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Glycemic control and its associated factors among type 2 diabetes mellitus in a selected hospital university at east coast Malaysia

Md Aris, Mohd Aznan and Shaik Mohd Nizam, Nur Alia Iman and Masnan, Ain Nafisa and Mahfudz, Fatihah Adibah and Omar, Ahmad Marzuki (2023) Glycemic control and its associated factors among type 2 diabetes mellitus in a selected hospital university at east coast Malaysia. Medicine and Health, 18 (Suppl. 7). p. 78. ISSN 1823-2140 E-ISSN 2289-5728

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Introduction: Type 2 diabetes mellitus (T2DM), a prevalent chronic metabolic disorder, is widely observed locally and globally. Patients with poorly controlled diabetes will encounter life-long complications earlier than those with controlled diabetes. Hence, this study aims to determine the prevalence and factors associated with glycemic control in T2DM patients in Sultan Ahmad Shah Medical Centre (SASMEC) at IIUM, a university hospital in Kuantan. Materials and Methods: This was a cross-sectional study conducted at the Medical Outpatient Clinic of SASMEC at IIUM, from August to September 2023 involving 205 T2DM patients, selected using a universal sampling method. Data were collected using a self-administered questionnaire for socio-demographic and clinical data. Relevant investigation results were retrieved from the patient’s medical record. Descriptive statistics and regression test were performed for data analyses. Results: The response rate was 100%. 64.9% of the respondents have poor diabetic control, which was associated with age below 65 years old (p=0.016), Indian ethnicity (p=0.004), longer duration of T2DM (p=0.020), type of diabetic medications used (p<0.001), and knowledge on diabetes (p=0.007). The probability of having poor glycaemic control was 2.3 times more likely among respondents with T2DM for more than 10 years (p=0.025), 5.5 more likely among insulin users (p=0.012), 3.3 more likely in both OGLDs and insulin users (p<0.001) and 0.7 times less likely among those aged 65 and above. Conclusion: The prevalence of poorly controlled diabetes was high and significantly associated with age below 65 years old, Indian ethnicity, longer duration of T2DM, medications used, and knowledge on diabetes. Therefore, T2DM with these factors needs to be targeted for early intervention to prevent life-long complications of diabetes.

Item Type: Article (other)
Uncontrolled Keywords: Glycemic control; risk factors; type 2 diabetes mellitus (T2DM); University hospital
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine
R Medicine > RC Internal medicine
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Medicine
Kulliyyah of Medicine > Department of Family Medicine (Effective: 1st January 2011)
Kulliyyah of Medicine > Department of Internal Medicine
Date Deposited: 16 Jan 2024 11:04
Last Modified: 16 Jan 2024 11:05
URI: http://irep.iium.edu.my/id/eprint/110111

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