications [ 11 ]. On the other hand, improving glycemic control reduces morbidity and increases the life expectancy and quality of life of patients [ 12 ].…”

Physical activity can improve diabetes patients' glucose control; A systematic review and meta-analysis

“…From the total of 501 studies underwent fulltext review and critical appraisal, fourteen [ 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 ] were selected for meta-analysis while 19 papers including the former and additional five studies [ 35 , 36 , 37 , 38 , 39 ] were used for descriptive review. Studies included in the meta-analysis were those papers which studied (or described) the association of physical activity and glycemic control among adult Ethiopian diabetes patients.…”