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

Berhanu Elfu Feleke,Mulat Tirfie Bayih,Wondemu Gebrekirose Adane,Abel Girma,Melkamu Beyene Kassahun,Alamirew Alebachew,Teferi Elfu Feleke,Eyaya Misgan,Hanna Demelash Desyibelew,Netsanet Fentahun,Omer Seid,Daniel Diaz

doi:10.1155/2021/6691819

Abstract

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.

Highlights

Glycemic control is the level of glucose in diabetes patient
Glycemic control was poor in 55.32% [95% CI: 53.4%-57.25%] of diabetes patients
After adjusting for sex, type of diabetes mellitus, total cholesterol, body mass, index, duration of diabetes, regular physical exercise, and medication adherence, the glycemic control of diabetes patients was determined by BMI, type of diabetes, age, duration of the disease, the presence of hypertension, regular physical exercise, medication adherence, and sex (Table 3)

Summary

Introduction

Glycemic control is the level of glucose in diabetes patient. 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]). Type 1 DM was managed by administering the insulin injection and life style modifications like adhering to the healthy foods, carbohydrate, proteins and fat counting, regular physical exercise, and frequent blood sugar monitoring [6]. Type 2 DM patient may demand insulin injection [7]

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Results

Discussion

Conclusion