Glycemic Control and Factors Associated with It Among People with Type 2 Diabetes: A Single-Center, Cross-sectional Study from Ethiopia

Abstract

Objective: This study is aimed to assess the glycemic control and factors associated with it among people with type 2 diabetes (T2D) at Debre Tabor comprehensive specialized hospital, northwest Ethiopia. Materials and methods: Institutional-based cross-sectional study using a systematic sampling technique was conducted among 353 T2D patients from 1 September to 30 November 2021 at Debre Tabor comprehensive specialized hospital. A binary logistic regression model was fitted to identify factors associated with suboptimal glycemic control. Results: Nearly one-fourth (23.2%) of T2D patients had suboptimal glycemic control. Duration of T2D < 1 year [adjusted odd ratio (AOR): 1.8; 95% CI: 1.33–15.4] and never being counselled about dietary habits (AOR: 1.4; 95% CI: 1.23–11.6) were positively associated whereas no family history of T2D (AOR: 0.5; 95% CI: 0.4–0.8) was negatively associated with suboptimal glycemic control. Conclusions: This study revealed that a higher proportion of T2D patients had suboptimal glycemic control. Duration of T2D < 1 year, no family history of T2D, and never being counselled about diet habits were significantly associated with suboptimal glycemic control. Therefore, the Ethiopian Ministry of Health should design initiatives to provide continuous health education focusing on behavioral lifestyle modification. Implementation of HbA1c measurement for estimation of long-term diabetes control is also highly recommended. (Clin Diabetol 2023; 12; 3: 179–185)