Study on patients with poor control of type II diabetes mellitus at national Ribat University Hospital

Abstract EN

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 40 years 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.