Study on Patients with Poor Control of Type II Diabetes Mellitus at National Ribat University Hospital

Abstract

Background: Diabetes control is elusive so great effort is needed to keep blood glucose normal or near the required level. Various factors are suspected for poor glycemic control. These factors included: aging, sex, duration of diabetes, medication adherence, clinical inertia, physical inactivity, patient knowledge, comorbidity and quality of medications.
Objectives: To assess factors associated with poor glycemic control among patients with type2 diabetes.
Materials and method: This was a descriptive cross sectional hospital-based study conducted in the National Ribat University (NRU) Diabetes Clinic, Khartoum state, Sudan.
Results: Out of 398 diabetic patients attending NRU Diabetes Clinic 88.2% has type 2 DM, Of whom 31.4% (125 patients) had poor glycemic control and were shifted to insulin therapy. Female constituted 76.8% of the poor glycemic control patients and 88.8% of patients were above 40years of age. About 64.8% were shifted to insulin within 10 years of diabetes diagnosis. The majority (79.2%) were not having an exercise program, 84% were not having diet program, 70.4% their knowledge about hypoglycemia symptoms was not satisfactory and 61.6% their knowledge about medication usage was not satisfactory. About 66.4% were on mono anti diabetic therapy and need medications intensification, and 54.4% were not adherent to anti diabetic medications.
Conclusion: Our findings showed that sedentary life, clinical inertia and longer diabetes duration were behind poor diabetes control.

Key words: Type 2DM, diabetes control, poor glycemic control