Glycemic control among insulin-treated Type 2 diabetes in Kelantan

Objective: To determine the prevalence of good glycemic control and its associated factors that contribute to good glycemic control among insulin-treated Type 2 diabetes mellitus. Design: Cross sectional study. Materials and Methods: The study was conducted on 236 insulin-treated T2DM at Diabetic Cl...

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Main Authors: Ismail, Adibah Hanim, Hamzah, Haryati, Ismail, Irmi Zarina
Format: Article
Language:English
Published: Japan International Cultural Exchange Foundation 2016
Subjects:
Online Access:http://psasir.upm.edu.my/id/eprint/54392/1/Glycemic%20control%20among%20insulin-treated%20Type%202%20diabetes%20in%20Kelantan.pdf
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author Ismail, Adibah Hanim
Hamzah, Haryati
Ismail, Irmi Zarina
author_facet Ismail, Adibah Hanim
Hamzah, Haryati
Ismail, Irmi Zarina
author_sort Ismail, Adibah Hanim
collection UPM
description Objective: To determine the prevalence of good glycemic control and its associated factors that contribute to good glycemic control among insulin-treated Type 2 diabetes mellitus. Design: Cross sectional study. Materials and Methods: The study was conducted on 236 insulin-treated T2DM at Diabetic Clinic, Hospital Universiti Sains Malaysia using systematic random sampling. A set of case report form (CRF) was used. Data was entered and analyzed by SPSS 12.0 using descriptive and Multiple Logistic Regression analyses. Results: The percentage of good glycemic control (HbA1C less than7.0%) was 21.2 percent. The factors that contribute to good glycemic control were female gender (Adjusted OR 5.06; 95%CI 1.64, 15.59), high education (Adjusted OR 16.44; 95%CI 3.68, 73.58), combination of insulin and oral anti-diabetic drugs regime (Adjusted OR 3.11; 95%CI 1.01, 9.55), basal bolus insulin (Adjusted OR 5.18; 95%CI 1.61, 16.70) and fasting plasma glucose less than 6.1mmol/l (Adjusted OR 8.30; 95%CI 3.24, 21.27). Conclusion: Majority of our patients did not achieve the target of HbA1C less than 7.0% as recommended by the American Diabetes Association. Physicians should be aware of the associated factors that may influence the glycemic control among insulin treated type 2 diabetic patients. Future studies are needed to explore the patient's skills and knowledge on how to adjust the insulin dose during the treatment.
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spelling upm.eprints-543922018-03-15T03:16:19Z http://psasir.upm.edu.my/id/eprint/54392/ Glycemic control among insulin-treated Type 2 diabetes in Kelantan Ismail, Adibah Hanim Hamzah, Haryati Ismail, Irmi Zarina Objective: To determine the prevalence of good glycemic control and its associated factors that contribute to good glycemic control among insulin-treated Type 2 diabetes mellitus. Design: Cross sectional study. Materials and Methods: The study was conducted on 236 insulin-treated T2DM at Diabetic Clinic, Hospital Universiti Sains Malaysia using systematic random sampling. A set of case report form (CRF) was used. Data was entered and analyzed by SPSS 12.0 using descriptive and Multiple Logistic Regression analyses. Results: The percentage of good glycemic control (HbA1C less than7.0%) was 21.2 percent. The factors that contribute to good glycemic control were female gender (Adjusted OR 5.06; 95%CI 1.64, 15.59), high education (Adjusted OR 16.44; 95%CI 3.68, 73.58), combination of insulin and oral anti-diabetic drugs regime (Adjusted OR 3.11; 95%CI 1.01, 9.55), basal bolus insulin (Adjusted OR 5.18; 95%CI 1.61, 16.70) and fasting plasma glucose less than 6.1mmol/l (Adjusted OR 8.30; 95%CI 3.24, 21.27). Conclusion: Majority of our patients did not achieve the target of HbA1C less than 7.0% as recommended by the American Diabetes Association. Physicians should be aware of the associated factors that may influence the glycemic control among insulin treated type 2 diabetic patients. Future studies are needed to explore the patient's skills and knowledge on how to adjust the insulin dose during the treatment. Japan International Cultural Exchange Foundation 2016 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/54392/1/Glycemic%20control%20among%20insulin-treated%20Type%202%20diabetes%20in%20Kelantan.pdf Ismail, Adibah Hanim and Hamzah, Haryati and Ismail, Irmi Zarina (2016) Glycemic control among insulin-treated Type 2 diabetes in Kelantan. International Medical Journal, 23 (4). pp. 1-4. ISSN 1341-2051 Insulin; Type 2 diabetes mellitus; Good glycemic control
spellingShingle Insulin; Type 2 diabetes mellitus; Good glycemic control
Ismail, Adibah Hanim
Hamzah, Haryati
Ismail, Irmi Zarina
Glycemic control among insulin-treated Type 2 diabetes in Kelantan
title Glycemic control among insulin-treated Type 2 diabetes in Kelantan
title_full Glycemic control among insulin-treated Type 2 diabetes in Kelantan
title_fullStr Glycemic control among insulin-treated Type 2 diabetes in Kelantan
title_full_unstemmed Glycemic control among insulin-treated Type 2 diabetes in Kelantan
title_short Glycemic control among insulin-treated Type 2 diabetes in Kelantan
title_sort glycemic control among insulin treated type 2 diabetes in kelantan
topic Insulin; Type 2 diabetes mellitus; Good glycemic control
url http://psasir.upm.edu.my/id/eprint/54392/1/Glycemic%20control%20among%20insulin-treated%20Type%202%20diabetes%20in%20Kelantan.pdf
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