Determinants of glycemic control among insulin treated diabetic patients in Southwest Ethiopia: hospital based cross sectional study
| العنوان: | Determinants of glycemic control among insulin treated diabetic patients in Southwest Ethiopia: hospital based cross sectional study |
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| المؤلفون: | Mulugeta Tarekegn Angamo, Belete Habte Melese, Wubeante Yenet Ayen |
| المصدر: | PLoS ONE, Vol 8, Iss 4, p e61759 (2013) PLoS ONE |
| بيانات النشر: | Public Library of Science (PLoS), 2013. |
| سنة النشر: | 2013 |
| مصطلحات موضوعية: | Male, Anatomy and Physiology, Critical Care and Emergency Medicine, Psychopharmacology, Cross-sectional study, medicine.medical_treatment, Cardiovascular, Logistic regression, Hospitals, University, Endocrinology, Drug Metabolism, Anesthesiology, Insulin, Medicine, Drug Interactions, Aged, 80 and over, Drug Distribution, Multidisciplinary, Environmental Pharmacology, Clinical Pharmacology, Drug Information, Middle Aged, Pharmacoeconomics, Behavioral Pharmacology, Female, Knowledge deficit, Research Article, Adult, Drugs and Devices, medicine.medical_specialty, Drug Research and Development, Adolescent, Clinical Research Design, Science, Blood sugar, Endocrine System, Dermatology, Drug Absorption, Cardiovascular Pharmacology, Medical Devices, Young Adult, Neuropharmacology, Adverse Reactions, Diabetes mellitus, Internal medicine, Humans, Hypoglycemic Agents, Pharmacokinetics, Aged, Demography, Glycemic, Diabetic Endocrinology, Endocrine Physiology, business.industry, Pharmacoepidemiology, Dietary management, medicine.disease, Drug Excretion, Surgery, Drug Liberation, Cross-Sectional Studies, Diabetes Mellitus, Type 1, Logistic Models, Diabetes Mellitus, Type 2, Pharmacodynamics, Pharmacogenetics, Multivariate Analysis, Ethiopia, business |
| الوصف: | BackgroundGood glycemic control reduces the risk of diabetic complications. Despite this, achieving good glycemic control remains a challenge in diabetic patients. The objective of this study is to identify determinants of glycemic control among insulin treated diabetic patients at Jimma University Hospital, Southwest Ethiopia.MethodsHospital-based cross-sectional study was conducted on systematically sampled 284 insulin-treated diabetic patients with a regular follow up. Data was collected by interviewing patients during hospital visits and reviewing respective databases of September 2010 to December 2011. Data collection took place from February 20 to May 20, 2012. Poor glycemic control was defined as fasting blood sugar (FBS) ≥126 mg/dL. Binary logistic regression analysis was conducted to identify predictors of poor glycemic control.ResultsPatients had a mean age of 41.37 (±15.08) years, 58.5% were males, the mean duration of insulin treatment was 4.9 (±5.1) years, 18.3% achieved good glycemic control (FBS≤126 mg/dL), 95% self-reported repeated use of disposable insulin syringe-needle and 48% correctly rotating insulin injection sites. Most (83.1%) of study participants had one or more complications. On multivariable logistic regression analyses, body weight of >70 Kg (AOR = 0.21; PConclusionsThe proportion of patients with poor glycemic control was high, which resulted in the development of one or more complications regardless of duration on insulin treatment. Hence, appropriate management of patients focusing on the relevant associated factors and independent predictors of poor glycemic control would be of great benefit in glycemic control. |
| اللغة: | English |
| تدمد: | 1932-6203 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::75be231140d5ce154d944c689937a2beTest https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23620789/?tool=EBITest |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....75be231140d5ce154d944c689937a2be |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19326203 |
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