Factors associated with good glycemic control among patients with type 2 diabetes mellitus

Nur Sufiza Ahmad, Farida Hanim Islahudin, Thomas Paraidathathu

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Aims/Introduction: The aim of the present study was to determine the status of glycemic control and identify factors associated with good glycemic control among diabetic patients treated at primary health clinics. Materials and Methods: A systematic random sample of 557 patients was selected from seven clinics in the Hulu Langat District. Data were collected from patients' medication records, glycemic control tests and structured questionnaires. Logistic regression analysis was carried out to predict factors associated with good glycemic control. Results: Variables associated with good glycemic control included age (odds ratio 1.033; 95% confidence interval 1.008-1.059) and duration of diabetes mellitus (odds ratio 0.948; 95% confidence interval 0.909-0.989). Compared with the patients who were receiving a combination of insulin and oral antidiabetics, those receiving monotherapy (odds ratio 4.797; 95% confidence interval 1.992-11.552) and a combination of oral antidiabetics (odds ratio 2.334; 95% confidence interval 1.018-5.353) were more likely to have good glycemic control. In the present study, the proportion of patients with good glycemic control was lower than that in other published studies. Older patients with a shorter duration of diabetes who were receiving monotherapy showed better glycemic control. Conclusions: Although self-management behavior did not appear to influence glycemic control, diabetic patients should be consistently advised to restrict sugar intake, exercise, stop smoking and adhere to medication instructions. Greater effort by healthcare providers in the primary health clinics is warranted to help a greater number of patients achieve good glycemic control.

Original languageEnglish
Pages (from-to)563-569
Number of pages7
JournalJournal of Diabetes Investigation
Volume5
Issue number5
DOIs
Publication statusPublished - 2014

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Type 2 Diabetes Mellitus
Odds Ratio
Confidence Intervals
Hypoglycemic Agents
Health
Self Care
Health Personnel
Diabetes Mellitus
Logistic Models
Smoking
Regression Analysis
Exercise
Insulin

Keywords

  • Diabetes
  • Glycemic control
  • Hemoglobin A1c

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Internal Medicine

Cite this

Factors associated with good glycemic control among patients with type 2 diabetes mellitus. / Ahmad, Nur Sufiza; Islahudin, Farida Hanim; Paraidathathu, Thomas.

In: Journal of Diabetes Investigation, Vol. 5, No. 5, 2014, p. 563-569.

Research output: Contribution to journalArticle

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