Prevalence and predictors of suboptimal glycemic control among patients with type 2 diabetes mellitus attending public hospitals in the greater male region, Maldives

Name: Jeehana Shareef

keyword: Diabetes Mellitus

MeSH: Diabetes

Classification :.DDC: e-Theses

; Suboptimal Glycemic Control

MeSH: Hypoglycemia -- 306041

MeSH: Non-insulin-dependent diabetes -- 306042

MeSH: Type 2 diabetes -- 306043

LCSH: Diabetes

LCSH: Hypoglycemia -- 306041

LCSH: Non-insulin-dependent diabetes -- 306042

LCSH: Type 2 diabetes -- 306043

Abstract: Suboptimal glycemic control of type 2 diabetes mellitus (T2DM) is a major public health problem in several countries, including the Maldives. This hospital-based cross-sectional aimed to estimate the prevalence and factors associated with suboptimal glycemic control among T2DM patients. Data were obtained among T2DM patients who attended public hospitals in the Greater Male’ Region, Maldives between January to March 2023 by a validated questionnaire and anthropometric measurements. Five (5) ml blood specimens were collected to measure HbA1c. Logistic regression was employed to determine factors associated with suboptimal glycemic control of T2DM at significant level =0.05. A total of 341 participants were recruited into the study. 65.7% were female, 42.5% were aged 40-60 years, and 42.2% were married. The overall prevalence of suboptimal glycemic control was 50.7%. Ten variables were found to be associated with suboptimal glycemic control in multivariable logistic regression. Participants aged 40–60 years were 3.35 times (95% CI = 1.78 – 6.30) more likely to have suboptimal glycemic control, respectively, than those aged below 40 and above 60 years. Unmarried participants had 2.53 times (95% CI = 1.21 – 5.30) higher risk of experiencing suboptimal glycemic control than those who were married and ever married. Those who prepared their favorite dish with more than three tablespoons of cooking oil were 2.78 times (95% CI = 1.46 – 5.28) more likely to have suboptimal glycemic control than those who used less than three tablespoons. Participants who added more than three tablespoons of sugar to their favorite dish had 2.55 times (95% CI = 1.31 – 4.93) greater odds of developing suboptimal glycemic control than those who added less than three tablespoons. Those who did not exercise regularly had 2.04 times (95% CI = 1.15 – 3.61) greater chance of having suboptimal glycemic control than those who did. Participants diagnosed with DM more than twenty years prior had 2.59 times (95% CI = 1.34 – 4.99) greater odds of developing suboptimal glycemic control, respectively, than those diagnosed with DM less than twenty years ago. Those with an obese BMI had 3.82 times (95% CI = 1.75 – 8.32) a greater chance of having suboptimal glycemic control than those with a normal BMI. Participants with high total cholesterol had 2.43 times (95% CI = 1.36 – 4.35) higher risk of developing suboptimal glycemic control than those with normal total cholesterol levels. Participants with high triglycerides had 3.43 times (95% CI = 1.93 – 6.11) greater odds of getting suboptimal glycemic control than those with optimal triglycerides, and those who experienced high-level stress had 2.97 times (95% CI = 1.48 – 5.93) more likelihood of having suboptimal glycemic control than those who had low and moderate levels of stress. A large proportion of T2DM patients in the Maldives are not able to control their blood glucose. Effective public health interventions should be introduced, especially the interventions focused on reducing cooking oil and sugar in daily cooking practices, encouraging regular exercise, and maintain cholesterol levels, particularly for those who were diagnosed with DM more than 20 years ago.

Mae Fah Luang University. Learning Resources and Educational Media Center

Address: CHIANG RAI

Email: library@mfu.ac.th

Name: Tawatchai Apidechkul

Role: Advisor

Created: 2023

Modified: 2023-08-25

Issued: 2023-08-25

วิทยานิพนธ์/Thesis

application/pdf

CallNumber: e-Theses

eng

Spatial: Maldives 306044

DegreeName: Master of Public Health

Level: Master's Degree

Descipline: Border Health Management

Grantor: Mae Fah Luang University

©copyrights Mae Fah Luang University

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