Original Research Article
Year: 2019 | Month: March | Volume: 9 | Issue: 3 | Pages: 12-20
Factors Affecting Glycemic Control among Patients with Type 2 Diabetes at a Tertiary Health Care Center of Western up Region: A Cross-Sectional Study
Dr. Jyoti Goyal1*, Dr. Navin Kumar2**, Dr. Mamta Sharma3**, Ms. Seema Raghav4*, Dr. Banwari Lal*, Dr. Paramjeet Singh Bhatia*
1DNB, 2Biostatistitian, 3Attending Consultant, 4Certified Diabetes Educator,
*Department of Internal Medicine, Nayati Healthcare and Research Centre, Mathura, India- 281003,
**Department of Biostatistics, Nayati Healthcare and Research Centre, Mathura, India-281003.
Corresponding Author: Dr. Jyoti Goyal
Background: Diabetes is a chronic disease requiring continuous medical care and patient self-management education to achieve good glycemic control and prevent long term complication Type II diabetes is approaching epidemic levels in India. More than 60% population suffering from diabetes comes from Asia of which china and India are the largest contributors. Though the benefit of good glycemic control is well established in prevention of diabetes related micro vascular complication however it has been reported that more than 60% of the patients still do not achieve the recommended glycemic target. As glycemic control is affected by many social, demographic, economic, disease and treatment related factors, it is tough to achieve glycemic control in routine clinical practice.
Materials and Methods: The present study is a cross-sectional study of retrospective data collected from the diabetic patients who attended the medical outdoor of Nayati Medicity, Mathura, Uttar Pradesh. Data was collected from January 2018 to June 2018. Data from 206 diabetic patients was collected retrospectively.
Results: 206 patients were included in this study, out of which (63%) were in the age group between 41 – 60 years. Among Drug utilization pattern 15.5% were as monotherapy, 47.1% were on combination therapy while 23.8% were receiving Insulin + OAD therapy. Patients with BMI more than 30 had 4 times risk of having poor glycemic control as compared to those with BMI <25 (OR = 3.9, C.I. = 1.2-3.9, P = 0.02).
Conclusion: In this study glycemic control was affected by age, duration of diabetes, drug utilization patterns and BMI and a statistically significant association was found with these factors.
Key words: Type 2 Diabetes, HbA1C, glycemic control, Drug utilization pattern, BMI, U.P