Fiseha Temesgen, Alemayehu Ermiyas, Kassahun Wongelawit, Adamu Aderaw, Gebreweld Angesom
Department of Clinical Laboratory Science, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Department of Medical Laboratory Science, College of Health & Medical Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
BMC Res Notes. 2018 May 18;11(1):316. doi: 10.1186/s13104-018-3423-5.
The aim of this study was to determine the status of glycemic control and identify factors associated with poor glycemic control among diabetic out-patients.
A hospital based cross-sectional study was conducted among randomly selected 384 (126 type 1 and 258 type 2) diabetic adults attending a hospital in Northeast Ethiopia from January 1 to April 30, 2017. Of the total participants, 70.8% had poor status of glycemic control (defined as mean fasting blood glucose level above 130 mg/dl). In the multivariate analysis, rural residence (AOR = 2.61, 95% CI 1.37-4.96), low educational level (AOR = 7.10, 95% CI 2.94-17.17) and longer duration of diabetes (AOR = 2.20, 95% CI 1.18-4.08) were significantly associated with increased odds of poor glycemic control. Moreover, merchants (AOR = 3.39, 95% CI 1.16-9.96) were significantly more likely to have poor glycemic control compared to government employee. Diabetic patients receiving oral anti-diabetics (AOR = 5.12, 95% CI 2.10-12.52) or insulin (AOR = 3.26, 95% CI 1.26-8.48) were more likely to be poorly controlled. These results highlight the needed for appropriate management of patients focusing on associated factors identified for poor glycemic control to maintain good glycemic control and improve adverse outcomes of the disease in this study setting.
本研究旨在确定糖尿病门诊患者的血糖控制状况，并识别与血糖控制不佳相关的因素。
2017年1月1日至4月30日，在埃塞俄比亚东北部一家医院对随机选取的384名糖尿病成年人（126例1型糖尿病患者和258例2型糖尿病患者）进行了一项基于医院的横断面研究。在所有参与者中，70.8%的患者血糖控制状况不佳（定义为空腹血糖平均水平高于130mg/dl）。多因素分析显示，农村居民（调整后比值比[AOR]=2.61，95%置信区间[CI]为1.37 - 4.96）、低教育水平（AOR = 7.10，95% CI为2.94 - 17.17）以及糖尿病病程较长（AOR = 2.20，95% CI为1.18 - 4.08）与血糖控制不佳几率增加显著相关。此外，与政府雇员相比，商人血糖控制不佳的可能性显著更高（AOR = 3.39，95% CI为1.16 - 9.96）。接受口服降糖药（AOR = 5.12，95% CI为2.10 - 12.52）或胰岛素治疗（AOR = 3.26，95% CI为1.26 - 8.48）的糖尿病患者血糖控制不佳的可能性更大。这些结果凸显了在本研究环境中，针对已识别出的与血糖控制不佳相关的因素对患者进行适当管理的必要性，以维持良好的血糖控制并改善该疾病的不良结局。
