Factors associated with glycaemic control among patients with type 2 diabetes mellitus in Ho, Ghana: A cross-sectional study
Background: The purpose of this study was to assess the status of glycaemic control and associated factors among patients with type 2 diabetes mellitus patients. Methods: This was a hospital-based cross-sectional descriptive study of 326 patients with type 2 diabetes at the Ho Municipal and Teaching...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Metabolism Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589936823000373 |
| _version_ | 1797394840146673664 |
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| author | Stanley Kofi Alor Irene M. Akwo Kretchy Franklin N. Glozah Philip Baba Adongo |
| author_facet | Stanley Kofi Alor Irene M. Akwo Kretchy Franklin N. Glozah Philip Baba Adongo |
| author_sort | Stanley Kofi Alor |
| collection | DOAJ |
| description | Background: The purpose of this study was to assess the status of glycaemic control and associated factors among patients with type 2 diabetes mellitus patients. Methods: This was a hospital-based cross-sectional descriptive study of 326 patients with type 2 diabetes at the Ho Municipal and Teaching Hospitals. The adequate sample size was calculated using Yamane formula N/1 + Ne2, with 95 % confidence interval, 5 % margin of error and 10 % non-response rate and a sample size of 326 was determined. Using the sampling frame of patients chart, systematic random sampling technique was used to select the study participants. Glycaemic level was assessed using fasting blood glucose (FBG) readings. A poor glycaemic control was when an average of three months blood glucose level was above 130 mg/dl (7 mm/L). Data was analysed using STATA version 15.0. Results: Out of 310 patients who participated in the study, more than two-thirds (76.1 %) had poor glycaemic control. Patients who use combination of oral medication and insulin (AOR = 3.67, 95 % CI: 1.34–8.74), patients with diabetes for 16 years or more (AOR = 4.67, 95 % CI: 2.44–9.29), patients who did not practised diabetes self-care activities (AOR = 4.32, 95 % CI: 2.82–9.31) and patients with complications were (AOR = 2.47, 95%CI: 1.45–8.66) more likely to have poor glycaemic control. Age, employment, diabetes education, comorbidities, diabetes self-care activities, treatment type, complications, resident and duration of diabetes were significantly associated with poor glycaemic control. Conclusion: Based on this findings, teaching and counselling provided by nurses, physicians, dietitians and pharmacists should focus on improving adherence to diabetes self-care activities to attain good glycaemic control. |
| first_indexed | 2024-03-09T00:25:37Z |
| format | Article |
| id | doaj.art-b731ed8249af4376b2e1bf11bd95aec5 |
| institution | Directory Open Access Journal |
| issn | 2589-9368 |
| language | English |
| last_indexed | 2024-03-09T00:25:37Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Metabolism Open |
| spelling | doaj.art-b731ed8249af4376b2e1bf11bd95aec52023-12-12T04:35:25ZengElsevierMetabolism Open2589-93682023-12-0120100265Factors associated with glycaemic control among patients with type 2 diabetes mellitus in Ho, Ghana: A cross-sectional studyStanley Kofi Alor0Irene M. Akwo Kretchy1Franklin N. Glozah2Philip Baba Adongo3Department of Social and Behavioural Sciences, School of Public Health, College of Health Sciences, University of Ghana, Legon, Accra, Ghana; Nursing and Midwifery Training College, 37 Military Hospital, Neghelli Barracks, Accra, Ghana; Corresponding author. Department of Social and Behavioural Sciences, School of Public Health, College of Health Sciences, University of Ghana, Legon, Accra, Ghana.Department of Pharmacy Practice and Clinical Pharmacy, School of Pharmacy, University of Ghana, Legon, Accra, GhanaDepartment of Social and Behavioural Sciences, School of Public Health, College of Health Sciences, University of Ghana, Legon, Accra, GhanaDepartment of Social and Behavioural Sciences, School of Public Health, College of Health Sciences, University of Ghana, Legon, Accra, GhanaBackground: The purpose of this study was to assess the status of glycaemic control and associated factors among patients with type 2 diabetes mellitus patients. Methods: This was a hospital-based cross-sectional descriptive study of 326 patients with type 2 diabetes at the Ho Municipal and Teaching Hospitals. The adequate sample size was calculated using Yamane formula N/1 + Ne2, with 95 % confidence interval, 5 % margin of error and 10 % non-response rate and a sample size of 326 was determined. Using the sampling frame of patients chart, systematic random sampling technique was used to select the study participants. Glycaemic level was assessed using fasting blood glucose (FBG) readings. A poor glycaemic control was when an average of three months blood glucose level was above 130 mg/dl (7 mm/L). Data was analysed using STATA version 15.0. Results: Out of 310 patients who participated in the study, more than two-thirds (76.1 %) had poor glycaemic control. Patients who use combination of oral medication and insulin (AOR = 3.67, 95 % CI: 1.34–8.74), patients with diabetes for 16 years or more (AOR = 4.67, 95 % CI: 2.44–9.29), patients who did not practised diabetes self-care activities (AOR = 4.32, 95 % CI: 2.82–9.31) and patients with complications were (AOR = 2.47, 95%CI: 1.45–8.66) more likely to have poor glycaemic control. Age, employment, diabetes education, comorbidities, diabetes self-care activities, treatment type, complications, resident and duration of diabetes were significantly associated with poor glycaemic control. Conclusion: Based on this findings, teaching and counselling provided by nurses, physicians, dietitians and pharmacists should focus on improving adherence to diabetes self-care activities to attain good glycaemic control.http://www.sciencedirect.com/science/article/pii/S2589936823000373Cross-sectional studyGlycaemic controlFasting blood glucose type 2 diabetes mellitusGhana |
| spellingShingle | Stanley Kofi Alor Irene M. Akwo Kretchy Franklin N. Glozah Philip Baba Adongo Factors associated with glycaemic control among patients with type 2 diabetes mellitus in Ho, Ghana: A cross-sectional study Metabolism Open Cross-sectional study Glycaemic control Fasting blood glucose type 2 diabetes mellitus Ghana |
| title | Factors associated with glycaemic control among patients with type 2 diabetes mellitus in Ho, Ghana: A cross-sectional study |
| title_full | Factors associated with glycaemic control among patients with type 2 diabetes mellitus in Ho, Ghana: A cross-sectional study |
| title_fullStr | Factors associated with glycaemic control among patients with type 2 diabetes mellitus in Ho, Ghana: A cross-sectional study |
| title_full_unstemmed | Factors associated with glycaemic control among patients with type 2 diabetes mellitus in Ho, Ghana: A cross-sectional study |
| title_short | Factors associated with glycaemic control among patients with type 2 diabetes mellitus in Ho, Ghana: A cross-sectional study |
| title_sort | factors associated with glycaemic control among patients with type 2 diabetes mellitus in ho ghana a cross sectional study |
| topic | Cross-sectional study Glycaemic control Fasting blood glucose type 2 diabetes mellitus Ghana |
| url | http://www.sciencedirect.com/science/article/pii/S2589936823000373 |
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