The DOI matches its Crossref record; 12 of the 12 references it cites were found in a registry or an index.
Glycemic Control, Diabetes Complications and Their Determinants Among Ambulatory Diabetes Mellitus Patients in Southwest Ethiopia: A Prospective Cross-Sectional Study
Open accessAbstract
Background: Over the past two decades, the prevalence of diabetes has increased faster in low- and middle-income countries than in high-income countries. Regardless of the instant growth in the prevalence of diabetes in Ethiopia, up-to-date data regarding glycemic control and related complications of diabetes is inadequate. This study aimed to identify glycemic control and chronic complications and their determinants among ambulatory diabetic patients at Mizan-Tepi University Teaching Hospital (MTUTH). Methods: We conducted facility-based cross-sectional study from February 25 to March 25, 2019, at Mizan-Tepi University Teaching Hospital. Patients’ demographic data, diabetes complications, and treatments were collected using pretested questionnaire and data abstraction format. Data was entered by using Epidata manager 4.0.2.101, and statistical analysis was done by SPSS version 21. Bivariate logistic regression was done to see the association between independent variables and glycemic control and complication. Multivariable logistic regression analyses using backward selection were done to identify the predictors of poor glycemic control and complication at a P -value of < 0.05. Results: One hundred ambulatory diabetic patients were included in this study. The mean duration of diabetes and the mean age of the participants were 3.95± 5.85 and 46.66± 15.53 years, respectively. About 71 (71%) of the studied diabetic patients had uncontrolled fasting blood glucose (FBG) level. More than half of the diabetic patients (59%) developed chronic complications of diabetes. Low medication adherence (adjusted odds ratio (AOR)=11.78, 95%CI: 1.09– 17.17) and inappropriate doses in the first, second, and third clinic visits (AOR=7.70, 95%CI: 1.79– 33.01; AOR=8.09, 95%CI: 1.90– 34.33; AOR=4.34, 95%CI: 1.09– 17.17), respectively, were independent predictors of uncontrolled FBG. No variable was found to be an independent predictor of chronic diabetic complication on multivariable logistic regression analyses. Conclusion: Poor glycemic control and diabetes complications among ambulatory diabetic patients were high. Low medication adherence and inappropriate doses in the first, second, and third clinic visits were independent predictors of poor glycemic control. Keywords: diabetes, glycemic control, complications, Ethiopia
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“Poor glycemic control, for example, ranges from 29%24 to 82.2%.25”
From Prevalence of Glycemic Control and Factors Associated With Poor Glycemic Control: A Systematic Review and Meta-analysis (2023) · cites this paper as [24]
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Concurrent and Predictive Validity of a Self-reported Measure of Medication Adherence
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Cited by
Bitew, Z. W., Alemu, A., Jember, D. A., Tadesse, E., Getaneh, F. B., Seid, A., & Weldeyonnes, M. (2023) · INQUIRY: The Journal of Health Care Organization, Provision, and Financing · doi:10.1177/00469580231155716 · Cited by 58
Abaker, A. A., & Saeed, F. A. (2021) · Informatica · doi:10.31449/inf.v45i1.3111 · Cited by 48
Alghamdi, S., Mirghani, H. O., Alhazmi, K. A., Alatawi, A. M., Brnawi, H. I., Alrasheed, T., & Badoghaish, W. (2022) · Frontiers in Surgery · doi:10.3389/fsurg.2022.953804 · Cited by 36
Chen, T., Xiao, S., Chen, Z., Yang, Y., Yang, B., & Liu, N. (2023) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2023.111079 · Cited by 33
Getie, ፟., Wondmieneh, A. B., Bimerew, M., Gedefaw, G. A., & Demis, A. (2021) · BMC Endocrine Disorders · doi:10.1186/s12902-021-00692-y · Cited by 28
Metadata
- Authors
- YimamAhmed, M., Hambisa Ejigu, S., Zewudie Zeleke, A., & Yimam Hassen, M.
- Venue
- Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy
- Publisher
- Informa UK Limited
- Published
- 2020-04
- Volume
- Volume 13
- Pages
- 1089-1095
- ISSN
- 1178-7007 (ISSN-L)
- PMC
- PMC7154004
- OpenAlex
- W3015635717
- Cited by
- 28
- References
- 12
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 3 · 2023: 5 · 2022: 7 · 2021: 5
- FWCI
- 3.21
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Diabetes Metabolic Syndrome and Obesity (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- glycemic control, diabetes mellitus, chronic complications of diabetes, fasting blood glucose, medication adherence, Ethiopia, low- and middle-income countries, diabetes duration, patient age, hospital-based diabetes care
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