AACE2021-A-1029: Identifying and Addressing the Determinants That Affect Successful Control of Diabetes Mellitus Type II

Abstract

Various life variables are known not essential to the advancement of type 2 diabetes including weight, absence of adequate physical action, terrible eating routine, anxiety, and urbanization. A number of dietary factors such as consumption of sugar-sweetened drinks in excess and the type of fats in the diet also appear to play a role. Objectives: Estimating the prevalence of successful control of type 2 diabetes mellitus (DM) and its determinants at Diabetic Centre, Prince Mansur Military Hospital for Community Medicine, Taif, Kingdom of Saudi Arabia A cross-sectional study was adopted. It included adult DM type 2 patients (18-60 years), at (PMFCH), Armed Forces Hospital, Taif region. Successful control of type 2 DM has been defined strictly by achievement of targeted glycemic control glycated hemoglobin (HBA1C) <7. An Arabic self-administered questionnaire was utilized to collect data from patients. It includes demographic data, disease history, and lifestyle (social factors). HBA1C was recorded from the file of the patient. Trained nurse measured the weight (in kg) and height of each patient to calculate body mass index (BMI). Among 370 diabetic patients, 331 returned completed questionnaire giving a response rate of 89.5%. More than one-quarter of them (27.2%) aged over 60 and 48.4% aged between 40 and 60 years. DM was controlled among only 27.5% of the diabetic patients (HBA1C <7%) while it was uncontrolled among most of them (72.5%). In logistic regression analysis, the duration of DM, diabetes treatment, BMI, family support, and compliance with diabetic diet regimen were all significantly related to glycemic control based on HBA1C value. The patients with poor glycemic control were high, which is nearly comparable to that reported from many countries. Longer duration of diabetes, and not adherent to diabetes self-care management behaviors, obesity, combination therapy, and lack of family support were associated with poor glycemic control.