Эндокринология и метаболический синдром
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ISSN: 2161-1017
ISSN: 2161-1017
Minyahil Alebachew Woldu, Chala Diriba Wami, Jimma Likisa Lenjisa, Gobezie Temesgen Tegegne, Gurmu Tesafye and Hunduma Dinsa
Background: Poor and inadequate glycemic control among patients with type 2 diabetes constitutes a major public health problem and major risk factor for the development of diabetes complications. Therefore, the purpose of this study was to determine factors associated with poor glycemic control among type 2 diabetes patients attending Ambo hospital chronic care service.
Methods: A prospective cross sectional study was conducted. A 5% sample pretest was performed on randomly selected patients before the beginning of the study. A three month consecutive measurements of blood glucose was used to assess glycemic control.
Results: A total of 102 type 2 diabetes patients were interviewed and their chart was checked using a structured check list format. Of the total 102 patients, 50% had a mean FBG level of > 126 mg/dl with three month consecutive measurement resulting in poor glycemic control. We have identified that patients with age in between 51-50 yr (p=0.038) and age 61-70 yr (p=.017) were poorly managed their blood glucose level compared to the other age groups under study. The most frequent comorbidity observed over type 2 diabetes was hypertension 41(40.6%) followed by renal disease and dyspepsia with 5 and 3 patients respectively. Furthermore, patients who had hyperlipidemia and peripheral neuropathy as a comorbidities had 5 and 579 more prone to develop poor blood glucose control compared to patients with no comorbidities with 95% C.I of (1.145-20.462 and 116.8-2870), respectively.
Conclusion: The proportion of patients with poor glycemic control was high, which was nearly comparable to that reported from many countries. Age in between 51-70 yr and the presence of comorbidities like hyperlipidemia and peripheral neuropathy were associated with poor glycemic control.