Glycemic Control Level and Its Associated Factors Among Adult Cancer Patients with Comorbid Type II Diabetes in Public Cancer Care Centers in Addis Ababa, Ethiopia, 2023.
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Date
2023
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Addis Ababa University
Abstract
Background: The two main causes of fatalities worldwide are cancer and DM they are more common and dramatically increasing. Currently, those with cancer co-morbid with DM have higher rates of morbidity and early death than cancer patients without DM. However the most and essential means to control complications of Diabetes Mellitus is controlling serum glucose level, to the best of our knowledge there is no study conducted in Ethiopia to identify aspects of the problem.
Objectives: The purpose of the study is to determine the glycemic control level and its associated factors among adult cancer patients with comorbid type II diabetes in public cancer care centers in Addis Ababa, 2023.
Methods: Methods: In Tikur Anbesa Hospital and St. Paul's Hospital Millennium Medical College (SPHMMC), a cross-sectional study design was used. Each study area, participants were selected by convenient sampling technique. Data was filled kobo toolbox and exported to SPSS program version 26.0 for analysis. The degree of association between dependent and independent variables were assessed using binary logistic regression analysis. The odds ratio (OR) with a 95% confidence interval (CI) and a P-value of 0.05 was used to evaluate statistical significance. Finally, result of the study presented in the form of text, tables and figures.
Result - This study included 120 participants in total. The majority 75(62.0 %) of them were female patients. Most 30(25%) study participants were diagnosed and treated for Hematologic cancer, followed by gynaecological cancer 26(21.7%). Regarding fasting blood glucose level, more than half 68 (56.7%) of the study participants were hyperglycaemic (FBG >130mg/dl) and only 38(31.7%) study participants checked their HgA1C values in the last 6 months. Treatments of DM, Forget to include fruits in the dietary plan and Educational status (illiterate) was related to good glycemic control practice. Patients who were illiterate were 3.1 times more likely to have a good glycemic control practice than patients who were educational status was below diploma (AOR = 3.68, 95% CI: 1.24-10.94, P=0.02) and patients who forgot to include fruits in their dietary plan were 64% less likely to be good glycemic control practice (AOR= 0.36, 95% CI: 0.12-1.06, p=0.03).
Conclusion- The glycemic control level in adult cancer patients was poor even if most of the study participants got dietary education for the management of diabetic mellitus. Education level and forgetting to include fruits in their diet were factors linked to good glycemic control levels.
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Keywords
Glycemic control; Associated factors; Type-2 Diabetes Mellitus, Addis Ababa University, SPHMMC,AddisAbaba,Ethiopia.