Factors Affecting Poor Glycemic Control among Diabetic Patients in Outpatient Clinic at Kar Al-Aini Hospital
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- Category: Vol. 84, December 2016
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Factors Affecting Poor Glycemic Control among Diabetic Patients in Outpatient Clinic at Kar Al-Aini Hospital, FOUAD H.A. OTHMAN, NAFOSSA A. AFIFFY, AMR A. MELEGY and OLA A. MOSTAFA
Abstract
Background: Diabetes mellitus is a growing health problem in most countries in Middle East and North Africa. Poor glycemic control among diabetic patients constitutes a major risk factor for the development of diabetes complications.
Objectives: To identify the factors associated with poor glycemic control among a sample of Egyptians diabetic patients.
Methods: A systematic sample of 100 diabetic patients was selected from the outpatient clinic at Kasr Al-Aйй Hospital over a period of 4 months in 2014. A structured questionnaire sought information about sociodemographic, clinical characteristics, self-care management ргасtiсісs, medication adhercncc. Weight, height were measured and hemoglobin Ale (HbAlc) were collected from patients' documents. Poor glycemic control was defined as HbA1c>7%.
Results: Of the total 100 patients, 65% had HbAI c >7%. The highest level of poor glycemic control was among patients who were older than 50 years (80%) followed by those who were illiterate, obese, with >7 years of the disease with nearly (76%), in addition to those who did not performing physical activity and not follow dietary compliance with (75% & 73%) respectively. In the multivariate analysis, male sex (OR=5.842, p=0.018), older than 50 years (OR=6.508, p=0.007), and illiterate (OR=29.194, p=0.000), increased duration of diabetes (>7 years) (OR=6.069, p=0.010) and no dietary compliance (OR=12.150, p=0.001), were significantly associated with increased odds of being poorly controlled.
Conclusion: The proportion of patients with poor glycemic control was high, which was nearly comparable to that reported from other Arab countries. Longer duration of diabetes and not adherent to diabetes self-care management practices were associated with poor glycemic control. An educational program that emphasizes lifestyle modification with importance of adherence to treatment regimen would be of great benefit in glycem~с control.