Assessment of the Magnitude of Glycemic Controland its Associated Factors Among Patients with Type 2 Diabetes at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia, 2015
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Date
2015-06
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Addis Ababa University
Abstract
Back ground: Diabetes is increasing at an alarming rate throughout the world and about 80% of diabetics‟ lives in low and middle income countries. Glycemic control is the most important predictor of diabetes related complications and death. Identifying factors associated with glycemic control will help health care providers to design programs which improve quality of services provided to diabetic patients. Objectives: The aim of this study was to assess the magnitude and factors associated with glycemic control among type 2 diabetic patients at Tikur Anbessa Specialized hospital, Addis Ababa, Ethiopia. From march to April, 2015. Methods: Facility based cross sectional study was conducted on a sample of 412 type 2 diabetic patients attending diabetic clinic of Tikur Anbessa Specialized Hospital. The study subjects were selected using systematic random sampling technique from March to April, 2015. Quantitative data were collected on demographic, fasting blood sugar, self reported adherence to diabetes self care and diabetic distress scales using structured questionnaires. The data was entered and analyzed on SPSS V20. Descriptive statistics were used to determine magnitude of glycemic control among type 2 diabetes patients. Logistic regression was used to identify factors associated with outcome variables.
Result: A total of 412 type 2 diabetic patients were interviewed. Median age of participants was 52 years (IQR= 40-60 years). 51.7% of the respondents were females. Median duration of diabetes is 10 years (IQR: 5-16 years). About 80% had uncontrolled fasting glycemic level. The factors which are significantly associated with poor glycemic control were longer duration of diabetes (AOR: 2.72 95%CI [1.16, 6.32]) and being on insulin therapy (AOR= 3.01 95% CI: 1.5- 5.9).
Conclusion: proportion of patients with poor glycemic control is high. Longer duration of the disease and being on drug regimen insulin is was associated with poor glycemic control. Appropriate attention should be given to patient with longer duration of disease and those on insulin therapy
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Diabetes