Socioedemographic determinants of glycaemic control in young diabetic patients in peninsular Malaysia

I. S. Ismail, W. M. Wan Nazaimoon, W. B. Wan Mohamad, R. Letchuman, M. Singaraveloo, R. Pendek, I. Faridah, Rahmah Rasat, I. H. Sheriff, B. A K Khalid

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

Recent studies have shown that good glycaemic control can prevent the development of diabetic complications in type 1 and type 2 diabetes. We wished to observe the glycaemic control in patients from different centres in Peninsular Malaysia and the factors that determine it. We recruited 926 patients with diabetes diagnosed before age 40 years from seven different centres, with proportionate representation from the three main ethnic groups. Clinical history and physical examination were done and blood taken for HbA(1c) and fasting glucose. The overall glycaemic control was poor with geometric mean HbA(1c) of 8.6% whilst 61.1% of the patients had HbA(1c) greater than 8%. Glycaemic control in patients with type 2 diabetes varied between various centres and ethnic groups, with the best control obtained in Chinese patients. Significant predictors of HbA(1c) in both type 1 and type 2 diabetes include access to nurse educators, ethnic background and WHR. In type 2 diabetes, use of insulin was a significant predictor, while in type 1 diabetes, household income was a significant predictor. Socioeconomic status did not have a significant effect in type 2 diabetes. There were no significant differences in the glycaemic control in patients with different educational status. In conclusion, glycaemic control in big hospitals in Malaysia was poor, and was closely related to the availability of diabetes care facilities and ethnic group, rather than socioeconomic status.

Original languageEnglish
Pages (from-to)57-69
Number of pages13
JournalDiabetes Research and Clinical Practice
Volume47
Issue number1
DOIs
Publication statusPublished - 2000

Fingerprint

Malaysia
Type 2 Diabetes Mellitus
Type 1 Diabetes Mellitus
Ethnic Groups
Social Class
Educational Status
Diabetes Complications
Physical Examination
Fasting
Nurses
Insulin
Glucose

Keywords

  • Diabetes care facilities
  • Diabetic control
  • Malaysia
  • Socioeconomic factors

ASJC Scopus subject areas

  • Endocrinology
  • Endocrinology, Diabetes and Metabolism

Cite this

Ismail, I. S., Wan Nazaimoon, W. M., Wan Mohamad, W. B., Letchuman, R., Singaraveloo, M., Pendek, R., ... Khalid, B. A. K. (2000). Socioedemographic determinants of glycaemic control in young diabetic patients in peninsular Malaysia. Diabetes Research and Clinical Practice, 47(1), 57-69. https://doi.org/10.1016/S0168-8227(99)00104-7

Socioedemographic determinants of glycaemic control in young diabetic patients in peninsular Malaysia. / Ismail, I. S.; Wan Nazaimoon, W. M.; Wan Mohamad, W. B.; Letchuman, R.; Singaraveloo, M.; Pendek, R.; Faridah, I.; Rasat, Rahmah; Sheriff, I. H.; Khalid, B. A K.

In: Diabetes Research and Clinical Practice, Vol. 47, No. 1, 2000, p. 57-69.

Research output: Contribution to journalArticle

Ismail, IS, Wan Nazaimoon, WM, Wan Mohamad, WB, Letchuman, R, Singaraveloo, M, Pendek, R, Faridah, I, Rasat, R, Sheriff, IH & Khalid, BAK 2000, 'Socioedemographic determinants of glycaemic control in young diabetic patients in peninsular Malaysia', Diabetes Research and Clinical Practice, vol. 47, no. 1, pp. 57-69. https://doi.org/10.1016/S0168-8227(99)00104-7
Ismail, I. S. ; Wan Nazaimoon, W. M. ; Wan Mohamad, W. B. ; Letchuman, R. ; Singaraveloo, M. ; Pendek, R. ; Faridah, I. ; Rasat, Rahmah ; Sheriff, I. H. ; Khalid, B. A K. / Socioedemographic determinants of glycaemic control in young diabetic patients in peninsular Malaysia. In: Diabetes Research and Clinical Practice. 2000 ; Vol. 47, No. 1. pp. 57-69.
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