Abstract
Background: According to WHO Global report, in low-income countries, more than half of deaths attributable to poor glycemic control are premature. Studies compassed the prevalence of poor self-care practice and glycemic control is by now in the tip of the iceberg above diabetes by becoming a primary offender for fired morbidity and mortality but; they are a neglected tragedy. Currently, diabetes patients are exposed to the intolerable costs of dialysis and organ transplantation because of poor glycemic control and self-care practice induced complications; which in turn increased the beggar population and prevalence of suicidal attempts. Studies underlined optimum self-care practice is needed to avert these complications via adjusting glycemic control status. However, only a minute of relevant studies were conducted in Ethiopia to assess this problem. Therefore, this study was aimed to assess glycemic control and self-care practice among diabetes patients. Objective: The aim of this study was to assess glycemic control and self-care practice among diabetes patients. Methods: Cross-sectional study was conducted among 220 participants selected by systematic sampling technique. The collected data using a structured questionnaire developed for this study from related tools was coded and entered into Epi Data latent version and exported in to SPSS. Logistic regression analysis was carried out to identify independent predictors. Result: Status of self-care practice and glycemic control became good for 24.9% and 23%, respectively. Age, diabetes complications, medication adherence, glucometer, and appointment adherence for glycemic control and; whereas education, diabetes complications, diabetes category, distance, and appointment adherence became independent predictors for self-care practice. Furthermore, the presence of a significant association between glycemic control and self-care practice was assured. Conclusion: Status of good glycemic control and self-care practice were shine red lumps, since it indicates majority of the patients were closed to face premature death and permanent disability. Association between glycemic control and self-care practice, on the other hand, further brightened the need of maximum effort to enhance self-care practice to ease roads to good glycemic control and finally to save diabetes patients from the coming fatal consequences. Responsible bodies have to work hard to raise the coverage of a hospital or to enhance the material capacity of available primary hospitals to enable them to serve diabetes follow-up patients. Health education team has to be formed to provide problem solving-centered education supported by audio visual aids. Funding Statement: Not applicable. Declaration of Interests: No competing interests. Ethics Approval Statement: Ethical approval was obtained from Addis Ababa university Institutional Review Board having protocol number: 037/20/SNM and meeting number: 09/2012EC.
Published Version
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