Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
In patients diagnosed with type 2 diabetes mellitus, inadequate management of glycemic levels represents a prominent concern within the realm of public health. This factor holds substantial implications for the advancement of diabetic complications. The objective of this study was to evaluate the extent and underlying factors associated with suboptimal glycemic control in individuals diagnosed with type 2 diabetes. A cross‐sectional study was undertaken with a sample size of 100 individuals diagnosed with type 2 diabetes. Inclusion criteria for participation in the study were being a type 2 diabetes patient aged 18 years or older, seeking healthcare services at the designated facilities. Retrospective data collection was conducted on a cohort of patients diagnosed with diabetes. The data was gathered with respect to variables such as age, gender, body mass index (BMI), duration of diabetes, presence of comorbidities and patterns of drug utilization. The assessment of glycemic control was conducted using measurements of HBA1C and FBS levels. sample Out of the 100 participants diagnosed with type 2 diabetes who were included in the study, it was found that 66 individuals exhibited inadequate glycemic control. The average age of the participants was 59.67 (SD = 9.617), with 76.9% of them being male. A significant proportion of patients (41%) employed either insulin or oral anti‐diabetic medications as monotherapy in order to manage their blood glucose levels. The study findings indicate a significant association between the duration of diabetes and deteriorating glycemic control. Specifically, patients with diabetes for 5 to 10 years exhibited a 1.74 times higher odds ratio (OR) of experiencing worsened glycemic control compared to those with less than 5 years of illness. Moreover, patients with diabetes for more than 10 years demonstrated an even higher OR of 2.55, further highlighting the progressive decline in glycemic control with prolonged disease duration. Patients without co‐morbidity exhibited significantly superior glycemic control (OR = 1.56) when compared to patients with co‐morbidity. Significant associations were observed between gender, age, body mass index (BMI), occupation, medical history, medication history, triglyceride levels, high‐density lipoprotein (HDL) levels, duration of diabetes, type and number of diabetes medications and glycated hemoglobin (HbA1c) levels. These factors have the potential to identify patients who are at a higher risk of experiencing poor glycemic control, thereby enabling the implementation of targeted interventions aimed at achieving optimal outcomes. The impact of adherence, physical activity, diabetes education and training on glycemic control was not observed in this particular study.
How to cite this article:
Sarita Jalodiya, Dayashankar Parauha, Sonu Rawat and Arun Kumar Pargi. A Cross‐Sectional Study of Factors Associated with Poor Glycemic Control in Type 2 DM Patients in Tertiary Care Centre.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.595.603
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.595.603