St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Addis Ababa University, Addis Ababa, Ethiopia.
Inquiry. 2023 Jan-Dec;60:469580231155716. doi: 10.1177/00469580231155716.
The primary method for preventing health and health-related problems in diabetic people is glycemic control. Numerous studies have documented the importance of glycemic control and the factors that influence it. However, the results are dispersed. This study sought to identify the prevalence of poor glycemic control and associated factors in Ethiopia. Findings will be crucial to reduce the burden of poor glycemic control. Comprehensive search was performed from databases: PubMed, Global Health, CINAHL, IRIS, and FSTA. Gray literature sources were also explored. This document was prepared based on the PRISMA flowchart. The protocol is registered in PROSPERO (ID: CRD42022296583). STATA software was used for data analyses and test with Cochrane Q statistics, and forest plot were used to verify heterogeneity. When the value was higher than 50% and the p-value was 0.05, heterogeneity was deemed significant. To confirm publication bias, a funnel plot with an Egger's regression test was performed. The factors related to poor glycemic control were reported using pooled odds ratios (POR) and a 95% confidence interval. In this study, 46 papers totaling 15 457 people were used to calculate the pooled estimates. It was determined that 32.6% (95% CI: 28.3, 36.9) and 61.92% (95% CI: 57.92, 65.92) of the subjects, respectively, had good and poor glycemic control. Being male protected against poor glycemic control, while poor diet adherence, lack of exercise, poor adherence to anti-diabetic medications, and smoking increased the likelihood of poor glycemic control. Lack of formal education, no family history of diabetes, lack of glucometer for blood glucose monitoring, comorbidity, being overweight and prolonged length of stay with diabetes all contributed to poor glycemic control. Ethiopia had a fairly high rate of poor glycemic control. The main determinants are lifestyle factors. Therefore, it is important to focus on behavioral interventions.
控制血糖是预防糖尿病患者健康和健康相关问题的主要方法。许多研究都记录了血糖控制的重要性及其影响因素。然而，结果却各不相同。本研究旨在确定埃塞俄比亚血糖控制不佳的流行率及其相关因素。研究结果对于降低血糖控制不佳的负担至关重要。从数据库：PubMed、Global Health、CINAHL、IRIS 和 FSTA 进行了全面搜索。还探索了灰色文献来源。本文件是根据 PRISMA 流程图编写的。该方案在 PROSPERO（ID：CRD42022296583）中注册。使用 STATA 软件进行数据分析和 Cochran Q 检验，森林图用于验证异质性。当 值高于 50%且 p 值为 0.05 时，认为存在显著异质性。为了确认发表偏倚，进行了漏斗图和 Egger 回归检验。使用合并优势比（POR）和 95%置信区间报告与血糖控制不佳相关的因素。在这项研究中，使用了 46 篇论文，共计 15457 人来计算合并估计值。结果表明，分别有 32.6%（95%CI：28.3，36.9）和 61.92%（95%CI：57.92，65.92）的受试者血糖控制良好和不佳。男性可预防血糖控制不佳，而饮食依从性差、缺乏运动、抗糖尿病药物依从性差和吸烟会增加血糖控制不佳的可能性。缺乏正规教育、无糖尿病家族史、缺乏血糖仪进行血糖监测、合并症、超重和糖尿病病程延长都会导致血糖控制不佳。埃塞俄比亚血糖控制不佳的比例相当高。主要决定因素是生活方式因素。因此，注重行为干预非常重要。
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