Abstract
Aims: The objectives of this study are to determine the frequency of poor glycaemic control, defined by a glycated hemoglobin (HbA1c) rate ≥ 7% in diabetic subjects in the province of Essaouira (Morocco), and to identify the associations between poor glycaemic control and socio-demographic, psychosocial, and pathology-related factors in the diabetic subject.
 Study Design: This is a a quantitative analytical cross-sectional study.
 Methodology : A face-to-face interview was conducted with 522 diabetic subjects followed at 12 health centers ,4 urban and 8 rural, in the province of Essaouira, between January and December 2020
 Results: The mean age of the subjects was 57 years,78% female and 22% male. HbA1c was≥7% in 60% of cases. Rural residence (OR=2.75, 95% CI: 1.86-4.05), poor observance of medication (OR=5.57, 95% CI: 3.07-10.11), poor observance of hygiene and dietary rules (OR=4.1, 95% CI: 2.76-6.11), duration of diabetes more than 8,4 years (OR=1.96, 95% CI: 1.35-2.85), low monthly income (OR=1.96, 95% CI: 1.35-2.85) , were statistically associated with poor glycaemic control. On the other hand, being a member of a diabetes association (OR=2, 95% CI: 1.31-3.06) and having good support from family and friends (OR=1.96, 95% CI: 1.35-2.85) have positively influence glycaemic control.
 Conclusion: More than half of the diabetic subjects had a poor glycaemic control, the diabetic subjects living in rural areas, having a poor observance of medication, having a poor observance of hygiene and dietary rules and having a duration of evolution of the disease more than 8,4 years are more susceptible to have glycaemic imbalance.
Highlights
The global prevalence of diabetes in adults has been increasing over recent decades at an alarming pace [1]
A cross-sectional survey included 522 diabetic subjects managed at 12 health centres level (4 urban and 8 rural in Essaouira province) between January and December 2020 to identify the factors associated with poor glycaemic control
Monitoring blood glucose fluctuations is a key factor in diabetes management
Summary
The global prevalence of diabetes in adults has been increasing over recent decades at an alarming pace [1]. In 2017, 451 million adults (ages 18–99 years) lived with diabetes in worldwide. This number was predicted to rise to 693 million by 2045 [2]. According to the International Diabetes Federation (IFD), in 2013, the most populous countries recorded the largest number of deaths: 1271,000 in China, 1065,000 deaths in India, 386,400 in Indonesia, 197,300 in the Russian Federation and 192,700 in the United States of America [3]. Age, family history, environmental and psychosocial factors, are some risk factors [7,8,9]. It is the leading cause end-stage kidney disease, blindness and lower limb amputation, and the sixth leading cause of death [10]
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
