Factors Affecting Glycemic Control in Type 2 Diabetes Patients in Rural Population of Vindhya Region

Dr P K Baghel; Dr Umesh Pratap Singh; Dr Anuraag Gupta

Volume : VIII, Issue : III, March - 2019

Factors Affecting Glycemic Control in Type 2 Diabetes Patients in Rural Population of Vindhya Region

Dr P K Baghel, Dr Umesh Pratap Singh, Dr Anuraag Gupta

Abstract :

Background: Poor glycemic control amongst patients with type 2 diabetes mellitus indicates a major public health problem and common cause of hospital admission and complications caused by diabetes. Good glycemic control is the main objective for the prevention of organ damage and other complications arising from diabetes. The objective of this study was to assess the magnitude of good and poor glycemic control and factors affecting glycemic control in type 2 diabetic patients at Shyam Shah Medical College and SGMH Rewa, Madhya Pradesh, India. Material & Method: This is hospital based cross sectional study conducted on 500 type 2 diabetes mellitus patients from April 2016 to July 2017. Detailed history, thorough clinical examination and anthropometric measurement was done. Good glycemic control was defined as the three–month average fasting blood sugar (FBS) 80–130 mg/dl. Results: Out of 500 patients 156 (31.2%) have good glycemic control and 344(68.8%) patients have poor glycemic control. Patients in the poor glycemic control group have greater duration of diabetes, lack of adherence to treatment, family history of diabetes, illiteracy, obesity and dyslipidemia. (p value<0.05) Conclusion: Prevalence of poor glycemic control is very high in this population. Further studies are needed to explore the effect of these and other characteristics on glycemic control among rural population of Vindhya region and to develop appropriate interventions to improve diabetes outcomes and increase life–expectancy