Tropical Journal of Pharmaceutical Research

Original Research Article | OPEN ACCESS

Factors associated with poor glycemic control among type-2 diabetes mellitus patients in Yemen

Sultan AM Saghir¹ , Abdullah EA Alhariri², Sameer Akhtar Alkubati³, Amer A Almiamn⁴, Saleem H Aladaileh¹, Naelah Aziz Alyousefi⁵

¹Department of Medical Analysis, Princess Aisha Bint Al-Hussein College of Nursing and Medical Sciences, Al-Hussein Bin Talal University, Ma`an, Jordan; ²Preventive Medicine Unit, General Military Hospital; ³Department of Nursing, Faculty of Medicine and Health Sciences, Hodeidah University, Hodeidah, Yemen; ⁴Department of Applied Medical Sciences, Community College at Unaizah, Qassim University, Saudi Arabia; ⁵Department of Medicine, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia.

For correspondence:- Sultan Saghir Email: sultan_a1976@yahoo.com Tel:+962781877702

Accepted: 23 June 2019 Published: 29 July 2019

Citation: Saghir SA, Alhariri AE, Alkubati SA, Almiamn AA, Aladaileh SH, Alyousefi NA. Factors associated with poor glycemic control among type-2 diabetes mellitus patients in Yemen. Trop J Pharm Res 2019; 18(7):1539-1546 doi: 10.4314/tjpr.v18i7.26

© 2019 The authors.
This is an Open Access article that uses a funding model which does not charge readers or their institutions for access and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0) and the Budapest Open Access Initiative (http://www.budapestopenaccessinitiative.org/read), which permit unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited..

Abstract

Purpose: To determine the status of glycemic control and its associated factors among adult patients with type 2 diabetes mellitus (T2DM) in Hodeidah City, Yemen.

Methods: This cross-sectional study involved T2DM patients attending an outpatient clinic at the Military Hospital in Hodeidah, from January to March 2017. Relevant socio-demographic characteristics, clinical factors and self-management behaviours were recorded in face-to-face interviews. Blood pressure, body weight, and height measurements were also obtained. Glycosylated hemoglobin (HbA1c) and lipid profile were evaluated. Urine samples were also obtained and analysed by albuminuria assay.

Results: Of 246 participants, 73.2 % showed poor glycemic control (HbA1c ≥ 7 %). Female patients, those aged ≥ 40 years, the illiterate, and Khat chewers were more likely to have poor glycemic control. Moreover, longer disease duration, insulin administration and albuminuria were significantly associated with poor glycemic control. In contrast, a healthy diet, physical exercise, proper self-monitoring of blood glucose levels and taking medicines as prescribed significantly increased the likelihood of good glycemic control.

Conclusion: A majority of the Yemeni diabetic patients have poor glycemic control. To achieve better awareness, diabetes educational programs that highlight the benefits of self-management are recommended.

Keywords: Type 2 diabetes mellitus, Poor glycemic control, Hemoglobin A1c, Diabetics