Factors Associated with Long-Term Control of Type 2 Diabetes Mellitus

Aims. This study assessed factors associated with glycemic control among Saudi patients with Type 2 diabetes mellitus (T2DM). Methods. We conducted an analytical cross-sectional study, which included a random sample of 288 patients with T2DM proportional to the diabetes population of each primary he...

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Main Authors: Mohammed Badedi, Yahiya Solan, Hussain Darraj, Abdullah Sabai, Mohamed Mahfouz, Saleh Alamodi, Abdullah Alsabaani
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2016/2109542
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author Mohammed Badedi
Yahiya Solan
Hussain Darraj
Abdullah Sabai
Mohamed Mahfouz
Saleh Alamodi
Abdullah Alsabaani
author_facet Mohammed Badedi
Yahiya Solan
Hussain Darraj
Abdullah Sabai
Mohamed Mahfouz
Saleh Alamodi
Abdullah Alsabaani
author_sort Mohammed Badedi
collection DOAJ
description Aims. This study assessed factors associated with glycemic control among Saudi patients with Type 2 diabetes mellitus (T2DM). Methods. We conducted an analytical cross-sectional study, which included a random sample of 288 patients with T2DM proportional to the diabetes population of each primary health care center in Jazan city, Kingdom of Saudi Arabia. Results. More than two-thirds (74%) of patients had poor glycemic control. Lack of education, polypharmacy, and duration of diabetes ≥ 7 years were significantly associated with higher glycated hemoglobin (HbA1c). Moreover, patients who were smoker or divorced were significantly more likely to have higher HbA1c. The patients who did not comply with diet or take their medications as prescribed had poor glycemic control. The study found lower HbA1c levels among patients who received family support or had close relationship with their physicians. Similarly, knowledgeable patients towards diabetes or those with greater confidence in ability to manage self-care behaviors had a lower HbA1c. In contrast, risk factors such as depression or stress were significantly correlated with poorer glycemic control. Conclusion. The majority of T2DM patients had poor glycemic control. The study identified several factors associated with glycemic control. Effective and tailored interventions are needed to mitigate exposure to these risk factors. This would improve glycemic control and reduce the risks inherent to diabetes complications.
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spelling doaj-art-5e09a6c46b4849978afbb5fefe8c75772025-02-03T05:53:18ZengWileyJournal of Diabetes Research2314-67452314-67532016-01-01201610.1155/2016/21095422109542Factors Associated with Long-Term Control of Type 2 Diabetes MellitusMohammed Badedi0Yahiya Solan1Hussain Darraj2Abdullah Sabai3Mohamed Mahfouz4Saleh Alamodi5Abdullah Alsabaani6Public Health Administration, Jazan Health Affairs, Ministry of Health, Jazan, Saudi ArabiaDiabetes Center, Jazan Health Affairs, Jazan, Saudi ArabiaJazan Health Affairs, Ministry of Health, Jazan, Saudi ArabiaJazan Health Affairs, Ministry of Health, Jazan, Saudi ArabiaFaculty of Medicine, Jazan University, Jazan, Saudi ArabiaJazan General Directorate of Education, Ministry of Education, Jazan, Saudi ArabiaCollege of Medicine, King Khalid University, Abha, Saudi ArabiaAims. This study assessed factors associated with glycemic control among Saudi patients with Type 2 diabetes mellitus (T2DM). Methods. We conducted an analytical cross-sectional study, which included a random sample of 288 patients with T2DM proportional to the diabetes population of each primary health care center in Jazan city, Kingdom of Saudi Arabia. Results. More than two-thirds (74%) of patients had poor glycemic control. Lack of education, polypharmacy, and duration of diabetes ≥ 7 years were significantly associated with higher glycated hemoglobin (HbA1c). Moreover, patients who were smoker or divorced were significantly more likely to have higher HbA1c. The patients who did not comply with diet or take their medications as prescribed had poor glycemic control. The study found lower HbA1c levels among patients who received family support or had close relationship with their physicians. Similarly, knowledgeable patients towards diabetes or those with greater confidence in ability to manage self-care behaviors had a lower HbA1c. In contrast, risk factors such as depression or stress were significantly correlated with poorer glycemic control. Conclusion. The majority of T2DM patients had poor glycemic control. The study identified several factors associated with glycemic control. Effective and tailored interventions are needed to mitigate exposure to these risk factors. This would improve glycemic control and reduce the risks inherent to diabetes complications.http://dx.doi.org/10.1155/2016/2109542
spellingShingle Mohammed Badedi
Yahiya Solan
Hussain Darraj
Abdullah Sabai
Mohamed Mahfouz
Saleh Alamodi
Abdullah Alsabaani
Factors Associated with Long-Term Control of Type 2 Diabetes Mellitus
Journal of Diabetes Research
title Factors Associated with Long-Term Control of Type 2 Diabetes Mellitus
title_full Factors Associated with Long-Term Control of Type 2 Diabetes Mellitus
title_fullStr Factors Associated with Long-Term Control of Type 2 Diabetes Mellitus
title_full_unstemmed Factors Associated with Long-Term Control of Type 2 Diabetes Mellitus
title_short Factors Associated with Long-Term Control of Type 2 Diabetes Mellitus
title_sort factors associated with long term control of type 2 diabetes mellitus
url http://dx.doi.org/10.1155/2016/2109542
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