Oral Antidiabetic Utilization and Various Factors as an Indicator for HbA1c Control Among Patients with Type 2 Diabetes
Background: Diabetes mellitus requires aggressive long-term therapy to decrease morbidity and mortality. Non-adherence to oral antidiabetic therapy represents a barrier to treatment that could lead to the deterioration of patient health. This study aimed to develop an indicator for predicting glycem...
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| Format: | Article |
| Language: | English |
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Universitas Indonesia
2018-12-01
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| Series: | Makara Journal of Health Research |
| Subjects: | |
| Online Access: | https://scholarhub.ui.ac.id/mjhr/vol22/iss3/4/ |
| _version_ | 1797869998504411136 |
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| author | Iche A. Liberty Eddy Roflin Muhammad Aziz Pariyana Suryadi Tjekyan |
| author_facet | Iche A. Liberty Eddy Roflin Muhammad Aziz Pariyana Suryadi Tjekyan |
| author_sort | Iche A. Liberty |
| collection | DOAJ |
| description | Background: Diabetes mellitus requires aggressive long-term therapy to decrease morbidity and mortality. Non-adherence to oral antidiabetic therapy represents a barrier to treatment that could lead to the deterioration of patient health. This study aimed to develop an indicator for predicting glycemic control among patients with type 2 diabetes. Methods: This unmatched case-control study recruited 110 patients from the Primary Health Care center in Palembang City. The chi-square test was used for certain variables, and multivariate analysis was performed using unconditional logistic regression to assess the effects of different variables after considering certain sociodemographic and economic characteristics as potential confounding variables. Results: The results revealed no statistically significant association of sociodemographic and economic variables (sex, age, education, and employment) with glycemic control. Family history of diabetes, duration of diabetes, body mass index, adherence, monitoring, therapy, and comorbidity were associated with glycemic control. Conclusions: Continuous education of primary care physicians is one way of improving skills for managing hyperglycemic patients. However, the challenge in treating patients with type 2 diabetes is to shift the main criterion from a disease-oriented to patient-centered approach in the context of patients' circumstances. Additionally, our developed indicator can be used as a screening test for assessing glycemic. |
| first_indexed | 2024-04-10T00:20:23Z |
| format | Article |
| id | doaj.art-c736f08cb5f94b83b1fe8f11d8e367a1 |
| institution | Directory Open Access Journal |
| issn | 2356-3664 2356-3656 |
| language | English |
| last_indexed | 2024-04-10T00:20:23Z |
| publishDate | 2018-12-01 |
| publisher | Universitas Indonesia |
| record_format | Article |
| series | Makara Journal of Health Research |
| spelling | doaj.art-c736f08cb5f94b83b1fe8f11d8e367a12023-03-16T01:59:00ZengUniversitas IndonesiaMakara Journal of Health Research2356-36642356-36562018-12-0122312813210.7454/msk.v22i3.9018Oral Antidiabetic Utilization and Various Factors as an Indicator for HbA1c Control Among Patients with Type 2 DiabetesIche A. Liberty0Eddy Roflin1Muhammad Aziz2Pariyana3Suryadi Tjekyan4Department of Public Health and Community Medicine, Medical Faculty, Sriwijaya University, Palembang, 30114, IndonesiaDepartment of Public Health and Community Medicine, Medical Faculty, Sriwijaya University, Palembang, 30114, IndonesiaDepartment of Public Health and Community Medicine, Medical Faculty, Sriwijaya University, Palembang, 30114, IndonesiaDepartment of Public Health and Community Medicine, Medical Faculty, Sriwijaya University, Palembang, 30114, IndonesiaDepartment of Public Health and Community Medicine, Medical Faculty, Sriwijaya University, Palembang, 30114, IndonesiaBackground: Diabetes mellitus requires aggressive long-term therapy to decrease morbidity and mortality. Non-adherence to oral antidiabetic therapy represents a barrier to treatment that could lead to the deterioration of patient health. This study aimed to develop an indicator for predicting glycemic control among patients with type 2 diabetes. Methods: This unmatched case-control study recruited 110 patients from the Primary Health Care center in Palembang City. The chi-square test was used for certain variables, and multivariate analysis was performed using unconditional logistic regression to assess the effects of different variables after considering certain sociodemographic and economic characteristics as potential confounding variables. Results: The results revealed no statistically significant association of sociodemographic and economic variables (sex, age, education, and employment) with glycemic control. Family history of diabetes, duration of diabetes, body mass index, adherence, monitoring, therapy, and comorbidity were associated with glycemic control. Conclusions: Continuous education of primary care physicians is one way of improving skills for managing hyperglycemic patients. However, the challenge in treating patients with type 2 diabetes is to shift the main criterion from a disease-oriented to patient-centered approach in the context of patients' circumstances. Additionally, our developed indicator can be used as a screening test for assessing glycemic.https://scholarhub.ui.ac.id/mjhr/vol22/iss3/4/antidiabetichba1cindicatorutilization |
| spellingShingle | Iche A. Liberty Eddy Roflin Muhammad Aziz Pariyana Suryadi Tjekyan Oral Antidiabetic Utilization and Various Factors as an Indicator for HbA1c Control Among Patients with Type 2 Diabetes Makara Journal of Health Research antidiabetic hba1c indicator utilization |
| title | Oral Antidiabetic Utilization and Various Factors as an Indicator for HbA1c Control Among Patients with Type 2 Diabetes |
| title_full | Oral Antidiabetic Utilization and Various Factors as an Indicator for HbA1c Control Among Patients with Type 2 Diabetes |
| title_fullStr | Oral Antidiabetic Utilization and Various Factors as an Indicator for HbA1c Control Among Patients with Type 2 Diabetes |
| title_full_unstemmed | Oral Antidiabetic Utilization and Various Factors as an Indicator for HbA1c Control Among Patients with Type 2 Diabetes |
| title_short | Oral Antidiabetic Utilization and Various Factors as an Indicator for HbA1c Control Among Patients with Type 2 Diabetes |
| title_sort | oral antidiabetic utilization and various factors as an indicator for hba1c control among patients with type 2 diabetes |
| topic | antidiabetic hba1c indicator utilization |
| url | https://scholarhub.ui.ac.id/mjhr/vol22/iss3/4/ |
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