Rate and Predictors of Type 1 Diabetes Mellitus Poor Glycemic Control In Tabuk
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Date
2019-03
Journal Title
Journal ISSN
Volume Title
Publisher
Ibn Sina Academy of Medieval Medicine & Sciences
Abstract
Background: Recently, great advances in the quality of careregarding type 1 diabetes have been achieved. Despite of that,glycemic control remains suboptimal for many patients withtype 1 diabetes even in Western countries.Objectives: To identify rate and predictors of glycemic controlamong type 1 diabetic patients in Tabuk Region, Saudi Arabia.Subjects and Methods: A cross-sectional study was carriedout in Tabuk city, Saudi Arabia. All type 1 diabetic patientsattending the military hospital in Tabuk throughout the studyperiod (December, 2018-February, 2019) constituted the targetpopulation for the study. Data collection questionnairedeveloped by the researcher and validated by threeDiabetology consultants (face validity) was used. Glycosylatedhemoglobin (HBA1c) Levels above 8%, independent of agewas considered as poor control, and levels below or equal 8%were considered as acceptable control.Results: The study included 150 type 1 diabetic patients. Theirage ranged between 8 months and 27 years with amean±standard deviation of 15.44±4.73 years. The prevalenceof poor glycemic control among type 1 DM patients was 70.7%.Multivariate logistic regression analysis revealed thatadmission to the hospital twice or more than twice wereassociated with higher risk of poor glycemic control (Adjustedodds ratio (AOR) and their 95% confidence intervals (CI) were2.19, 1.03-8.01 (p=0.046) and 3.02, 1.79-11.13 (p=0.009),respectively. With increase in age at diagnosis of type 1 DMby one year, there was a reduction in poor glycemic control by38% (AOR=0.62, 95% CI=0.54-0.71, p<0.001) while withincrease in the duration of diabetes by one year, the risk ofpoor glycemic control increased by 31% (AOR=1.31, 95%CI=1.09-1.98, p=0.001). Non availability of glucose test devicewas associated with almost 4-folds risk of poor glycemiccontrol (AOR=4.12, 95% CI=2.23-5.03, p=0.007). Conclusion:Majority of type 1 diabetic patients in Tabuk Region, KSA hadpoor glycemic control. Many factors were associated with poorcontrol, some of them are modifiable. Therefore, efforts mustbe done to overcome these factors.
Description
Keywords
Diabetes, Glycated Hemoglobin, Glycemic Control, Prevalence, Associated Factors
Citation
Ahmad Raja Saeed Al balawi, Awadh saeed Al Qahtani, Manee Naser Alhablani, Shagran Tariq Mohammed, Alharbi Asma Ali Mohammed, Alenazi Mohammed Ahmed M, HossamEid, Abdul Hassan, Bahidan rahman. Rate and Predictors of Type 1 Diabetes Mellitus Poor Glycemic Control In Tabuk. International Journal of Medical Research Professionals. 2019 Mar; 5(2): 193-198