Prevalence of Depression and Predictors of Glycemic Control among Type 2 Diabetes Mellitus Patients at Family Medicine Clinic, Suez Canal University Hospital Egypt

Ismail, Mansoura Fawaz Salem; Fares, Madiha M.; Abd-Alrhman, Ahmed G.

doi:10.5742/mewfm.2019.93611

Cited by 20 publications

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“…The mean HbA1c of diabetes patients in the presence of hypertension comorbidity was 8.16%, and the mean HbA1c of diabetes patients in the absence of hypertension was 7.17%. This finding agrees with the finding from Egypt [ 25 ] and China [ 38 ]. This is because the additional antihypertensive pill burden and complication inhibit the utilization of peripheral glucose which finally increases the glycated hemoglobin level [ 39 ].…”

Section: Discussionsupporting

confidence: 93%

“…Glycemic control was poor in 55.32% [95% CI: 53.4%-57.25%] of diabetes patients. This finding was lower when compared to the research output from Egypt [ 25 ], and this finding agrees with the finding from Bangladesh [ 26 ], India [ 27 ], Ethiopia [ 28 ]. This finding alerts that more than half of diabetes mellitus patients were not properly regulating their HbA1c, which calls the attention of decision-makers to give priority to handle the unwanted consequences of diabetes mellitus in the resource-limited settings.…”

Section: Discussionsupporting

confidence: 87%

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Glycemic Control of Diabetes Mellitus Patients in Referral Hospitals of Amhara Region, Ethiopia: A Cross‐Sectional Study

Feleke

Kassahun

et al. 2021

BioMed Research International

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Background. Glycemic control is the level of glucose in diabetes patient. Evidence regarding glycemic control is scarce in resource-limited settings, and this study was conducted to generate information regarding the prevalence and predictors of glycemic control among diabetes mellitus patients attending their care from the referral hospitals of the Amhara region, Ethiopia. Methods. A cross-sectional study design was implemented. A simple random sampling technique was used. Data were collected from March 2018 to January 2020. The data were collected using interviews, chart review, and blood samples. Hemoglobin A1c was measured using high-performance liquid chromatography. Data were entered into Epi-info software and analyzed by SPSS software. Descriptive statistics were used to estimate the prevalence of glycemic control; linear regression was used to identify the predictors of HbA1c. Results. A total of 2554 diabetes patients were included giving for the response rate of 95.83%. The mean age of the study participants was 54.08 years [ SD standard deviation ± 8.38 years ]. The mean HbA1c of the study participants was 7.31% [ SD ± 0.94 % ]. Glycemic control was poor in 55.32% [95% CI: 53.4%-57.25%] of diabetes patients. The glycemic control of diabetes patients was determined by BMI (β 0.1; [95% CI: 0.09-0.1]), type 2 diabetes (β -0.14; [95% CI: -0.11-0.16]), age (β 0.22; [95% CI: 0.02-0.024]), duration of the disease (β 0.04; [95% CI: 0.037-0.042]), the presence of hypertension (β 0.12; [95% CI:0.09–0.16]), regular physical exercise (β -0.06; [95% CI: -0.03-0.09]), medication adherence (β -0.16; [95% CI: -0.14-0.18]), and male (β 0.34; [95% CI: 0.31-.037]). Conclusion. The glycemic control of diabetes patients was poor, and it needs the attention of decision-makers.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 87%

Glycemic Control of Diabetes Mellitus Patients in Referral Hospitals of Amhara Region, Ethiopia: A Cross‐Sectional Study

Feleke

Kassahun

et al. 2021

BioMed Research International

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“…Our study showed that increasing weight had signi cant predictors of glycemic control of type 2 diabetes patients. This is in line with studies done at Suez Canal University Hospital Egypt and Southwest Ethiopi (14,23).…”

Section: Discussionsupporting

confidence: 92%

“…Studies in Ethiopia showed that Poor glycemic control was associated with rural residence (19), duration with diabetics (11,18,(20)(21)(22), duration of diabetic's treatment (11,(18)(19)(20), drug regimen of oral antidiabetics or insulin treatment (15,21), and body weight (14). Besides, drug regimen of more than one oral agent, diabetic complications and co-morbidities were associated with poor glycemic control (23).…”

Section: Introductionmentioning

confidence: 99%

Predictors of Glycemic Control Among Patients With Type 2 Diabetes in North West Ethiopia: A Longitudinal Study

Shita

Iyasu

2021

Preprint

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Background Type 2 diabetes mellitus patients with hyperglycemia for a long period of time are significant causes of mortality and morbidity worldwide. Studying the predictors of glycemic control help to minimize deaths and the development of acute and chronic diabetes complication. Hence, the aim of this study is to asses’ predictors of glycemic control among patients with Type 2 diabetes in Ethiopia. Methods A retrospective cohort study was conducted among Type 2 Diabetes mellitus (T2DM) patients enrolled between December 2011 and December 2012 at Debre Markos and Felege Hiwot Referral Hospital. A total of 191 T2DM patients was included in the study who meets the eligibility criteria. Generalized linear mixed model was employed. Results The prevalence of good glycemic control among type 2 diabetes patients was 58.4% where as 23.25% of variation was explained in the fitted model due to adding the random effects. The significance predictors of glycemic control among patients with Type 2 diabetes at 95% confidence level were reside in rural(0.454, 0.614)), patients age 38–50, 51–59 and 60–66 years(1.267,1.776), (1.057,1.476) and (1.004, 1.403), respectively, Proteinuria positive(1.211,1.546), diastolic blood pressure ≥ 90 (1.101, 1.522), systolic blood pressure ≥ 140 (1.352, 1.895), creatinine (0.415, 0.660), duration per visit (0.913, 0.987), duration since diagnosis (0.985, 0.998), weight 78–88(0.603, 0.881). Conclusion Level of glycemic control among type 2 diabetes patients was poor. Resident, age, weight, duration of T2DM since diagnosis, duration of type 2 DM per visit, follow up time, protein urea, diastolic blood pressure, systolic blood pressure and creatinine were significant predictors of glycemic control among type 2 DM patients. During diabetic patients follow up, clinicians should give appropriate attention to these significant variables for good glycemic control since it is the main goal of diabetes management.

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“…Besides, our prevalence was also lower than most of the international studies assessing depression in T2DM using PHQ-9 score. A study from Suez Canal University Hospital in Egypt revealed a rate of depression of 69% in patients with T2DM [16], while a study conducted in Ethiopia showed a depression rate of 54.2% [17]. Two studies from India showed that the prevalence rates of depression were 41% and 62% among T2DM [18,19].…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Risk Factors of Depression among Adult Type 2 Diabetic Patients at Al-Jemaih Diabetic Center, Dongola, Northern State, Sudan, 2019

Abdelaziz

Alzain

Abdalkhaleg

2020

SJMS

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Background: Type 2 diabetes and depression are common diseases with bidirectional associations. Depression in diabetics leads to poor adherence to diet and medication, poor glycemic control, reduced quality of life, and increased diabetes-related healthcare expenditure. This study aimed at evaluating diabetic patients with depression to improve the quality of care delivered. Materials and Methods: An institution-based cross-sectional study was conducted among adult type 2 diabetics at Al-Jemaih Diabetic Center, Dongola, in July–December 2019A standardized pretested questionnaire was used to collect data, and the depression subscale of the Patient Health Questionnaire was used to diagnose depression. Chi-square test and logistic regression were used to analyze the data using the Statistical Package for Social Sciences version 25.0. Results: Out of the 407 participants, 282 (69.3%) were females, and more than half were aged between 40 and 59 years. The prevalence of depression among type 2 diabetic patients was 35.6%, ranging from mild (24.3%) to moderate (7.4%), moderately severe (2.2%), and severe depression (1.7%). The risk factors associated with depression in type 2 diabetes were: combining antidiabetic therapy, long duration of diabetes, family history of psychiatric illness, diabetes-related complications, poor glycemic control, and lack of regular exercise. Conclusion: More than a third of type 2 diabetics have depression. Screening diabetic patients for depression, establishing a psychiatric unit at the diabetic center, and community-based studies are recommended. Key words: diabetes mellitus, depression, Dongola, Northern State

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Prevalence of Depression and Predictors of Glycemic Control among Type 2 Diabetes Mellitus Patients at Family Medicine Clinic, Suez Canal University Hospital Egypt

Cited by 20 publications

References 0 publications

Glycemic Control of Diabetes Mellitus Patients in Referral Hospitals of Amhara Region, Ethiopia: A Cross‐Sectional Study

Glycemic Control of Diabetes Mellitus Patients in Referral Hospitals of Amhara Region, Ethiopia: A Cross‐Sectional Study

Predictors of Glycemic Control Among Patients With Type 2 Diabetes in North West Ethiopia: A Longitudinal Study

Prevalence and Risk Factors of Depression among Adult Type 2 Diabetic Patients at Al-Jemaih Diabetic Center, Dongola, Northern State, Sudan, 2019

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