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Glycaemic control in diabetic patients in Zambia
INTRODUCTION: The glycaemic control status of diabetic patients affects the management of their disorder. We examined the glycaemic control and clinical factors that may influence the achievement of the glycaemic control targets among diabetic out-patients. METHODS: This was a hospital based cross-s...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The African Field Epidemiology Network
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4407937/ https://www.ncbi.nlm.nih.gov/pubmed/25932067 http://dx.doi.org/10.11604/pamj.2014.19.354.5264 |
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author | Musenge, Emmanuel Mwila Manankov, Alexey Mudenda, Boyd Michelo, Charles |
author_facet | Musenge, Emmanuel Mwila Manankov, Alexey Mudenda, Boyd Michelo, Charles |
author_sort | Musenge, Emmanuel Mwila |
collection | PubMed |
description | INTRODUCTION: The glycaemic control status of diabetic patients affects the management of their disorder. We examined the glycaemic control and clinical factors that may influence the achievement of the glycaemic control targets among diabetic out-patients. METHODS: This was a hospital based cross-sectional study carried out at the University Teaching Hospital diabetic clinic in Lusaka, Zambia. A simple random sample of 198 consenting participants was selected from diabetic out-patients between September and December 2013. A structured interview schedule was used to capture socio-demographic data as well as needed clinical data from clients’ medical records and laboratory results. Multivariate binary logistic regression analysis was carried out to examine factors that may be associated with the glycaemic control status of these diabetic patients. RESULTS: Overall (n = 198), mean (SD) age was 53.19±13.32 years. Majority (61.3%) of the patients had poor glycaemic control status (HbA(1c)≥49 mmol/mol). Insulin treatment (OR 0.13, 95% CI: 0.01 - 1.41), systolic blood pressure (OR 1.04, CI: 1.00 - 1.08) and fasting plasma glucose (previous; OR 0.81, CI: 0.72 - 0.90 and current; OR 0.85, CI: 0.78 - 0.93) were statistically significantly associated with glycaemic control. The poor glycaemic control observed in this study is similar to that reported in other published studies. CONCLUSION: We found evidence of poor glycaemic control in the study population suggesting need to explore the reasons for this. Association of Insulin, systolic blood pressure and fasting plasma glucose with glycaemic control further suggests the efficiency of traditional basic monitoring parameters which should be exploited in sharpening primary preventive strategies especially those that support lifestyle modification. Such efforts should also be integrated in all information, education and communication strategies that target but not limited to hospital based patients too. |
format | Online Article Text |
id | pubmed-4407937 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | The African Field Epidemiology Network |
record_format | MEDLINE/PubMed |
spelling | pubmed-44079372015-04-30 Glycaemic control in diabetic patients in Zambia Musenge, Emmanuel Mwila Manankov, Alexey Mudenda, Boyd Michelo, Charles Pan Afr Med J Research INTRODUCTION: The glycaemic control status of diabetic patients affects the management of their disorder. We examined the glycaemic control and clinical factors that may influence the achievement of the glycaemic control targets among diabetic out-patients. METHODS: This was a hospital based cross-sectional study carried out at the University Teaching Hospital diabetic clinic in Lusaka, Zambia. A simple random sample of 198 consenting participants was selected from diabetic out-patients between September and December 2013. A structured interview schedule was used to capture socio-demographic data as well as needed clinical data from clients’ medical records and laboratory results. Multivariate binary logistic regression analysis was carried out to examine factors that may be associated with the glycaemic control status of these diabetic patients. RESULTS: Overall (n = 198), mean (SD) age was 53.19±13.32 years. Majority (61.3%) of the patients had poor glycaemic control status (HbA(1c)≥49 mmol/mol). Insulin treatment (OR 0.13, 95% CI: 0.01 - 1.41), systolic blood pressure (OR 1.04, CI: 1.00 - 1.08) and fasting plasma glucose (previous; OR 0.81, CI: 0.72 - 0.90 and current; OR 0.85, CI: 0.78 - 0.93) were statistically significantly associated with glycaemic control. The poor glycaemic control observed in this study is similar to that reported in other published studies. CONCLUSION: We found evidence of poor glycaemic control in the study population suggesting need to explore the reasons for this. Association of Insulin, systolic blood pressure and fasting plasma glucose with glycaemic control further suggests the efficiency of traditional basic monitoring parameters which should be exploited in sharpening primary preventive strategies especially those that support lifestyle modification. Such efforts should also be integrated in all information, education and communication strategies that target but not limited to hospital based patients too. The African Field Epidemiology Network 2014-12-05 /pmc/articles/PMC4407937/ /pubmed/25932067 http://dx.doi.org/10.11604/pamj.2014.19.354.5264 Text en © Emmanuel Mwila Musenge et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Musenge, Emmanuel Mwila Manankov, Alexey Mudenda, Boyd Michelo, Charles Glycaemic control in diabetic patients in Zambia |
title | Glycaemic control in diabetic patients in Zambia |
title_full | Glycaemic control in diabetic patients in Zambia |
title_fullStr | Glycaemic control in diabetic patients in Zambia |
title_full_unstemmed | Glycaemic control in diabetic patients in Zambia |
title_short | Glycaemic control in diabetic patients in Zambia |
title_sort | glycaemic control in diabetic patients in zambia |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4407937/ https://www.ncbi.nlm.nih.gov/pubmed/25932067 http://dx.doi.org/10.11604/pamj.2014.19.354.5264 |
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