Public Health Administration, Jazan Health Affairs, Ministry of Health, Jazan, Saudi Arabia.
Diabetes Center, Jazan Health Affairs, Jazan, Saudi Arabia.
J Diabetes Res. 2016;2016:2109542. doi: 10.1155/2016/2109542. Epub 2016 Dec 20.
This study assessed factors associated with glycemic control among Saudi patients with Type 2 diabetes mellitus (T2DM). We conducted an analytical cross-sectional study, which included a random sample of 288 patients with T2DM proportional to the diabetes population of each primary health care center in Jazan city, Kingdom of Saudi Arabia. More than two-thirds (74%) of patients had poor glycemic control. Lack of education, polypharmacy, and duration of diabetes ≥ 7 years were significantly associated with higher glycated hemoglobin (HbA1c). Moreover, patients who were smoker or divorced were significantly more likely to have higher HbA1c. The patients who did not comply with diet or take their medications as prescribed had poor glycemic control. The study found lower HbA1c levels among patients who received family support or had close relationship with their physicians. Similarly, knowledgeable patients towards diabetes or those with greater confidence in ability to manage self-care behaviors had a lower HbA1c. In contrast, risk factors such as depression or stress were significantly correlated with poorer glycemic control. The majority of T2DM patients had poor glycemic control. The study identified several factors associated with glycemic control. Effective and tailored interventions are needed to mitigate exposure to these risk factors. This would improve glycemic control and reduce the risks inherent to diabetes complications.
本研究评估了沙特阿拉伯 2 型糖尿病（T2DM）患者血糖控制相关因素。我们进行了一项分析性横断面研究，该研究纳入了沙特阿拉伯吉赞市每个初级保健中心的 T2DM 患者随机样本，比例与糖尿病患者人口相符。超过三分之二（74%）的患者血糖控制不佳。缺乏教育、多种药物治疗和糖尿病病程≥7 年与糖化血红蛋白（HbA1c）升高显著相关。此外，吸烟者或离异患者的 HbA1c 显著更高。不遵守饮食或遵医嘱服药的患者血糖控制不佳。研究发现，接受家庭支持或与医生关系密切的患者 HbA1c 水平较低。同样，对糖尿病有更多了解或对自我护理行为管理能力更有信心的患者 HbA1c 水平较低。相比之下，抑郁或压力等风险因素与较差的血糖控制显著相关。大多数 T2DM 患者血糖控制不佳。本研究确定了与血糖控制相关的几个因素。需要采取有效的、有针对性的干预措施来减轻这些风险因素的暴露。这将改善血糖控制并降低糖尿病并发症带来的风险。
