Daphine Nabukenya*, Davis Nduhuura, Derrick Turyasingura, Lillian Racheal Sabano, Bernard Kutuusa, Joseph Ndarubweine and Ritah Kiconco
Objectives: The study aimed at determining prevalence and risk factors for glycemic control among type 2 diabetes mellitus patients attending the four health centres in Mbarara City.
Major research question: What is the prevalence of poor glycemic control among type 2 diabetes mellitus patients attending the four health centers in Mbarara city?
Setting: The study was carried out in four health centers at their outpatient clinics in Mbarara city.
Participants: The study enrolled 140 participants who all participated until its completion of which 46(32.9%) were males and 94(67.1%) were females. Consenting adult type 2 diabetes mellitus patients of either sex receiving health care from the targeted study sites were included in the study. Only those who were critically ill or pregnant were excluded.
Results: The overall prevalence of poor glycemic control among T2DM patients attending selected health centers was 80%. Our study enrolled 46(32.9%) males and 94(67.1%) females. 87% of males and 76.6% of females had poor glycemic control. Bivariate and multivariate statistical analyses were done. Significantly associated risk factors with poor glycemic control (Odds Ratio >1) were alcohol intake OR=1.292 (95%CI; 1.175-1.420, P=0.034), random blood sugar OR=2.500 (95%CI; 1.072-5.830, P = 0.031) and T2DM treatment duration OR=2.826 (95%CI; 0.620-12.887, P= 0.002). There was a positive correlation between HbA1c levels and antihyperglycemic therapy, however this relationship was insignificant (r= 0.097, P= 0.480).
Conclusion: Eight in every ten T2DM patients have poor glycemic control. Alcohol intake, long-term duration of T2DM treatment and hyperglycemia impact negatively on a patient’s glycemic control. Health strategies should devote more attention to alleviating the poor glycemic control among T2DM patients in impoverished communities.
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