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ORIGINAL ARTICLE
Year : 2016  |  Volume : 19  |  Issue : 4  |  Page : 190-195

Determinants of glycemic control among persons with type 2 diabetes mellitus in Niger Delta


1 Department of Family Medicine, Delta State University Teaching Hospital, Oghara, Nigeria
2 Department of Medical Laboratory Science, College of Health Sciences, Igbinedion University, Okada, Nigeria
3 Department of Medical Laboratory Science, Chevron Hospital, Warri, Nigeria
4 Department of Internal Medicine, Central Hospital (HMB), Warri, Nigeria

Correspondence Address:
Chukwuani Ufuoma
Department of Medical Laboratory, Chevron Hospital, PMB 1244, Warri, Delta State
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1118-8561.196361

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Background: The rising burden of type 2 diabetes mellitus (T2DM) with its attendant's complication can be successively steamed in the face of appropriate self-care management. The latter is positively imparted by the level of knowledge of the disease itself, its impact on quality of life and available basic technique of its control. Aims: The study is, therefore, aimed to assess the level of glycemic control and its determinants among type 2 subjects attending a secondary hospital in Niger Delta. Subjects and Methods: Two hundred consenting adult type 2 diabetes patients of age more than 40 years and attended diabetes outpatient clinics at the Central Hospital Warri between March and August 2014 were used for this cross-sectional study. Two different questionnaires were administered to all the participants to collect the necessary information on diabetes knowledge as well as factors that might affect their glycemic control. Blood samples were collected for fasting blood glucose (FBG) and glycosylated hemoglobin (HbA1c) for all the respondents. Weight and height were also measured to the nearest 0.5 kilogram and centimeter using standardized equipment. Body mass index was then calculated as the ratio of weight in kilogram and height in meters square (kg/m 2 ). Statistical Analysis Used: Statistical Package for Social Science Version 16 was used to compute the data generated. Results: The mean age and diabetic duration of all participants were 54.8 ± 11.9 years and 8.5 ± 3.2 years, respectively. The overall mean knowledge score of the subjects was 6.90 ± 1.8 (69.0 ± 18.2%) The mean FBG level and HbA1c of respondents were 7.89 ± 3.6 mmol/L (range 4-20 mmol/L) and 8.2%, respectively, with 55% of the population having poor glycemic control and 45% good glycemic control. The diabetic knowledge scoring of those with poor glycemic control was significantly lower than those with good glycemic control. In addition, diabetics' with poor glycemic control HbA1c >7.0 had longer diabetic duration (1-19 years; 8.06 ± 4.30) when compared with those with good glycemic control, HbA1c < 7.0 (1-15 years; 6.44 ± 4.02). Conclusions: The proportion of poor glycemic control among patients with T2DM in Central Hospital Warri is relatively high with diabetic duration and inadequate diabetic knowledge identified as significant determinants.


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