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Cited by 24Diabetes Management and ResearchDiabetes Management and EducationDiabetes, Cardiovascular Risks, and Lipoproteins

Glycemic Control of Diabetes Mellitus Patients in Referral Hospitals of Amhara Region, Ethiopia: A Cross‐Sectional Study

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Feleke, Berhanu Elfu, Feleke, Teferi Elfu, Kassahun, Melkamu Beyene, Adane, Wondemu Gebrekirose, Fentahun, Netsanet, Girma, Abel, Alebachew, Alamirew, Misgan, Eyaya +3 more·2021·BioMed Research International
DOI 10.1155/2021/6691819PMC PMC7834781
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Abstract

Background. Glycemic control is the level of glucose in diabetes patient. Evidence regarding glycemic control is scarce in resource‐limited settings, and this study was conducted to generate information regarding the prevalence and predictors of glycemic control among diabetes mellitus patients attending their care from the referral hospitals of the Amhara region, Ethiopia. Methods. A cross‐sectional study design was implemented. A simple random sampling technique was used. Data were collected from March 2018 to January 2020. The data were collected using interviews, chart review, and blood samples. Hemoglobin A1c was measured using high‐performance liquid chromatography. Data were entered into Epi‐info software and analyzed by SPSS software. Descriptive statistics were used to estimate the prevalence of glycemic control; linear regression was used to identify the predictors of HbA1c. Results. A total of 2554 diabetes patients were included giving for the response rate of 95.83%. The mean age of the study participants was 54.08 years [SD (standard deviation) ± 8.38 years]. The mean HbA1c of the study participants was 7.31% [SD ± 0.94 % ]. Glycemic control was poor in 55.32% [95% CI: 53.4%‐57.25%] of diabetes patients. The glycemic control of diabetes patients was determined by BMI ( β 0.1; [95% CI: 0.09‐0.1]), type 2 diabetes ( β ‐0.14; [95% CI: ‐0.11‐0.16]), age ( β 0.22; [95% CI: 0.02‐0.024]), duration of the disease ( β 0.04; [95% CI: 0.037‐0.042]), the presence of hypertension ( β 0.12; [95% CI:0.09–0.16]), regular physical exercise ( β ‐0.06; [95% CI: ‐0.03‐0.09]), medication adherence ( β ‐0.16; [95% CI: ‐0.14‐0.18]), and male ( β 0.34; [95% CI: 0.31‐.037]). Conclusion. The glycemic control of diabetes patients was poor, and it needs the attention of decision‐makers.

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  • Of the 46 eligible articles, 9 were excluded from meta-analyses of different factors because they did not report factors or did not properly report them.

    “Of these articles, 9 articles were excluded from meta-analyses of different factors due to the fact that some articles did not report factors or did not properly report the factors.25,47-54”

    From Prevalence of Glycemic Control and Factors Associated With Poor Glycemic Control: A Systematic Review and Meta-analysis (2023) · cites this paper as [49]

    The Results and ‘Interpretation of Table 3’ report factors associated with glycemic control. Our copy does not address whether this study was one of nine excluded from the citing paper’s factor meta-analyses, or why it might have been excluded (searched: meta-analysis, excluded articles, reporting of factors). (LLM, conf=0.76)

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Authors
Feleke, B. E., Feleke, T. E., Kassahun, M. B., Adane, W. G., Fentahun, N., Girma, A., Alebachew, A., Misgan, E., Desyibelew, H. D., Bayih, M. T., & Seid, O.
Affiliations
  • Bahir Dar University (ET)
  • Wolkite University (ET)
  • Amhara Regional Health Bureau (ET)
Corresponding author
Feleke, Berhanu Elfu
ORCID
Venue
BioMed Research International
Publisher
Wiley
Published
2021-01
Volume
2021
Issue
1
Pages
6691819-6691819
ISSN
  • 1110-7243 (ISSN-L)
  • 2314-6133
  • 2314-6141
DOI
10.1155/2021/6691819
PMC
PMC7834781
OpenAlex
W3121683090
Cited by
24
References
4
Citations by year
2026: 2 · 2025: 3 · 2024: 3 · 2023: 4 · 2022: 11 · 2021: 1
FWCI
3.55
Type
journal article
Language
en
Open access
Licence
Locations
  • BioMed Research International (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders
Bahir Dar University
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Keywords
glycemic control, diabetes mellitus, HbA1c, type 2 diabetes, predictors of glycemic control, medication adherence, physical activity, hypertension, body mass index, disease duration, referral hospitals, Amhara region, Ethiopia, resource-limited settings
MeSH terms
Assessment of Medication Adherence, Aged, Blood Glucose, Cross-Sectional Studies, Diabetes Mellitus, Ethiopia, Female, Hospitals, Humans, Hypoglycemic Agents, Male, Middle Aged, Prevalence, Drug Monitoring, Medication Adherence

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