The Role of Educational Level in Glycemic Control among Patients with Type II Diabetes Mellitus.
نویسنده
چکیده
OBJECTIVES To evaluate the impact of the educational level on glycemic control among patients with type II diabetes mellitus. METHODS A disproportional systematic stratified sample of 384 patients, based on educational level, was selected from patients of type II diabetes attending the Primary Care Clinic of King Khalid University Hospital, over a period of 6 months in 2012-2013. A questionnaire sought information about socio-demographic factors, clinical characteristics, awareness of diabetic complications and self-care management behaviors. Weight and height were measured. Poor glycemic control was defined as HbA1c ≥7%. RESULT The rate of patients who had poor glycemic control is 67.7%. The educational level had no impact on glycemic control, but the patients of high educational level had better awareness of the complications and a high rate of adherence to diet. About 70.5% of patients were aware of two or more diabetic complications. The factors associated with poor control included increased duration of diabetes, use of insulin and oral hypoglycemic agents combination, being obese or overweight, poor adherence to diet, poor adherence to exercise and poor compliance with follow up. This study found a high rate of poor adherence to diet (68%) and poor adherence to exercise (79.4%). CONCLUSION The proportion of patients with poor glycemic control was high in this study. This study showed that educational level may not be a good predictor of better therapeutic compliance. In-spite of the significant importance of appropriate diet and exercise in the control of diabetes, there was a high rate of poor adherence to diet and to exercise, especially among females. Educational programs that emphasize adherence to treatment regimens as a whole, especially to diet, to exercise and to regular follow up are of greater benefit in glycemic control as compared to compliance of medications alone.
منابع مشابه
Effect of emotional intelligence in glycemic control in patients with type II diabetes
Diabetes, in addition to adverse physical effects, is associated with many psychological problems. The correlation between physical health and emotional intelligence are acceptable. The aim of this study was to determine the effect of emotional intelligence training in glycemic control in patients with type II diabetes. The present study was a quasi-experimental research, which was conducted in...
متن کاملAssessment of Vitamin D3 Levels and Metabolic Profile in Pre-diabetic and Type 2 Diabetes Mellitus Patient of Kanpur City- A Cross Sectional Study
Objective: It has been explored that Vitamin D play role in various non-skeletal disorders including Diabetes Mellitus. The present study was designed with the aim to assess association among control, pre-diabetic and diabetic with vitamin D and association between lipid profile and vitamin D. Materials and Methods: A total of 109 subjects were recruited for the cross-sectional study including...
متن کاملEffectiveness of Group-Based Diabetes Self-Management Education in Type II Diabetes Patients in Yazd
Abstract Objective: The aim of current study was evaluation of group-based diabetes self-management education (group-based DSME) effectiveness in improving glycemic control among type 2 diabetic patients attending the Yazd Diabetes Research Center in 2014. Materials and Methods: The study design was quasi-experimental with control group.In this study, 62 diabetic patients were randomly a...
متن کاملEffect of Poor Glycemic Control in Newly Diagnosed Patients with Smear-Positive Pulmonary Tuberculosis and Type-2 Diabetes Mellitus
Background: There is growing evidence that diabetes mellitus (DM) is an important risk factor for tuberculosis (TB). A significant number of DM patients have poor glycemic control. This study was carried out to find the impact of poor glycemic control on newly diagnosed smear-positive pulmonary tuberculosis patients with type-2 diabetes mellitus in a tertiary care hospital.Methods: In a hospita...
متن کاملDefining the Relationship of Psychological Well-Being and Diabetes Distress with Glycemic Control among Malaysian Type 2 Diabetes
Objective: Type 2 diabetes mellitus is a chronic and progressive disease that has reached the epidemic level around the world. In Malaysia, according to the third National Health and Morbidity Survey (2006), the prevalence of diabetes has increased to 14.9% from 8.3% in 1996. Co-morbid psychological factors such as depression, anxiety, and stress have been shown to be high among type 2 diabetic...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- International journal of health sciences
دوره 8 2 شماره
صفحات -
تاریخ انتشار 2014