1. Glycemic Control of Diabetes Mellitus Patients in Referral Hospitals of Amhara Region, Ethiopia: A Cross-Sectional Study
- Author
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Wondemu Gebrekirose Adane, Netsanet Fentahun, Alamirew Alebachew, Eyaya Misgan, Berhanu Elfu Feleke, Omer Seid, Mulat Tirfie Bayih, Melkamu Beyene Kassahun, Teferi Elfu Feleke, Abel Girma, and Hanna Demelash Desyibelew
- Subjects
Blood Glucose ,Male ,medicine.medical_specialty ,Article Subject ,Referral ,Cross-sectional study ,Medication adherence ,030209 endocrinology & metabolism ,Physical exercise ,Type 2 diabetes ,General Biochemistry, Genetics and Molecular Biology ,Medication Adherence ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Diabetes mellitus ,Diabetes Mellitus ,Prevalence ,medicine ,Humans ,Hypoglycemic Agents ,030212 general & internal medicine ,Aged ,Glycemic ,Response rate (survey) ,General Immunology and Microbiology ,business.industry ,General Medicine ,Middle Aged ,medicine.disease ,Hospitals ,Cross-Sectional Studies ,Medicine ,Female ,Ethiopia ,business ,Research Article - 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.
- Published
- 2021