背景:血糖控制对于改善糖尿病(DM)患者的生活质量至关重要。未经治疗的高血糖会导致许多严重和危及生命的并发症,比如对眼睛的伤害,肾脏,神经,心,和外周血管系统。适当的血糖控制和管理是预防和延缓糖尿病并发症的基础。因此,这项研究旨在评估血糖控制不佳的患病率,其相关因素,糖尿病患者中糖尿病相关并发症的患病率。
方法:对2023年4月4日至30日在布甘多医学中心接受治疗的340名DM患者进行了一项横断面研究,以确定血糖控制不良的患病率及其预测因素。使用2022年4月至2023年5月30日期间治疗的7952例DM患者的次要数据来确定DM相关并发症。STATA15版本...用于分析。
结果:在340名患者中,66.4%的血糖控制不佳,HbA1c或随机血糖大于7%或7mmol/L,分别。年纪大了,DM的持续时间超过10年,胰岛素治疗,而那些不了解血糖目标的人是血糖控制不佳的相关因素.(AOR:2.46,95%CI:1.28-6.01,P=0.03),(AOR:3.15,95%CI:2.22-6.55,P=0.016),(AOR:3.07,95%CI:2.10-6.12,P=0.022)和(AOR:3.42,95%CI:2.17-5.97,P=0.001),分别。在检查的7952例患者记录中,有44.5%有并发症,其中25.8%有神经系统并发症,55.3%有多种并发症。
结论:三分之二的DM患者未能实现良好的血糖控制,大约一半的患者记录显示他们出现了糖尿病并发症。因此,有必要采取适当的干预措施来改善糖尿病患者的血糖控制并预防或控制并发症。
BACKGROUND: Glycaemic control is essential for improving the quality of life in patients with Diabetes Mellitus (DM). Untreated hyperglycaemia can result in numerous severe and life-threatening complications, such as damage to the eyes, kidneys, nerves, heart, and peripheral vascular system. Appropriate glycaemic control and management is fundamental to prevent and delay diabetes complications. Therefore, this
study aims to assess the prevalence of poor glycaemic control, its associated factors, and the prevalence of diabetes-related complications among DM patients.
METHODS: A cross-sectional
study was conducted among 340 DM patients treated at Bugando Medical Center from 4th - 30th April 2023 to determine the prevalence of poor glycaemic control and its predictors. Secondary data from 7952 DM patients treated between April 2022 and 30th May 2023 were used to determine DM-related complications. STATA 15 version …was used for analysis.
RESULTS: Out of 340 patients, 66.4% had poor glycaemic control with HbA1c or Random Blood Glucose greater than 7% or 7mmol/L, respectively. Older age, duration of DM of more than 10 years, insulin therapy, and those unaware of glycaemic target goals were factors associated with poor glycaemic control. (AOR: 2.46, 95% CI: 1.28-6.01, P = 0.03), (AOR: 3.15, 95% CI: 2.22-6.55, P = 0.016), (AOR: 3.07, 95% CI: 2.10-6.12, P = 0.022) and (AOR: 3.42, 95% CI: 2.17-5.97, P = 0.001), respectively. Of the 7952 patient records reviewed indicated that 44.5% had complications, of which 25.8% had neurological complications and 55.3% had multiple complications.
CONCLUSIONS: Two-third of DM patients failed to achieve good glycaemic control and about half of the patient\'s records reviewed indicated they developed diabetic complications. Thus appropriate interventions are necessary to improve glycaemic control and prevent or control complications among DM patients.