Prevalence and determinants of poor glycaemic control: a cross-sectional study among Moroccan type 2 diabetes patients

Autor: Fatiha Chigr, Kamal Kaoutar, Abdesslam El Kardoudi, Mohamed Najimi, Kaltoum Boutahar, Ahmed Chetoui, Soufiane Elmoussaoui
Rok vydání: 2020
Předmět:
Zdroj: International Health. 14:390-397
ISSN: 1876-3405
1876-3413
DOI: 10.1093/inthealth/ihz107
Popis: Background Diabetes remains poorly controlled in a high proportion of diabetes patients. This study examines the prevalence of poor glycaemic control and associated factors in type 2 diabetes patients in the Beni-Mellal Khenifra region in Morocco. Methods A cross-sectional survey was conducted in 2017 among 1456 diabetes patients attending primary health centres. Demographic and clinical data were collected through face-to-face interviews using structured and pre-tested questionnaires. Anthropometric measurements, including body weight, height and waist circumference were taken using standardized techniques and calibrated equipment. Glycaemic control was assessed in terms of the glycated haemoglobin (HbA1c) level and poor glycaemic control was defined as HbA1c ≥7% and a level Results Of the total participants, 66.3% had poor glycaemic control. Bivariate analysis showed that sex (p=0.010), education level (p=0.013), body mass index (p=0.048), duration of diabetes (p Conclusions Despite the particularities of the region, the findings about glycaemic control and its cross-sectionally associated factors are in line with findings from other regions of Morocco. In this subgroup, the longer duration of diabetes and insulin treatment could constitute a cause leading to poor glycaemic control. However, inverse causality cannot be excluded.
Databáze: OpenAIRE