Glycemic control and its association with sociodemographics, comorbid conditions, and medication adherence among patients with type 2 diabetes in southwestern Nigeria.

Autor:	Ibrahim AO; Department of Family Medicine, Federal Teaching Hospital, Ido Ekiti, Nigeria., Agboola SM; Department of Family Medicine, 470822Afe Babalola University, Afe Babalola University, Ado Ekiti, Nigeria., Elegbede OT; Department of Family Medicine, 470822Afe Babalola University, Afe Babalola University, Ado Ekiti, Nigeria., Ismail WO; Department of Family Medicine, Obafemi Awolowo University Teaching Hospital, Ile-Ife, Nigeria., Agbesanwa TA; Department of Family Medicine, Ekiti State University Teaching Hospital, Ado Ekiti, Nigeria., Omolayo TA; Department of Family Medicine, Federal Teaching Hospital, Ido Ekiti, Nigeria.
Jazyk:	angličtina
Zdroj:	The Journal of international medical research [J Int Med Res] 2021 Oct; Vol. 49 (10), pp. 3000605211044040.
DOI:	10.1177/03000605211044040
Abstrakt:	Objective: We determined the prevalence of poor glycemic control and associations with sociodemographics, comorbid conditions, and medication adherence among patients with type 2 diabetes mellitus (T2DM) at a tertiary hospital in southwestern Nigeria. Methods: We conducted a retrospective observational study among 300 patients with T2DM using systematic random sampling. We used a semi-structured questionnaire to collect information on respondents' sociodemographic profile, lifestyle, comorbid conditions, and antidiabetic medications. Adherence was determined using the Morisky Medication Adherence Scale. Fasting blood samples were tested using a glycated hemoglobin marker. Multivariate logistic regression was used to identify factors associated with poor glycemic control. Results: Respondents' mean age was 61.9 ± 11.8 years. The prevalence of poor glycemic control was 40.0% (95% confidence interval [CI]: 34.4%-45.8%). The adjusted odds ratio (95% CI) for factors associated with poor glycemic control was 2.522 (1.402-4.647) for older age, 1.882 (1.021-3.467) for low income, 1.734 (1.013-3.401) for obesity, 2.014 (1.269-5.336) for non-initiation of insulin therapy, and 1.830 (1.045-3.206) for poor medication adherence. Conclusion: Older age, lower income, obesity, non-initiation of insulin, and poor medication adherence were associated with poor glycemic control. These variables may help clinicians identify patients at high risk of poor glycemic control.
Databáze:	MEDLINE
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