Influence of prior internist encounter on glycaemic control among patients with type 2 diabetes mellitus at a family practice setting in Nigeria
Background: The huge global diabetes burden and the paucity of diabetes specialists make primary care physicians important stakeholders in controlling diabetes. Hence, we examined the predictors of glycaemic control among primary care patients with type 2 diabetes mellitus (T2DM), highlighting the i...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Nigerian Postgraduate Medical Journal |
| Subjects: | |
| Online Access: | http://www.npmj.org/article.asp?issn=1117-1936;year=2023;volume=30;issue=2;spage=110;epage=118;aulast=Michael |
| _version_ | 1797775443999326208 |
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| author | Godpower Chinedu Michael Bukar Alhaji Grema Zainab Abdulkadir Haliru Ibrahim Abdullah Ibrahim Haruna |
| author_facet | Godpower Chinedu Michael Bukar Alhaji Grema Zainab Abdulkadir Haliru Ibrahim Abdullah Ibrahim Haruna |
| author_sort | Godpower Chinedu Michael |
| collection | DOAJ |
| description | Background: The huge global diabetes burden and the paucity of diabetes specialists make primary care physicians important stakeholders in controlling diabetes. Hence, we examined the predictors of glycaemic control among primary care patients with type 2 diabetes mellitus (T2DM), highlighting the influence of prior internist encounters during the preceding year on glycaemic control. Methods: This questionnaire-based cross-sectional study involved 276 T2DM patients systematically recruited from attendees of a general outpatient clinic (GOPC) in Kano, Nigeria. Data regarding their sociodemographic, clinical and internist encounter and GOPC visit characteristics were collected. Data were subjected to descriptive and inferential statistical analysis. Results: Most participants (56.5%) were females; their mean age was 57.7 ± 9.6 years, mean glycated haemoglobin level was 7.3 ± 1.9%. Age, educational level, ethnicity, insurance status, current blood pressure (BP), treatment type, medication adherence, awareness of the importance of diet in DM control, specialist diabetic clinic visited, number of GOPC visits and prior encounter with an internist in the preceding year were associated with glycaemic control after bivariate analysis (P < 0.05). On multivariate regression, low education, retirees, being self-employed, uninsured, overweight, having optimal BP, using metformin alone, sulphonylurea-metformin and insulin-based treatments and prior encounter with the internist in the preceding year were predictors of optimal glycaemic control. Conclusion: There are multiple predictors of glycaemic control in this setting. These predictors should be considered in glycaemic control risk stratification towards quality individualised care, which includes establishing referral protocols to available specialists. Regular training of primary care physicians on diabetes care is also required. |
| first_indexed | 2024-03-12T22:35:50Z |
| format | Article |
| id | doaj.art-c2b54be721a84ad28b29d24f145fb182 |
| institution | Directory Open Access Journal |
| issn | 1117-1936 2468-6875 |
| language | English |
| last_indexed | 2024-03-12T22:35:50Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Nigerian Postgraduate Medical Journal |
| spelling | doaj.art-c2b54be721a84ad28b29d24f145fb1822023-07-21T12:57:01ZengWolters Kluwer Medknow PublicationsNigerian Postgraduate Medical Journal1117-19362468-68752023-01-0130211011810.4103/npmj.npmj_22_23Influence of prior internist encounter on glycaemic control among patients with type 2 diabetes mellitus at a family practice setting in NigeriaGodpower Chinedu MichaelBukar Alhaji GremaZainab AbdulkadirHaliru IbrahimAbdullah Ibrahim HarunaBackground: The huge global diabetes burden and the paucity of diabetes specialists make primary care physicians important stakeholders in controlling diabetes. Hence, we examined the predictors of glycaemic control among primary care patients with type 2 diabetes mellitus (T2DM), highlighting the influence of prior internist encounters during the preceding year on glycaemic control. Methods: This questionnaire-based cross-sectional study involved 276 T2DM patients systematically recruited from attendees of a general outpatient clinic (GOPC) in Kano, Nigeria. Data regarding their sociodemographic, clinical and internist encounter and GOPC visit characteristics were collected. Data were subjected to descriptive and inferential statistical analysis. Results: Most participants (56.5%) were females; their mean age was 57.7 ± 9.6 years, mean glycated haemoglobin level was 7.3 ± 1.9%. Age, educational level, ethnicity, insurance status, current blood pressure (BP), treatment type, medication adherence, awareness of the importance of diet in DM control, specialist diabetic clinic visited, number of GOPC visits and prior encounter with an internist in the preceding year were associated with glycaemic control after bivariate analysis (P < 0.05). On multivariate regression, low education, retirees, being self-employed, uninsured, overweight, having optimal BP, using metformin alone, sulphonylurea-metformin and insulin-based treatments and prior encounter with the internist in the preceding year were predictors of optimal glycaemic control. Conclusion: There are multiple predictors of glycaemic control in this setting. These predictors should be considered in glycaemic control risk stratification towards quality individualised care, which includes establishing referral protocols to available specialists. Regular training of primary care physicians on diabetes care is also required.http://www.npmj.org/article.asp?issn=1117-1936;year=2023;volume=30;issue=2;spage=110;epage=118;aulast=Michaelfamily practiceglycaemic controlinternist encounterprimary caretype 2 diabetes |
| spellingShingle | Godpower Chinedu Michael Bukar Alhaji Grema Zainab Abdulkadir Haliru Ibrahim Abdullah Ibrahim Haruna Influence of prior internist encounter on glycaemic control among patients with type 2 diabetes mellitus at a family practice setting in Nigeria Nigerian Postgraduate Medical Journal family practice glycaemic control internist encounter primary care type 2 diabetes |
| title | Influence of prior internist encounter on glycaemic control among patients with type 2 diabetes mellitus at a family practice setting in Nigeria |
| title_full | Influence of prior internist encounter on glycaemic control among patients with type 2 diabetes mellitus at a family practice setting in Nigeria |
| title_fullStr | Influence of prior internist encounter on glycaemic control among patients with type 2 diabetes mellitus at a family practice setting in Nigeria |
| title_full_unstemmed | Influence of prior internist encounter on glycaemic control among patients with type 2 diabetes mellitus at a family practice setting in Nigeria |
| title_short | Influence of prior internist encounter on glycaemic control among patients with type 2 diabetes mellitus at a family practice setting in Nigeria |
| title_sort | influence of prior internist encounter on glycaemic control among patients with type 2 diabetes mellitus at a family practice setting in nigeria |
| topic | family practice glycaemic control internist encounter primary care type 2 diabetes |
| url | http://www.npmj.org/article.asp?issn=1117-1936;year=2023;volume=30;issue=2;spage=110;epage=118;aulast=Michael |
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