Control of glycaemia and its related factors in patients with type 2 diabetes, north of Iran: generalized linear mixed models and prevalence of overdispersion in patients
Journal Title: Health Science Monitor - Year 2024, Vol 3, Issue 4
Abstract
Background & Aims: Glycemic control is very important to prevent or suspend complications in patients with type 2 diabetes (PT2D). The aim of this study was to investigate the status of glycemic control and its related factors in patients with type 2 diabetes (PT2D) based on HbA1c, fasting blood glucose, and non-fasting blood glucose levels in Golestan Province, Northern Iran. Materials & Methods: The study employed a retrospective cohort design, collecting data longitudinally and retrospectively from 500 patients with type 2 diabetes (PT2D) who were referred to health centers in Golestan Province between 2013 and 2016 (every three months). The study focused on hbA1c, fasting blood glucose (FBG), and non-fasting blood glucose (NFBG) levels, which were recorded as binary data (1 = abnormal; if the value exceeded its cut point), indicating a lack of control over these markers. The Index of Glycemic Control (IGC) was calculated for each patient, with an IGC of 3 indicating inadequate glycemic control. Related factors were analyzed using a generalized linear mixed model with a beta-binomial distribution. Results: The results indicated that 93% of patients had an Index of Glycemic Control (IGC) equal to 3 in the first year, and this percentage decreased to 60.7% by the third year. The downward trend in IGC was gradual over the three years. Factors contributing to poor glycemic control included younger age, shorter duration of diabetes care, elevated blood lipid levels, high blood pressure, insulin therapy, and overweight or obesity as indicated by BMI. Conclusion: The results obtained from the samples in Golestan Province indicate inadequate blood glucose control and poor quality of care. It is essential to implement more intensive diabetes management strategies within national healthcare plans.
Authors and Affiliations
Samaneh Hosseinzadeh,Saeideh Davar,
Keywords
Related Articles
- EP ID EP764022
- DOI http://dx.doi.org/10.61186/hsm.3.4.358
- Views 11
- Downloads 0
Investigation of specific antibody titer against SARS-CoV-2 virus during hospitalization and one month after discharge in hospitalized children with severe and critical Covid-19 infection
Background & Aims: The response of the human immune system to the COVID-19 disease is of vital importance in many ways, including determining the place of serological methods in the survival of patients. Therefore, t...
Hoteling medical consumables in the Inpatient emergency department, cost or income? A prospective observational study
Background & Aims: Estimates and available statistics indicate that, on average, 20% to 30% of the costs of a hospitalized patient are related to drugs and consumables, and on the other hand, more than 95% of treatme...
Influence of COVID-19 lockdowns on NO2 levels in Urmia city: a comparative analysis between 2018 and 2020
Background & Aims: The COVID-19 pandemic and associated lockdowns imposed unprecedented changes in urban environments, impacting air quality worldwide. This study investigates the influence of COVID-19 lockdowns on n...
Study of the relationship between social anxiety of negative evaluation and negative body image with the tendency of cosmetic surgery in women
Background & Aims: The increasing focus on physical appearance is the primary motivator for women's desire to undergo cosmetic surgery. This study aimed to examine the associations between fear of negative social eva...
Study of the prevalence and associated factors of major congenital anomalies at birth in Shahreza County during 2016-2018
Background & Aims: The health and vitality of the future society depend on the health of today's infants and the future youth of the society, and one of the factors threatening this health is congenital anomalies. Th...