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Magnitude and predictors of poor glycemic control among patients with diabetes attending public hospitals of Western Ethiopia

BACKGROUND: Diabetes is one of the most prevalent non-communicable diseases globally, which rapidly is increasing in developing countries. Ethiopia is also facing growing morbidity and mortality related to diabetes complications. Thus, dealing with glycemic control is essential for controlling the d...

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Autores principales: Oluma, Adugna, Abadiga, Muktar, Mosisa, Getu, Etafa, Werku
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7906479/
https://www.ncbi.nlm.nih.gov/pubmed/33630936
http://dx.doi.org/10.1371/journal.pone.0247634
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author Oluma, Adugna
Abadiga, Muktar
Mosisa, Getu
Etafa, Werku
author_facet Oluma, Adugna
Abadiga, Muktar
Mosisa, Getu
Etafa, Werku
author_sort Oluma, Adugna
collection PubMed
description BACKGROUND: Diabetes is one of the most prevalent non-communicable diseases globally, which rapidly is increasing in developing countries. Ethiopia is also facing growing morbidity and mortality related to diabetes complications. Thus, dealing with glycemic control is essential for controlling the development of devastating acute and chronic complications related to diabetes. Therefore, this study aims to assess the magnitude and predictors of poor glycemic control among diabetic patients in western Ethiopia. METHODS: The cross-sectional study design was employed on a sample of 423 diabetic patients. A systematic random sampling method was employed. An interviewer-administered structured questionnaire was used. The data entered into Epi data version 3.1 and exported into Statistical Package for the Social Sciences window version 24 for analysis. All variables significant at p-<0.25 in bivariate were entered into multivariate analysis. The multivariable logistic regressions were used to determine predictors’ poor glycemic control by considering the Adjusted Odds Ratio at CI 95% and the significance level was set at p <0.05. RESULTS: The magnitude of poor glycemic control was 64.1%. Being females (AOR = 1.684,95%CI = 1.066,2.662), duration of diabetes >8years (AOR = 2.552,95%CI = 1.397, 4.665), presence of diabetes complication (AOR = 2.806,95%CI = 1.594,4.941), negligence of blood glucose test at home (AOR = 1.720, 95%CI = 1.078, 2.743), poor self-care behavior (AOR = 1.787, 95%CI = 1.083,2.959) and poor self-efficacy (AOR = 1.934, 95%CI = 1.078,3.469) were significant predictors of poor glycemic control. CONCLUSION: The proportion of poor glycemic control was high which was nearly comparable to that reported from many countries. This could be due to factors that were significantly associated with poor glycemic control like lack of home blood glucose test, increased duration of diabetes, presence of diabetes complications, poor self-efficacy, and poor self-care behaviors. Each were significant independent predictors of poor glycemic control. Thus, we recommend patients with diabetes and health care providers enhancing self-monitoring practices, and preventing potential complications should be a priority concern to improve blood glucose levels. Further studies are also recommended to explore important factors which were not identified by the current study.
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spelling pubmed-79064792021-03-03 Magnitude and predictors of poor glycemic control among patients with diabetes attending public hospitals of Western Ethiopia Oluma, Adugna Abadiga, Muktar Mosisa, Getu Etafa, Werku PLoS One Research Article BACKGROUND: Diabetes is one of the most prevalent non-communicable diseases globally, which rapidly is increasing in developing countries. Ethiopia is also facing growing morbidity and mortality related to diabetes complications. Thus, dealing with glycemic control is essential for controlling the development of devastating acute and chronic complications related to diabetes. Therefore, this study aims to assess the magnitude and predictors of poor glycemic control among diabetic patients in western Ethiopia. METHODS: The cross-sectional study design was employed on a sample of 423 diabetic patients. A systematic random sampling method was employed. An interviewer-administered structured questionnaire was used. The data entered into Epi data version 3.1 and exported into Statistical Package for the Social Sciences window version 24 for analysis. All variables significant at p-<0.25 in bivariate were entered into multivariate analysis. The multivariable logistic regressions were used to determine predictors’ poor glycemic control by considering the Adjusted Odds Ratio at CI 95% and the significance level was set at p <0.05. RESULTS: The magnitude of poor glycemic control was 64.1%. Being females (AOR = 1.684,95%CI = 1.066,2.662), duration of diabetes >8years (AOR = 2.552,95%CI = 1.397, 4.665), presence of diabetes complication (AOR = 2.806,95%CI = 1.594,4.941), negligence of blood glucose test at home (AOR = 1.720, 95%CI = 1.078, 2.743), poor self-care behavior (AOR = 1.787, 95%CI = 1.083,2.959) and poor self-efficacy (AOR = 1.934, 95%CI = 1.078,3.469) were significant predictors of poor glycemic control. CONCLUSION: The proportion of poor glycemic control was high which was nearly comparable to that reported from many countries. This could be due to factors that were significantly associated with poor glycemic control like lack of home blood glucose test, increased duration of diabetes, presence of diabetes complications, poor self-efficacy, and poor self-care behaviors. Each were significant independent predictors of poor glycemic control. Thus, we recommend patients with diabetes and health care providers enhancing self-monitoring practices, and preventing potential complications should be a priority concern to improve blood glucose levels. Further studies are also recommended to explore important factors which were not identified by the current study. Public Library of Science 2021-02-25 /pmc/articles/PMC7906479/ /pubmed/33630936 http://dx.doi.org/10.1371/journal.pone.0247634 Text en © 2021 Oluma et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Oluma, Adugna
Abadiga, Muktar
Mosisa, Getu
Etafa, Werku
Magnitude and predictors of poor glycemic control among patients with diabetes attending public hospitals of Western Ethiopia
title Magnitude and predictors of poor glycemic control among patients with diabetes attending public hospitals of Western Ethiopia
title_full Magnitude and predictors of poor glycemic control among patients with diabetes attending public hospitals of Western Ethiopia
title_fullStr Magnitude and predictors of poor glycemic control among patients with diabetes attending public hospitals of Western Ethiopia
title_full_unstemmed Magnitude and predictors of poor glycemic control among patients with diabetes attending public hospitals of Western Ethiopia
title_short Magnitude and predictors of poor glycemic control among patients with diabetes attending public hospitals of Western Ethiopia
title_sort magnitude and predictors of poor glycemic control among patients with diabetes attending public hospitals of western ethiopia
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7906479/
https://www.ncbi.nlm.nih.gov/pubmed/33630936
http://dx.doi.org/10.1371/journal.pone.0247634
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