Ayodapo Abayomi Olusola¹*, Olagbemide Olanrewaju Joel², Agboola Segun Matthew², Elegbede Olayide Toyin², Omosanya Olusegun Emmanuel², Omoyajowo Adefunke Christianah³, Monsudi Kehinde Fasasi⁴, Ayodapo, Esther Opeyemi⁵, Akinbode, Akeem Opeyemi⁶ and Ibraheem, Abdulrau^f7

¹Attending Physician, South Faisaliyah PHC, Arar; and Trainer, Saudi Board of Family Medicine, Arar, Northern Border, Saudi Arabia
²2 Senior Lecturer, Afe Babalola University, Ado-Ekiti/ Consultant Family Physician Federal Teaching Hospital, Ido-Ekiti, Nigeria
³Lecturer, Statistics Programme, Bowen University, Iwo, Osun State, Nigeria
⁴Consultant Ophthalmologist, Department of Ophthalmology, Federal Medical Centre, Birnin-Kebbi, Kebbi State, Nigeria
⁵Principal Nursing Officer, Department of Paediatrics, Federal Teaching Hospital, Ido-Ekiti, Ekiti State, Nigeria
⁶Senior Registrar, Family Medicine, Department of Family Medicine, Federal Medical Centre, Birnin-Kebbi, Nigeria
⁷Consultant Family Physician, Department of Family Medicine, Federal Medical Centre, Birnin-Kebbi, Nigeria

*Corresponding Author: Ayodapo Abayomi Olusola, Attending Physician, South Faisaliyah PHC, Arar; and Trainer, Saudi Board of Family Medicine, Arar, Northern Border, Saudi Arabia.

Received: April 21, 2023; Published: April 26, 2023

Abstract

Background: Diabetes mellitus is one of the most relevant issues of contemporary healthcare due to its prevalence, its physical and psychosocial consequences for patients and their family; and its economic impact on the society. Poor control may result in complications.

Objective: The study assessed the relationship between socio-demographic characteristics, clinical profile and glycaemic control among adult Type 2 Diabetes Mellitus (T2DM) attending diabetic clinic of Family Medicine department of a tertiary hospital.

Method: This was a cross sectional study carried out among 367 patients selected by systematic random sampling method. Relevant data collected through a semi-structured questionnaire, clinical data recorded and fasting plasma glucose were utilized for the study. Data were analysed using SPSS version 20.

Results: The female to male ratio was nearly equal (1.01:1). The mean (SD) age of respondents was 61.7 ± 11.4 years. Majority 306 (83.4%) of the respondents were older than 50years of age. Most respondents, 164 (44.7%) lived on less than two US dollars per day. About half, 168 (45.8%) had a good glycaemic control. Significant relationship exists between marital status, socioeconomic status, smoking, number of co-morbidities, BMI and glycaemic control. Level of education, occupation, and social status can play an independent role in glycaemic control.

Conclusions: From this study, control of diabetes was still not at the optimal level among the diabetes population, and socio-economic status has a role to play in glycaemic control.

 Keywords: Clinical Profile; Glycaemic Control; Socio-Demographic Characteristics; T2DM

References

1. American Diabetes Association. “Standards of medical care in diabetes”. Diabetes Care 35 (2017): 519-520.
2. Pablo CR., et al. “Socio-demographic Determinants of Poor Glycaemic Control among Type 2 Diabetes Mellitus (T2DM) Patients Attending Clinics at the Three Selected Health Facilities in Suva, Fiji in 2011-2016”. Journal of Diabetic Complications and Medicine 3 (2018): 120.
3. Wild S., et al. “Global prevalence of diabetes: Estimates for the year 2000 and projections for 2030”. Diabetes Care 27 (2004): 1047-1053.
4. Levitt NS. “Diabetes in Africa: Epidemiology, management and healthcare challenges”. Heart 94 (2008): 1376-1382.
5. International Diabetes Federation. IDF. Diabetes Atlas 6^th Brussels, Belgium, International Diabetes Federation (2013).
6. Hall V., et al. “Diabetes in sub-Saharan Africa 1999- 2011: Epidemiology and public health implications. A systematic review”. BMC Public Health 11 (2011): 564.
7. Bos M and Agyemang C. “Prevalence and complications of diabetes in Northern Africa: A systematic review”. BMC Public Health 13 (2013): 387.
8. Iloh GUP., et al. “Type 2 Diabetes Mellitus in Ambulatory Adult Nigerians: Prevalence and Associated Family Biosocial Factors in a Primary Care Clinic in Eastern Nigeria: A Cross-sectional Study”. British Journal of Medicine and Medical Research3 (2015): 1-12.
9. Rodríguez-Gutiérrez R and Montori VM. “Glycemic control for patients with type 2 diabetes mellitus: our evolving faith in the face of evidence”. Circulation: Cardiovascular Quality and Outcomes5 (2016): 504-512.
10. Rahman M., et al. “Socioeconomic differences in the prevalence, awareness, and control of diabetes in Bangladesh”. Journal of Diabetic Complications6 (2015): 788-793.
11. Mosiur Rahman M., et al. “Mediators of the association between low socioeconomic status and poor glycemic control among type 2 diabetics in Bangladesh”. Scientific Reports 10 (2020): 6690.
12. World Health Organization. “Global report on diabetes”. World Health Organization (2016).
13. Stratton IM., et al. “Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS 35): prospective observational study”. BMJ 321 (2000): 405-412.
14. LeBlanc E., et al. “Do patient or provider characteristics impact management of diabetes?”. American Journal of Managed Care 9 (2015): 597-606.
15. Brown AF., et al. “Socioeconomic position and health among persons with diabetes mellitus: a conceptual framework and review of the literature”. Epidemiology Review 26 (2004): 63-77.
16. Walker RJ., et al. “Relationship between social determinants of health and processes and outcomes in adults with type 2 diabetes: validation of a conceptual framework”. BioMed Central Endocrine Disorders 14 (2014): 14-82.
17. Carls G., et al. “Achievement of glycated hemoglobin goals in the US remains unchanged through 2014”. Diabetes Therapy4 (2017): 863-873.
18. Abdulrehman MS., et al. “Exploring cultural influences of self-management of diabetes in coastal Kenya: an ethnography”. Global Qualtiative Nursing Research 3 (2016): 1-13.
19. Adisa R., et al. “Medication adherence among ambulatory patients with type 2 diabetes in a tertiary healthcare setting in south-western Nigeria”. Pharmacy Practice (Internet) 9 (2011): 72-81.
20. World Health Organization. “Definition and diagnosis of diabetes mellitus and intermediate hyperglycaemia: report of a WHO/IDF consultation”. World Health Organization (2006).
21. The seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and of Treatment of High Blood Pressure [JNC 7], NIH Publication No. 03-05233 (2003).
22. Nwankwo CH., et al. “Factors influencing diabetes management outcome among patients attending government health facilities in South East Nigeria”. International Journal of Tropical Medicine 5 (2010): 28-36.
23. Chinenye S., et al. “The pattern of diabetes mellitus in Rivers State, Nigeria”. Endocrine Practice 2 (2008): 87-93.
24. Abougalambou S., et al. “Glycaeted haemoglobin control among type 2 diabetes patients attending a teaching hospital in Malaysia”. Saudi Journal of Medical Pharmaceutical Science 15 (2015): 93-102.
25. Basu R., et al. “Mechanisms of the age-associated deterioration in glucose tolerance: Contribution of alterations in insulin secretion, action, and clearance”. Diabetes7 (2003): 1738-1748.
26. Ostgren CJ., et al. “Glycaemic control, disease duration and beta-cell function in patients with Type 2 diabetes in a Swedish community. Skaraborg Hypertension and Diabetes Project”. Diabetic Medicine 19 (2002): 125-129.
27. Kayar Y., et al. “Relationship between the poor glycemic control and risk factors, life style and complications”. Biomed Research4 (2017): 1581-1586.
28. Al-Kaab J., et al. “Assessment of dietary practice among diabetic patients in the United Arab Emirates”. Review of Diabetic Studies2 (2008): 110-115.
29. Al-Lawati JA., et al. “HbA1c levels among primary healthcare patients with type 2 diabetes mellitus in Oman”. Oman Medical Journal6 (2012): 465-470.
30. Alramadan MJ., et al. “Patient-Related Determinants of Glycaemic Control in People with Type 2 Diabetes in the Gulf Cooperation Council Countries: A Systematic Review”. Journal of Diabetes Research 6 (2018): 1-14.
31. Glasgow RE., et al. “Personal-model beliefs and social-environmental barriers related to diabetes self-management”. Diabetes Care4 (1997): 556-561.
32. Chinenye S., et al. “Profile of Nigerians with diabetes mellitus - Diabcare Nigeria study group Results of a multicenter study”. Indian Journal of Endocrinology and Metabolism 4 (2012): 558-564.
33. Chijioke A., et al. “Mortality pattern among type 2 DM patients in Ilorin, Nigeria”. JEMDSA2 (2010): 78-82.
34. Ajayi EA and Ajayi AO. “Pattern and outcome of diabetic admissions at a federal medical center: a 5-year review”. Annals African Medicine 8 (2009): 271-275.
35. Adewolu OF. “Glycaemic Control in Patients with Type 2 Diabetes Mellitus in a Secondary and Tertiary Health Center in Oredo and Egor Local Government Areas in Benin City, South-South Nigeria”. International Journal of Tropical Disease and Health6 (2014): 621-633.
36. Oyegbade OO., et al. “Screening for diabetes mellitus in a Nigerian family practice population”. South African Family Practice 8 (2007): 15.
37. Geer EB and Shen W. “Gender differences in insulin resistance, body composition and energy balance”. Gen Medicine 6 (2009): 60-75.
38. Raum E., et al. “Medication non-adherence and poor glycaemic control in patients with type 2 diabetes mellitus”. Diabetes Research and Clinical Practice3 (2012): 377-384.
39. Cambra K., et al. “Sex and age differences in the achievement of control targets in patients with type 2 diabetes: results from a population-based study in the South European region”. Biomed Central Family Practice 17 (2016): 1-7.
40. Sanal TS., et al. “Factors associated with poor control of type 2 diabetes mellitus: a systematic review and meta-analysis”. Journal of Diabetology 3 (2011): 1-10.
41. Kellow N., et al. “Predictors of poor glycaemic control during the initial five years post-diagnosis in rural adults with type 2 diabetes”. Australian Journal of Rural Health 19 (2011): 267-274.
42. Kassahun T., et al. “Factors associated with glycemic control among adult patients with type 2 diabetes mellitus: a cross sectional survey in Ethiopia”. BMC Research Notes 9 (2016): 78.
43. Ahmad NS., et al. “Medication adherence in patients with type 2 diabetes mellitus treated at primary health clinics in Malaysia”. Patient Prefer Adherence 7 (2013): 525-530.
44. Adisa R., et al. “Factors contributing to nonadherence to oral hypoglycaemic medications among ambulatory type 2 diabetes patients in South western Nigeria”. Pharmacy Practice (Internet)3 (2009): 163-169.
45. Pablo-Velasco P. “Current level of glucose control and its associated factors in patients with type 2diabetes across Europe”. Clinical Endocrinology1 (2014): 47-56.
46. Ali MK., et al. “Characteristics associated with poor glycaemic control among adults with self-reported diagnosed diabetes—National Health and Nutrition Examination Survey, United States, 2007-2010”. Centre for Disease Control and Prevention, MMWR2 (2012): 32-37.
47. Onyedibe KI., et al. “An evaluation of National Health Insurance Scheme (NHIS) in Jos, a North Central Nigerian city”. Global Advanced Research Journal of Microbiology1 (2012): 5-12.
48. Awalom FS. “Family Support in the Self-Management of Type 2 Diabetes Among Hispanics”. Minority Nurse (2011).
49. Odume BB., et al. “The influence of family characteristics on glycaemic control among adult patients with type 2 diabetes mellitus attending the general outpatient clinic, National Hospital, Abuja, Nigeria”. South African Family Practice6 (2015): 347-353.
50. Unadike BC., et al. “Glycaemic control amongst persons with diabetes mellitus in Benin City”. Nigerian Medical Journal 51 (2010): 164-166.
51. Weissman JS., et al. “Delayed access to health care: risk factors, reasons, and consequences”. Annals of Internal Medicine 114 (1991): 325-331.
52. Veghari G., et al. “Association between socio-demographic factors and diabetes mellitus in the north of Iran: A population-based study”. International Journal of Diabetes Mellitus 2 (2010): 154-157.
53. Tarekegne FE., et al. “Sociodemographic and behavioral characteristics associated with self-reported diagnosed diabetes mellitus in adults aged 50+ years in Ghana and South Africa: results from the WHO-SAGE wave 1”. BMJ Open Diabetes Research and Care 6 (2018): e000449.

Citation

Citation: Ayodapo Abayomi Olusola., et al. “Socio-demographic, Clinical Profile and Status of Glycaemic Control Among Diabetic Patients in a Rural Tertiary Hospital”.Acta Scientific Medical Sciences 7.5 (2023): 197-207.

Copyright

Copyright: © 2023 Ayodapo Abayomi Olusola., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.