scholarly journals Healthcare Providers' Perception of Healthcare System Factors Associated with Poor Glycemic Control among Type 2 Diabetes Patients in Fiji

2019 ◽  
Vol 15 (1) ◽  
pp. 49-57
Author(s):  
Pablo Romakin ◽  
Mohammadnezhad Masoud
Keyword(s):  
Type 2 Diabetes ◽  
Glycemic Control ◽  
Healthcare System ◽  
Healthcare Providers ◽  
Poor Glycemic Control ◽  
Factors Associated ◽  
System Factors ◽  
Diabetes Patients

scholarly journals The Association of Food Insecurity With Diabetes Control and Self-care in Diabetes Type 2 Patients

2020 ◽  
Author(s):  
marjan mohammadi ◽  
Seyyed Abolghasem Djazayeri ◽  
Asal Ataie-Jafari
Keyword(s):  
Type 2 Diabetes ◽  
Glycemic Control ◽  
Food Insecurity ◽  
Self Care ◽  
Diabetes Control ◽  
Poor Glycemic Control ◽  
Household Food Security ◽  
Diabetic Patients ◽  
Diabetes Patients

Abstract Background: Food insecurity can increase risks of health and nutritional problems, leading to difficulties in self-care and poor glycemic control in diabetic patients. Purpose: This study assessed food insecurity and its association with diabetes control and self-care in type 2 diabetes patients.Methods: In this cross sectional study, 148 adults with type 2 diabetes participated. Food insecurity and self-care were determined using the 18-item USDA household food security status questionnaire and self-care (SDSCA) questionnaire. Data were analyzed using logistic and linear regression tests (SPSS 20 software).Results: Thirty-seven percent of the participants were food-insecure and significantly more likely than food-secure participants to have poor glycemic control (OR=3.02; CI: 1.45-2.65). No significant association was found between food-insecurity and overall self-care score.Conclusion: Food-insecurity was directly associated with poor glycemic control in type 2 diabetes patients. Since economic status was significantly better in the food-secure group, it can be postulated that financial problems will eventually lead to poor glycemic control.Policy strategies to increaseaccess to diabetes-appropriate foods mayreduce socioeconomic inequalities in glycemiccontrol.

scholarly journals Glycemic control and its association with sociodemographics, comorbid conditions, and medication adherence among patients with type 2 diabetes in southwestern Nigeria

2021 ◽  
Vol 49 (10) ◽  
pp. 030006052110440
Author(s):  
Azeez Oyemomi Ibrahim ◽  
Segun Mattew Agboola ◽  
Olayide Toyin Elegbede ◽  
Waheed Olalekan Ismail ◽  
Tosin Anthony Agbesanwa ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Medication Adherence ◽  
Glycemic Control ◽  
Older Age ◽  
Poor Glycemic Control ◽  
Comorbid Conditions ◽  
Southwestern Nigeria ◽  
Factors Associated ◽  
Poor Medication Adherence

Objective We determined the prevalence of poor glycemic control and associations with sociodemographics, comorbid conditions, and medication adherence among patients with type 2 diabetes mellitus (T2DM) at a tertiary hospital in southwestern Nigeria. Methods We conducted a retrospective observational study among 300 patients with T2DM using systematic random sampling. We used a semi-structured questionnaire to collect information on respondents’ sociodemographic profile, lifestyle, comorbid conditions, and antidiabetic medications. Adherence was determined using the Morisky Medication Adherence Scale. Fasting blood samples were tested using a glycated hemoglobin marker. Multivariate logistic regression was used to identify factors associated with poor glycemic control. Results Respondents’ mean age was 61.9 ± 11.8 years. The prevalence of poor glycemic control was 40.0% (95% confidence interval [CI]: 34.4%–45.8%). The adjusted odds ratio (95% CI) for factors associated with poor glycemic control was 2.522 (1.402–4.647) for older age, 1.882 (1.021–3.467) for low income, 1.734 (1.013–3.401) for obesity, 2.014 (1.269–5.336) for non-initiation of insulin therapy, and 1.830 (1.045–3.206) for poor medication adherence. Conclusion Older age, lower income, obesity, non-initiation of insulin, and poor medication adherence were associated with poor glycemic control. These variables may help clinicians identify patients at high risk of poor glycemic control.

scholarly journals Factors Associated with Long-Term Control of Type 2 Diabetes Mellitus

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Mohammed Badedi ◽  
Yahiya Solan ◽  
Hussain Darraj ◽  
Abdullah Sabai ◽  
Mohamed Mahfouz ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Glycemic Control ◽  
Care Center ◽  
Poor Glycemic Control ◽  
Health Care Center ◽  
Factors Associated

Aims.This study assessed factors associated with glycemic control among Saudi patients with Type 2 diabetes mellitus (T2DM).Methods.We conducted an analytical cross-sectional study, which included a random sample of 288 patients with T2DM proportional to the diabetes population of each primary health care center in Jazan city, Kingdom of Saudi Arabia.Results.More than two-thirds (74%) of patients had poor glycemic control. Lack of education, polypharmacy, and duration of diabetes ≥ 7 years were significantly associated with higher glycated hemoglobin (HbA1c). Moreover, patients who were smoker or divorced were significantly more likely to have higher HbA1c. The patients who did not comply with diet or take their medications as prescribed had poor glycemic control. The study found lower HbA1c levels among patients who received family support or had close relationship with their physicians. Similarly, knowledgeable patients towards diabetes or those with greater confidence in ability to manage self-care behaviors had a lower HbA1c. In contrast, risk factors such as depression or stress were significantly correlated with poorer glycemic control.Conclusion.The majority of T2DM patients had poor glycemic control. The study identified several factors associated with glycemic control. Effective and tailored interventions are needed to mitigate exposure to these risk factors. This would improve glycemic control and reduce the risks inherent to diabetes complications.

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