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Predictors of good glycemic controls among type 2 diabetes mellitus patients in two primary health clinics, Kuala Selangor

Introduction: The objective of this study was to determine the factors and predictors of good glycaemic control among patients with Type 2 Diabetes Mellitus (T2DM) in two rural government health clinics in Kuala Selangor. Methods: This cross-sectional study involved 200 patients selected through sys...

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Main Authors: Abdullah, Nurul Ain, Ismail, Suriani, Shariff Ghazali, Sazlina, Juni, Muhamad Hanafiah, Kadir @ Shahar, Hayati, Aziz, Noor Rafizah Aminah
Format: Article
Language:English
Published: Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2019
Online Access:http://psasir.upm.edu.my/id/eprint/76399/1/2019110412111609_MJMHS_0121.pdf
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spelling oai:psasir.upm.edu.my:76399 http://psasir.upm.edu.my/id/eprint/76399/ Predictors of good glycemic controls among type 2 diabetes mellitus patients in two primary health clinics, Kuala Selangor Abdullah, Nurul Ain Ismail, Suriani Shariff Ghazali, Sazlina Juni, Muhamad Hanafiah Kadir @ Shahar, Hayati Aziz, Noor Rafizah Aminah Introduction: The objective of this study was to determine the factors and predictors of good glycaemic control among patients with Type 2 Diabetes Mellitus (T2DM) in two rural government health clinics in Kuala Selangor. Methods: This cross-sectional study involved 200 patients selected through systematic random sampling from a list of T2DM patients in two government health clinics in Kuala Selangor. Data was collected using a self-administered questionnaire while glycosylated haemoglobin (HbA1c) results were obtained from the patients’ blood results record at the clinic. HbA1c of 6.5 % and below was categorized as good glycaemic control. The factors studied were socio-demographic characteristics (age, gender, ethnicity, level of education, occupation and household income), T2DM medical history (T2DM duration and type of treatment), diabetes knowledge, health literacy, adherence to treatment, body mass index (BMI) and physical activity. Pearson’s chi square test was used to test for associations and multiple logistic regressions were used to determine the predictors. Results: The response rate was 86.9%. The pro-portion of good glycaemic control was 34.0%. Level of glycaemic control was significantly associated with duration of being diagnosed with T2DM (p=0.006) and type of treatment (p=0.009). The probability of having good glycaemic control was 2.5 times more likely among respondents diagnosed with T2DM for less than 10 years (AOR=2.458, 95% of CI=1.504-14.282, p=0.037). Conclusion: Shorter duration of being diagnosed with T2DM has been found to be a predictor of good glycaemic control in this study population, thus warranting stricter monitoring among patients who have been diagnosed for a longer period. Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2019 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/76399/1/2019110412111609_MJMHS_0121.pdf Abdullah, Nurul Ain and Ismail, Suriani and Shariff Ghazali, Sazlina and Juni, Muhamad Hanafiah and Kadir @ Shahar, Hayati and Aziz, Noor Rafizah Aminah (2019) Predictors of good glycemic controls among type 2 diabetes mellitus patients in two primary health clinics, Kuala Selangor. Malaysian Journal of Medicine and Health Sciences, 15 (SP3). pp. 58-64. ISSN 1675-8544; ESSN: 2636-9346 https://medic.upm.edu.my/upload/dokumen/2019110412111609_MJMHS_0121.pdf
institution UPM IR
collection UPM IR
language English
description Introduction: The objective of this study was to determine the factors and predictors of good glycaemic control among patients with Type 2 Diabetes Mellitus (T2DM) in two rural government health clinics in Kuala Selangor. Methods: This cross-sectional study involved 200 patients selected through systematic random sampling from a list of T2DM patients in two government health clinics in Kuala Selangor. Data was collected using a self-administered questionnaire while glycosylated haemoglobin (HbA1c) results were obtained from the patients’ blood results record at the clinic. HbA1c of 6.5 % and below was categorized as good glycaemic control. The factors studied were socio-demographic characteristics (age, gender, ethnicity, level of education, occupation and household income), T2DM medical history (T2DM duration and type of treatment), diabetes knowledge, health literacy, adherence to treatment, body mass index (BMI) and physical activity. Pearson’s chi square test was used to test for associations and multiple logistic regressions were used to determine the predictors. Results: The response rate was 86.9%. The pro-portion of good glycaemic control was 34.0%. Level of glycaemic control was significantly associated with duration of being diagnosed with T2DM (p=0.006) and type of treatment (p=0.009). The probability of having good glycaemic control was 2.5 times more likely among respondents diagnosed with T2DM for less than 10 years (AOR=2.458, 95% of CI=1.504-14.282, p=0.037). Conclusion: Shorter duration of being diagnosed with T2DM has been found to be a predictor of good glycaemic control in this study population, thus warranting stricter monitoring among patients who have been diagnosed for a longer period.
format Article
author Abdullah, Nurul Ain
Ismail, Suriani
Shariff Ghazali, Sazlina
Juni, Muhamad Hanafiah
Kadir @ Shahar, Hayati
Aziz, Noor Rafizah Aminah
spellingShingle Abdullah, Nurul Ain
Ismail, Suriani
Shariff Ghazali, Sazlina
Juni, Muhamad Hanafiah
Kadir @ Shahar, Hayati
Aziz, Noor Rafizah Aminah
Predictors of good glycemic controls among type 2 diabetes mellitus patients in two primary health clinics, Kuala Selangor
author_facet Abdullah, Nurul Ain
Ismail, Suriani
Shariff Ghazali, Sazlina
Juni, Muhamad Hanafiah
Kadir @ Shahar, Hayati
Aziz, Noor Rafizah Aminah
author_sort Abdullah, Nurul Ain
title Predictors of good glycemic controls among type 2 diabetes mellitus patients in two primary health clinics, Kuala Selangor
title_short Predictors of good glycemic controls among type 2 diabetes mellitus patients in two primary health clinics, Kuala Selangor
title_full Predictors of good glycemic controls among type 2 diabetes mellitus patients in two primary health clinics, Kuala Selangor
title_fullStr Predictors of good glycemic controls among type 2 diabetes mellitus patients in two primary health clinics, Kuala Selangor
title_full_unstemmed Predictors of good glycemic controls among type 2 diabetes mellitus patients in two primary health clinics, Kuala Selangor
title_sort predictors of good glycemic controls among type 2 diabetes mellitus patients in two primary health clinics, kuala selangor
publisher Faculty of Medicine and Health Sciences, Universiti Putra Malaysia
publishDate 2019
url http://psasir.upm.edu.my/id/eprint/76399/1/2019110412111609_MJMHS_0121.pdf
_version_ 1782758658870870016
score 12.93372

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