Abstract
BackgroundEven though the prevalence of type 2 diabetes mellitus is swelling rapidly in Ethiopia, data regarding glycemic control, a key strategy for marked reduction of diabetes mellitus complications, is scant. We have assessed the status of glycemic control and its contributing factors among adult patients with type 2 diabetes mellitus.MethodsThis was a facility based cross-sectional survey of 325 adults with type 2 diabetes mellitus attending in Jimma University Teaching Hospital, South west Ethiopia. Data from all the patients were collected between February and April 2014. Glycemic level was assessed by using fasting blood glucose level, and ‘poor glycemic control’ was defined when fasting blood glucose level was above 130 mg/dL (7 mm/L). Analysis included both descriptive and inferential statistics, and SPSS version 20.0 was used for all analysis.Results309 respondents were included in the survey. More than two-third (70.9 %) of the patients had poor blood glycemic control. Patients who were illiterate (AOR = 3.46, 95 % CI 1.01–11.91) and farmer (AOR = 2.47, 95 % CI 1.13–5.39) had high odds of poor glycemic control. In addition, taking combination of insulin and oral medication (AOR = 4.59, 95 % CI 1.05–20.14) and poor medication adherence (AOR = 5.08 95 % CI 2.02–12.79) associated statistically with poor glycemic control.ConclusionMajority of patients had poor glycemic control. Patients with low level of education, being employed, on combinations of insulin and oral medication, and lower adherence to their medication were likely to have poor glycemic control. Education and awareness creation could be a cross cutting intervention for the significant factors.
Highlights
Even though the prevalence of type 2 diabetes mellitus is swelling rapidly in Ethiopia, data regarding glycemic control, a key strategy for marked reduction of diabetes mellitus complications, is scant
We have assessed the status of glycemic control and its contributing factors among adult patients with Type 2 diabetes mellitus (T2DM)
Drug Administration and Control Authority of Ethiopia Contents [18], a guideline similar with International Diabetes Federation clinical guideline [3] were followed for diagnosis and classification of Diabetes mellitus (DM)
Summary
Even though the prevalence of type 2 diabetes mellitus is swelling rapidly in Ethiopia, data regarding glycemic control, a key strategy for marked reduction of diabetes mellitus complications, is scant. We have assessed the status of glycemic control and its contributing factors among adult patients with type 2 diabetes mellitus. Diabetes mellitus (DM) [1] has been ravaging millions of people from all over the world. Diabetes has killed 4.6 million people in 2013 alone [2]. In Ethiopia, the prevalence of diabetes was 3.5 % in 2011 [5]. Type 2 diabetes mellitus (T2DM) is the most common form of DM, accounting for more than 90 % of cases [2]. Control of diabetes is more than just taking medicine; other aspects of self-management such as self-monitoring of
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