Prevalence of Poor Glycemic Control and Associated Factors among Adult Type 2 Diabetes Mellitus Patient at ALERT Hospital, Addis Ababa, Ethiopia, 2022

Abstract

Abstract Background Over the last fifty years, type 2 diabetes have become a significant contributor to the global disease burden, and this trend is expected to continue. The Diabetes Prevention Program and the Finnish Diabetes Prevention Study showed the value of primary diabetes prevention, and many studies emphasized the significance of strict management of plasma glucose levels in reducing complications in both type 1 and type 2 diabetes. The aim of this observational study was to assess the prevalence and the associated factors for glycemic control among adult type 2 DM patients at ALERT hospital, Addis Ababa, Ethiopia, 2022. Method An institutional based cross-sectional study was employed The study population was adult type 2 DM patients with or without other comorbidities who were on follow at follow up clinic at ALERT hospital. Using a single population proportion formula the final sample size for this study was 371. A systematic random sampling technique was used to select a sample size of 174 pregnant women. The data was collected by trained data collectors being under supervision by the principal investigator. Then, it was cleaned, entered and analyzed using SPSS version 26.0 statistical software and MS excel. Result From the 371 participants, 60.9% were male participants; 55.3% between 35 and 64 years of age and 49.1% of them were married. Overall prevalence of poor glycemic control was 89.5%. associated hypertension (p-value = 0.049, AOR = 5.850) was significantly associated with poor glycemic control. having history of hospital admission (p-value = 0.028, AOR = 0.212), recent Fast Blood Sugar of 70-130mg/dl (p-value = 0.003, AOR = 0.025) and access for Self Monitoring of Blood Glucose p-value = 0.021, AOR = 0.046) were negatively associated with poor glycemic control. Conclusion and Recommendations: The proportion of poor glycemic control among the type 2 diabetic patients was very high in this study. Educating and preparing methods on managing glycemic control and associated factors for diabetic patients.