UPM Institutional Repository

Predictors of good glycemic controls among type 2 diabetes mellitus patients in two primary health clinics, Kuala Selangor


Citation

Abdullah, Nurul Ain and Ismail, Suriani and Shariff Ghazali, Sazlina and Juni, Muhamad Hanafiah and Kadir @ Shahar, Hayati and Aziz, Noor Rafizah Aminah (2019) Predictors of good glycemic controls among type 2 diabetes mellitus patients in two primary health clinics, Kuala Selangor. Malaysian Journal of Medicine and Health Sciences, 15 (SP3). pp. 58-64. ISSN 1675-8544; ESSN: 2636-9346

Abstract

Introduction: The objective of this study was to determine the factors and predictors of good glycaemic control among patients with Type 2 Diabetes Mellitus (T2DM) in two rural government health clinics in Kuala Selangor. Methods: This cross-sectional study involved 200 patients selected through systematic random sampling from a list of T2DM patients in two government health clinics in Kuala Selangor. Data was collected using a self-administered questionnaire while glycosylated haemoglobin (HbA1c) results were obtained from the patients’ blood results record at the clinic. HbA1c of 6.5 % and below was categorized as good glycaemic control. The factors studied were socio-demographic characteristics (age, gender, ethnicity, level of education, occupation and household income), T2DM medical history (T2DM duration and type of treatment), diabetes knowledge, health literacy, adherence to treatment, body mass index (BMI) and physical activity. Pearson’s chi square test was used to test for associations and multiple logistic regressions were used to determine the predictors. Results: The response rate was 86.9%. The pro-portion of good glycaemic control was 34.0%. Level of glycaemic control was significantly associated with duration of being diagnosed with T2DM (p=0.006) and type of treatment (p=0.009). The probability of having good glycaemic control was 2.5 times more likely among respondents diagnosed with T2DM for less than 10 years (AOR=2.458, 95% of CI=1.504-14.282, p=0.037). Conclusion: Shorter duration of being diagnosed with T2DM has been found to be a predictor of good glycaemic control in this study population, thus warranting stricter monitoring among patients who have been diagnosed for a longer period.


Download File

[img]
Preview
Text
2019110412111609_MJMHS_0121.pdf

Download (150kB) | Preview

Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
Publisher: Faculty of Medicine and Health Sciences, Universiti Putra Malaysia
Notes: Special issue: Towards a Healthy and Prosperous Nation
Keywords: Glycaemic control; HbA1c; Rural health clinic
Depositing User: Nabilah Mustapa
Date Deposited: 04 Feb 2020 04:10
Last Modified: 04 Feb 2020 04:10
URI: http://psasir.upm.edu.my/id/eprint/76399
Statistic Details: View Download Statistic

Actions (login required)

View Item View Item