Level of Glycemic Control and Its Associated Factors among Type II Diabetic Patients in Debre Tabor General Hospital, Northwest Ethiopia

Abstract

Introduction: Poor glycemic control is the major risk factor for the development of acute and chronic diabetes complications. There are limited studies on the level of glycemic control among diabetes and its associated factors. So, the aim of this study was to assess the level of glycemic control and its associated factors among type II DM patients in Debre Tabor General Hospital.Methods: An institution based cross-sectional study was conducted from November 1-30, 2017on 413 diabetic patients who were selected by systematic random sampling. The three months average fasting blood glucose was used to determine glycemic control. Regressions were fitted to identify associated factors. P-value <0.05 was used to declare statistical significance. Results: A total of 398 study participants were participated in the study with a response rate of 96.4%. Among 398 type II DM patients, 284 (71.4%) had poor glycemic control. patient’s educational status (AOR= 3.0, 95%CI (1.5, 5.7), (AOR= 4.5, 95%CI (1.8, 10.9), and (AOR= 5.7, 95% CI (2.9, 11.2)))), family history of DM (AOR= 2.3, 95%CI (1.4, 3.9)), Duration of DM since diagnosis (AOR= 0.3, 95% CI (0.1, 0.9)), and Dietary adherence(AOR= 2.4, 95% CI (1.4, 4.1)) were associated factors of glycemic control.Conclusion: Poor glycemic control was high. Educational status, family history of DM, duration of DM, and dietary adherence were independent predictors of glycemic control. Appropriate attention should be given for glycemic control especially for patients with a longer duration. Health promotion should be cross-cutting intervention for DM patients about medical recommendations.