Mulugeta Tarekegn Angamo|Belete Habte Melese|Wubeante Yenet Ayen
Determinants of Glycemic Control among Insulin Treated Diabetic Patients in Southwest Ethiopia: Hospital Based Cross Sectional Study
Jimma University|Jimma University|Jimma University
background good glycemic control reduces risk diabetic complications despite achieving good glycemic control remains challenge diabetic patients objective study identify determinants glycemic control among insulin treated diabetic patients jimma university hospital southwest ethiopia methods hospitalbased crosssectional study conducted systematically sampled 284 insulintreated diabetic patients regular follow data collected interviewing patients hospital visits reviewing respective databases september 2010 december 2011 data collection took place february 20 may 20 2012 poor glycemic control defined fasting blood sugar fbs 126 mgdl binary logistic regression analysis conducted identify predictors poor glycemic control results patients mean age 4137 1508 years 585 males mean duration insulin treatment 49 51 years 183 achieved good glycemic control fbs126 mgdl 95 selfreported repeated use disposable insulin syringeneedle 48 correctly rotating insulin injection sites 831 study participants one complications multivariable logistic regression analyses body weight 70 kg aor 021 p0001 total daily dose insulin 35 iuday aor 026 p0001 total daily dose variation without checking glycemic level aor 339 p 0020 knowledge deficit signs symptoms hyperglycemia aor 360 p 0004 nonadherence dietary management aor 035 p 0005 independent predictors poor glycemic control conclusions proportion patients poor glycemic control high resulted development one complications regardless duration insulin treatment hence appropriate management patients focusing relevant associated factors independent predictors poor glycemic control would great benefit glycemic control