Determinants of glycemic control among adult type 2 diabetic patients attending the National Health Insurance Authority (NHIA) clinic in a tertiary hospital in Benue State, Nigeria.
1 Department of Family Medicine, Federal Medical Center, Makurdi, Benue State, Nigeria.
2 Department of Family Medicine, University of Calabar, Cross River Staate, Nigeria.
3 Department of Family Medicine, Benue State University Teaching Hospital, Makurdi, Benue State, Nigeria.
4 Department of Pharmaceutical Services, Federal Medical Center, Makurdi, Benue State, Nigeria.
Research Article
World Journal of Advanced Research and Reviews, 2024, 23(03), 2163–2178
Publication history:
Received on 04 August 2024; revised on 11 September 2024; accepted on 13 September 2024
Abstract:
Background: Diabetes mellitus is a multisystem disease that requires multifaceted management approach with the aim of maintaining good glycaemic control. Proper knowledge of factors affecting glycaemic control will provide standard operational protocols in the management of patients with resultant good glycaemic control, better quality of life, and overall reduced morbidity and mortality.
Objectives: This study aimed to assess the determinants of good glycaemic control among adult patients with type 2 diabetes.
Methodology: This study was a hospital based cross-sectional study conducted between December 2021 and March 2022 involving 381 adult patients with T2DM attending the National Health Insurance Authority clinic. The participants were selected by systematic random sampling. Data was collected by an interviewer administered questionnaire. Anthropometry and blood pressure measurements were also taken. Data was analyzed with the Statistical Package for Social Sciences (SPSS). Version 24 with level of confidence at 5% (p=0.005)
Result: There were 194 male (50.9%). The mean age of patients was 54.94±7.21 years. The proportion of T2DM patients with good glycaemic control was 106 (27.8%). Duration of diabetes diagnosis, co-morbidities, smoking or tobacco use, frequency of vigorous intensity sports, current complementary and alternative medicine use and blood pressure had statistically significant association with good glycaemic control following bivariate analysis.
Conclusion: Level of glycaemic control was por. Primary care physicians should increase efforts in identifying, educating and counselling of patients with T2DM on measures to attain optimal good glycaemic control.
Keywords:
Determinants; Glycaemic Control; Adult Diabetics; Type 2 Diabetes; Nigeria
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