PREDICTORS OF GOOD GLYCEMIC CONTROL AMONG TYPE II DIABETES PATIENTS IN PALESTINE


Rami Salem Mosleh, Noorizan Abd Aziz, Salmiah Mohd Ali, Mohamed Mansor Manan, Sa'ed Zyoud, Ismail Mohd Shah, Yazun Jarrar

Abstract


 

 Objectives: The aim of this study is to assess glycemic control and its relationship with patient characteristics, health-care system factors, and self-care management in type II diabetes patients.

Methods: A retrospective cross-sectional study was conducted among 330 type II diabetes patients who met the inclusion criteria and whose medical records covered a period of 1 year. Data concerning patient characteristics, health-care system factors, self-care management, and available last reading of hemoglobin A1c (HbA1c) were collected through personal interviews and a medical records’ review using structured questionnaires and data collection forms. Good glycemic control was defined as HbA1c ≤7%. To assess the results, the Statistical Package for Social Sciences (version 16) was used to undertake descriptive, univariate, and multivariate analyses.

Results: The mean±standard deviation age was 60±9.7 years. More than half of the participants were male (51.2%), and the majority had additional chronic diseases (88.5%). Of the total 271 participants whose HbA1c levels have been monitored, 16.7% had good glycemic control. Multivariate analysis showed that unemployment was significantly related to a decreased odds of good glycemic control (odds ratio=0.34; 95% confidence interval=0.12-0.98; p<0.05).

Conclusion: The study noted that the proportion of patients with good glycemic control was low, a result comparable to studies from many countries. Further investigation and improvement of inappropriate health-care system factors and self-care management together with educational programs that emphasize the importance of self-care management and the health-care providers’ role would be of great benefit in glycemic control.


Keywords


Hemoglobin A1c, Glycemic control, Type II diabetes, Palestine.

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About this article

Title

PREDICTORS OF GOOD GLYCEMIC CONTROL AMONG TYPE II DIABETES PATIENTS IN PALESTINE

Keywords

Hemoglobin A1c, Glycemic control, Type II diabetes, Palestine.

DOI

10.22159/ajpcr.2017.v10i9.19453

Date

01-09-2017

Additional Links

Manuscript Submission

Journal

Asian Journal of Pharmaceutical and Clinical Research
Vol 10 Issue 9 September 2017 Page: 341-347

Print ISSN

0974-2441

Online ISSN

2455-3891

Authors & Affiliations

Rami Salem Mosleh
Department of Pharmacy Practice, Faculty of Pharmacy, Universiti Teknologi MARA (UiTM), UiTM Puncak Alam, 43600 Bandar Puncak Alam, Selangor Darul Ehsan, Malaysia.

Noorizan Abd Aziz
Department of Pharmacy Practice, Faculty of Pharmacy, Universiti Teknologi MARA (UiTM), UiTM Puncak Alam, 43600 Bandar Puncak Alam, Selangor Darul Ehsan, Malaysia.
Malaysia

Salmiah Mohd Ali
Department of Pharmacy Practice, Faculty of Pharmacy, Universiti Teknologi MARA (UiTM), UiTM Puncak Alam, 43600 Bandar Puncak Alam, Selangor Darul Ehsan, Malaysia.
Malaysia

Mohamed Mansor Manan
Department of Pharmacy Practice, Faculty of Pharmacy, Universiti Teknologi MARA (UiTM), UiTM Puncak Alam, 43600 Bandar Puncak Alam, Selangor Darul Ehsan, Malaysia.
Malaysia

Sa'ed Zyoud
Department of Pharmacy Practice, Faculty of Pharmacy, Universiti Teknologi MARA (UiTM), UiTM Puncak Alam, 43600 Bandar Puncak Alam, Selangor Darul Ehsan, Malaysia.
Malaysia

Ismail Mohd Shah
Department of Pharmacy Practice, Faculty of Pharmacy, Universiti Teknologi MARA (UiTM), UiTM Puncak Alam, 43600 Bandar Puncak Alam, Selangor Darul Ehsan, Malaysia.
Malaysia

Yazun Jarrar
College of Pharmacy, Al-Zaytoonah University, Amman, Jordan.
Malaysia


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