scholarly journals Assessment of Factors affecting Glycaemic Control among Adult Diabetics: Optimizing Care for Diabetic Patients

2021 ◽  
Vol 4 (1) ◽  
pp. 33-45
Author(s):  
AN Akwaras ◽  
JO Abah ◽  
OE Omokhua ◽  
MN Ocheifa ◽  
A Atabo ◽  
...  
Keyword(s):  
Physical Activity ◽  
Glycaemic Control ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Good Glycaemic Control ◽  
Type 2 Diabetics ◽  
Average Monthly Income

Diabetes mellitus is a global health challenge. The aim of management of these patients is to achieve good glycaemic control thereby preventing complications and improving their quality of life. Elucidation of factors that will improve glycaemic control is therefore important. This study aimed to assess the factors that affect glycaemic control among type 2 diabetics (T2DM) attending the General Out-Patient Clinic (GOPC) of the Federal Medical Centre, Makurdi. This was a cross-sectional study of 359 diabetic patients aged 18 years and above who had been on treatment for at least three months. Informed consent was obtained. Data was collected by an interviewer-administered questionnaire. Data was analyzed with the Statistical Package for Social Sciences (SPSS) version 18. There were 180 males (50.1 %) and 179 females (49.9 %). The mean age of the patients was 56.05 ± 10.32 years. The proportion of those with good glycaemic control was 58%. The respondents' age, level of education, occupation, ethnicity, religion and average monthly income had statistically significant association with glycaemic control. Adequate physical activity was an independent predictor of good glycaemic control. More effort should be made on counselling type 2 diabetics on the importance of adequate physical activity.

scholarly journals Physical Activity and Plasma Glucose Control among Diabetic Patients Attending Outpatients Clinics in Hanoi, Vietnam

2021 ◽  
Vol 18 (3) ◽  
pp. 1182
Author(s):  
Tam Ngoc Nguyen ◽  
Tam Thi Nguyen ◽  
Maria Hagströmer ◽  
Thang Pham ◽  
Ingeborg van der Ploeg ◽  
...  
Keyword(s):  
Physical Activity ◽  
Plasma Glucose ◽  
Glucose Control ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Global Physical Activity Questionnaire ◽  
Version 2.0 ◽  
Activity Questionnaire

Reaching the recommendation on physical activity (PA) for health is highly important to effectively manage blood glucose in patients with type 2 diabetes (T2D). The aims of this study were to assess the level and pattern of PA among T2D outpatients and to relate PA levels to glucose control. A cross-sectional study was conducted in outpatient clinics in Hanoi, Vietnam. PA levels were reported using the Global Physical Activity Questionnaire (GPAQ) version 2.0. Participants meeting the WHO recommendations on PA for health or not were respectively categorized as “sufficiently active” and “insufficiently active”. FPG < 7.2 mmol/L was defined as controlled plasma glucose. In total, 407 participants with T2D (55% women, mean (SD) age 61.6 (9.7) years) were included. The fraction of T2D outpatients reporting as insufficiently active was 21%. The lowest amount of energy expenditure was from transport activities (travel from and to places). On multivariate logistic regression, being sufficiently active was associated with a two-fold increased likelihood of having better glycemic control. The findings warrant action plans to increase physical activity in general and in specific active transport for T2D patients in Vietnam.

scholarly journals Sleep quality in type 2 diabetics

2008 ◽  
Vol 16 (5) ◽  
pp. 850-855 ◽  
Author(s):  
Maria Carolina Belo da Cunha ◽  
Maria Lúcia Zanetti ◽  
Vanderlei José Hass
Keyword(s):  
Sleep Quality ◽  
Insulin Resistance Syndrome ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Poor Sleep ◽  
Normal Body Mass Index ◽  
Type 2 Diabetic Patients ◽  
Cross Sectional ◽  
Type 2 Diabetics

Sleeping disorders in type 2 diabetic patients constitute risk factors for aggravating diabetes since they can affect the metabolic control through insulin resistance syndrome. This was an observational, cross-sectional study. The majority (52%) of subjects had scores indicating poor sleep quality. The Pittsburgh Sleep Quality Index (PSQI) scores showed patients with a time after diagnosis over 10 years and hypertension had the poorest sleep quality. For those with hemoglobin A1c > 7% taking sleeping medicines and those who had normal body mass index (BMI), the sleep quality was even poorer. The findings of the present study reinforce the relevance of this topic since there are no specific tools for sleep evaluation of type 2 diabetics making it difficult to make any assertions on the sleep quality of these patients.

scholarly journals A community based cross sectional study to assess the prevalence and pattern of co- morbidities among known type 2 diabetic patients of urban slum of North Karnataka, India

2019 ◽  
Vol 6 (6) ◽  
pp. 2414
Author(s):  
Tanuja P. Pattankar ◽  
Shailaja S. Patil
Keyword(s):  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Sectional Study ◽  
Type 2 Diabetic Patients ◽  
Cross Sectional ◽  
Type 2 Diabetics ◽  
High Prevalence ◽  
Type 2 Diabetic

Background: India is the second largest home for type 2 diabetes mellitus patients. The chronic nature of disease along with high prevalence of “co morbidities” make its management tricky. Hence this multiple health conditions lead to faster decline in quality of health, which poses a great concern on the health-care delivery system as well as on patients’ pocket. The objective of the study was to assess the prevalence of co-morbidities among known type 2 diabetic patients residing in urban slums of the field practice area of a Medical College in North Karnataka.Methods: It was a cross-sectional study done in urban slums among type 2 diabetics, sample size was calculated to be 155. Semi-structured questionnaire was used to collect information regarding socio-demographic data and history of co-morbidities; height, weight and blood-pressure were measured using standard criteria. HbA1C level was checked using single use HbA1C Now+ kit by BHR diagnostics.Results: Out of 158 type 2 diabetics in our study, 86.7% had presence of one or the other co-morbidity. 61.9% and 51.5% of male and female participants had HbA1c levels >7.0 respectively, this was statistically significant. HbA1c level and BMI were significantly associated with presence of co-morbidities in our study population.Conclusions: Results show high prevalence of co-morbidities among type 2 diabetics. Hypertension, obesity, depression and neuropathy are the commonest co-morbidities. So, prevention of such co-existing diseases improves the quality of life of the sufferers.

scholarly journals Comparison of Coagulation Profile in Type 2 Diabetic Patients with Good Glycaemic Control and Poor Glycaemic Control

2020 ◽  
Author(s):  
Binia Sherin ◽  
Bhuvanamha Devi Ramamurthy ◽  
Muthu Sudalaimuthu ◽  
Shivashekar Ganapathy
Keyword(s):  
Glycaemic Control ◽  
Bleeding Time ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Poor Glycaemic Control ◽  
Coagulation Profile ◽  
Good Glycaemic Control ◽  
Type 2 Diabetics ◽  
Type 2 Diabetic

Introduction: Diabetes Mellitus (DM) is a global health problem, characterised by high levels of glucose in blood with impairment of carbohydrate, fat and protein metabolism. Patients with DM have a high risk of developing atherothrombotic events. This leads to initiation and progression of microvascular and macrovascular complications. Aim: To compare the coagulation profile parameters in patients with Type 2 DM with good glycaemic control (Glycated Haemoglobin (HbA1c) <7) and poor glycaemic control (HbA1c ≥7) and to evaluate the association of coagulation profile and glycaemic control in diabetic patients. Materials and Methods: This study was conducted in a tertiary care hospital of Southern India on 84 patients among which 42 were Type 2 Diabetics with good glycaemic control and 42 were Type 2 Diabetics with poor glycaemic control. Blood samples were collected from the individuals chosen for the study and analysed for coagulation profile including Bleeding Time, Platelet Count, Prothrombin Time (PT), activated Partial Thromboplastin Time (aPTT), fibrinogen and d-Dimer. Statistical analysis was done by unpaired student’s t-test using SPSS 21.0. Results: In the present study, it was observed that Bleeding Time, aPTT and fibrinogen concentration were increased (statistically significant, p<0.05) in Type 2 Diabetics with poor glycaemic control when compared with Type 2 Diabetics with good glycaemic control. No significant changes were noted in Platelet Count, PT and d-Dimer among the two study groups. Conclusion: The alteration in coagulation profile of Type 2 Diabetic people has shown that hyperglycaemia leads to abnormalities in the coagulation and Type 2 Diabetic patients with poor glycaemic control are at high risk for developing atherothrombotic and haemorrhagic events. So, evaluation of coagulation profile in diabetic patients may help the clinicians in early intervention to prevent the initiation of microvascular and macrovascular disease at the earliest.

scholarly journals The glycosylated haemoglobin A1c and albuminuria in patients with type 2 diabetes in the Republic of Srpska: A cross sectional study

2019 ◽  
Vol 76 (8) ◽  
pp. 802-807
Author(s):  
Ljiljana Stanivuk ◽  
Bosa Mirjanic-Azaric ◽  
Nadja Vasiljevic
Keyword(s):  
Type 2 Diabetes ◽  
Glycaemic Control ◽  
Cross Sectional Study ◽  
Glycosylated Haemoglobin ◽  
Diabetic Patients ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Republic ◽  
Roche Diagnostics

Background/Aim. Glycosylated haemoglobin (HbA1c) is currently the gold standard for glucose monitoring in the patients with diabetes. The aim of the present study was to examine the level of success in implementing international guideline targets with regard to glycaemic control in the patients with type 2 diabetes in the Republic of Srpska. This study also aimed to determine the association of albuminuria with the glycaemic control and lipid levels in this patient population. Methods. The participating diabetic patients were those registered in the project titled ??Estimation of the quality of glycoregulation and presence of vascular complications in the persons with diabetes in the Republic of Srpska.? The study was conducted as a cross-sectional study including 1037 patients. HbA1c was determined by a turbidimetric inhibition immunoassay used Roche Diagnostics. Total cholesterol, triglycerides, LDL-C, and HDL-C were determined by reagents from Roche Diagnostics (Roche Diagnostics, Mannheim, Germany) as well as albumin and creatinine in the urine. Results. Mean value for HbA1c was 7.35 ? 1.61% (57 ? 18 mmol/moL). The 49.46% of all participants achieved target values of HbA1c (< 7% or 53 mmol/moL) and 40.30% had albumin to creatinine ratio (ACR) < 30 mg/g. When the patients were divided according to HbA1c (with HbA1c < 7%, 519 patients, and HbA1c ? 7.0%, 510 patients) the ACR values were different between these groups (39.00 vs. 79.50, p < 0.001). We found no significant difference with respect to lipid status between the groups. Conclusion. The patients with type 2 diabetes in the Republic of Srpska, in a large percentage, did not meet targets for glycaemic control. Improvements are necessary in the treatment and maintenance of this disease process to ensure achievement of goals in management of diabetes, which in turn would decrease longstanding complications of type 2 diabetes.

Perception of Therapeutic Education in Diabetic Patients at Tit Melil Health Center

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Mory Sanoh
Keyword(s):  
Well Being ◽  
Cross Sectional Study ◽  
Basic Element ◽  
Therapeutic Education ◽  
Diabetic Patients ◽  
Oral Antidiabetics ◽  
Educational Training ◽  
Cross Sectional ◽  
Type 2 Diabetics

Introduction : A chronic condition like diabetes interferes with an individual's well-being, and if some of their needs are not met because of the disease, their quality of life is reduced. In this context, therapeutic education constitutes a basic element in the management of diabetes.Materials and Methods : A cross-sectional study by self-administered questionnaire and interviews which were carried out with all type 1 and type 2 diabetics, consultants at the level of the Tit Mélil Primary Health Care establishment, in 2019 and who benefited from or not therapeutic education, with or without complications.Result : The study included 50 diabetic patients, surveys show us that type 1 diabetic patients were 13 (26%). And type 2.37 (74%). Regarding the organization of care, 74% of patients say they are under treatment with oral antidiabetics, 10% oral antidiabetics and insulins, 6% insulin therapy and others under diet. Speaking of Food, 76.5% of diabetics know the importance and know what foods to avoid.Conclusion : TVE is possible, it will result in a change in the structure of programs and new educational training for caregivers.

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