Rate of glycemic control and associated factors among type two diabetes mellitus patients in Ethiopia: A cross sectional study.

<h4>Objective</h4>To assess the rate of glycemic control and associated factors among type 2 diabetes mellitus patients at Dilchora Referral Hospital, Dire Dawa, Eastern Ethiopia.<h4>Methods</h4>A cross-sectional study was conducted from 13 May to 16 August 2019. Type 2 diabe...

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Autores principales:	Shambel Nigussie, Nigussie Birhan, Firehiwot Amare, Getnet Mengistu, Fuad Adem, Tadesse Melaku Abegaz
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/03e6f8d7cd624b96bd3600422ea841e9
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spelling	oai:doaj.org-article:03e6f8d7cd624b96bd3600422ea841e92021-12-02T20:04:08ZRate of glycemic control and associated factors among type two diabetes mellitus patients in Ethiopia: A cross sectional study.1932-620310.1371/journal.pone.0251506https://doaj.org/article/03e6f8d7cd624b96bd3600422ea841e92021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0251506https://doaj.org/toc/1932-6203<h4>Objective</h4>To assess the rate of glycemic control and associated factors among type 2 diabetes mellitus patients at Dilchora Referral Hospital, Dire Dawa, Eastern Ethiopia.<h4>Methods</h4>A cross-sectional study was conducted from 13 May to 16 August 2019. Type 2 diabetic patients on follow up at Dilchora Referral Hospital who fulfilled the inclusion criteria of the study were included. Systematic random sampling was used to select study participants. Data was collected by a face-to-face interview and review of medical records. The primary outcome was the level of blood glucose during three consecutive visits. Poor glycemic control was defined as a blood sugar level of more than 154 mg/dL based on the average of measurements from three consecutive visits. Multivariate logistic regression analysis was used to identify determinants of glycemic control.<h4>Result</h4>A total of 394 participants responded to the interview and were included in the final analysis. The overall prevalence of poor glycemic control was 45.2% (95%CI: 40.6%-50.0%). Patients who were on oral anti-diabetic drug plus insulin had more than two times greater chance of poor glycemic control than patients on oral anti-diabetic drug alone: 2.177(95%CI:1.10-4.29). The odds of poor glycemic control in patients who did not understand the pharmacist's instructions was two times higher than patients with good understanding of instructions 1.86(95%CI: 1.10-3.13). Patients who had poor level of practice were found to have poor glycemic control: 1.69(95% CI: 1.13-2.55).<h4>Conclusion</h4>The overall prevalence of poor glycemic control was high among type 2 diabetes patients. Oral anti-diabetic drugs in combination with insulin, lack of understanding of pharmacist's advice, and poor practice of diabetic patients were significant factors of poor glycemic control. Pharmacists should reassure the understanding of patients before discharge during counseling. Optimization of the dose of antidiabetic medications and combination of oral hypoglycemic agents should be considered.Shambel NigussieNigussie BirhanFirehiwot AmareGetnet MengistuFuad AdemTadesse Melaku AbegazPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0251506 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Shambel Nigussie Nigussie Birhan Firehiwot Amare Getnet Mengistu Fuad Adem Tadesse Melaku Abegaz Rate of glycemic control and associated factors among type two diabetes mellitus patients in Ethiopia: A cross sectional study.
description	<h4>Objective</h4>To assess the rate of glycemic control and associated factors among type 2 diabetes mellitus patients at Dilchora Referral Hospital, Dire Dawa, Eastern Ethiopia.<h4>Methods</h4>A cross-sectional study was conducted from 13 May to 16 August 2019. Type 2 diabetic patients on follow up at Dilchora Referral Hospital who fulfilled the inclusion criteria of the study were included. Systematic random sampling was used to select study participants. Data was collected by a face-to-face interview and review of medical records. The primary outcome was the level of blood glucose during three consecutive visits. Poor glycemic control was defined as a blood sugar level of more than 154 mg/dL based on the average of measurements from three consecutive visits. Multivariate logistic regression analysis was used to identify determinants of glycemic control.<h4>Result</h4>A total of 394 participants responded to the interview and were included in the final analysis. The overall prevalence of poor glycemic control was 45.2% (95%CI: 40.6%-50.0%). Patients who were on oral anti-diabetic drug plus insulin had more than two times greater chance of poor glycemic control than patients on oral anti-diabetic drug alone: 2.177(95%CI:1.10-4.29). The odds of poor glycemic control in patients who did not understand the pharmacist's instructions was two times higher than patients with good understanding of instructions 1.86(95%CI: 1.10-3.13). Patients who had poor level of practice were found to have poor glycemic control: 1.69(95% CI: 1.13-2.55).<h4>Conclusion</h4>The overall prevalence of poor glycemic control was high among type 2 diabetes patients. Oral anti-diabetic drugs in combination with insulin, lack of understanding of pharmacist's advice, and poor practice of diabetic patients were significant factors of poor glycemic control. Pharmacists should reassure the understanding of patients before discharge during counseling. Optimization of the dose of antidiabetic medications and combination of oral hypoglycemic agents should be considered.
format	article
author	Shambel Nigussie Nigussie Birhan Firehiwot Amare Getnet Mengistu Fuad Adem Tadesse Melaku Abegaz
author_facet	Shambel Nigussie Nigussie Birhan Firehiwot Amare Getnet Mengistu Fuad Adem Tadesse Melaku Abegaz
author_sort	Shambel Nigussie
title	Rate of glycemic control and associated factors among type two diabetes mellitus patients in Ethiopia: A cross sectional study.
title_short	Rate of glycemic control and associated factors among type two diabetes mellitus patients in Ethiopia: A cross sectional study.
title_full	Rate of glycemic control and associated factors among type two diabetes mellitus patients in Ethiopia: A cross sectional study.
title_fullStr	Rate of glycemic control and associated factors among type two diabetes mellitus patients in Ethiopia: A cross sectional study.
title_full_unstemmed	Rate of glycemic control and associated factors among type two diabetes mellitus patients in Ethiopia: A cross sectional study.
title_sort	rate of glycemic control and associated factors among type two diabetes mellitus patients in ethiopia: a cross sectional study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/03e6f8d7cd624b96bd3600422ea841e9
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Rate of glycemic control and associated factors among type two diabetes mellitus patients in Ethiopia: A cross sectional study.

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