Abstract
INTRODUCTION: Among the therapeutic goals of diabetes management is to achieve good glycaemic control to prevent development and progression of diabetic complications. In 2018, Putrajaya had successfully achieved national optimum standard for good glycaemic control (HbA1C?6.5) quality assurance prevalence of 35.4%. Nevertheless, there is a worrying increased trend of diabetes prevalence rate among the Putrajaya population. Thus, we examined factors associated with poor glycaemic control among diabetic outpatients in Putrajaya. METHODS: A cross-sectional study was carried out among the audited National Diabetes Registry samples. Total of 1264 patients aged over 18 years old attending four outpatient government diabetic clinics in Putrajaya between June 2017 and June 2018 were selected as samples RESULTS: Our study found that 64.6% of the samples had poor glycaemic control. Obesity (aOR 7.60; 95%CI: 1.71, 33.75), use of insulin (aOR 6.47; 95%CI: 4.28, 9.80), overweight (aOR 6.03, 95%CI: 1.36, 26.67), age less than 40 years old (aOR 1.55, 95%CI: 1.09, 2.20) and longer diabetic duration (aOR range 1.36 - 2.94; 95%CI: 1.01, 5.07) were found to be the factors associated with poor glycaemic control. CONCLUSION: Findings of this study indicate a high prevalence of poor glycaemic control among the Putrajaya population. Targeted intervention should focus more towards patients with obesity and for education in proper use of insulin to improve glycaemic control among the patients here.
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@proceedings{APCPH-2019-172, title = {Factors Associated with Poor Glycaemic Control: A Study Among Diabetic Outpatients in WP Putrajaya}, author = {Khairil Idham Ismail Sc and Madihah Mustafa and Jaseema Begum and Zarirah Adzni Mokhtar and Waramlah Ramlan and Natalia Che Ishak and Husnina Ibrahim}, year = {2019}, date = {2019-07-22}, urldate = {2019-07-22}, journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings}, issue = {6}, abstract = {INTRODUCTION: Among the therapeutic goals of diabetes management is to achieve good glycaemic control to prevent development and progression of diabetic complications. In 2018, Putrajaya had successfully achieved national optimum standard for good glycaemic control (HbA1C?6.5) quality assurance prevalence of 35.4%. Nevertheless, there is a worrying increased trend of diabetes prevalence rate among the Putrajaya population. Thus, we examined factors associated with poor glycaemic control among diabetic outpatients in Putrajaya. METHODS: A cross-sectional study was carried out among the audited National Diabetes Registry samples. Total of 1264 patients aged over 18 years old attending four outpatient government diabetic clinics in Putrajaya between June 2017 and June 2018 were selected as samples RESULTS: Our study found that 64.6% of the samples had poor glycaemic control. Obesity (aOR 7.60; 95%CI: 1.71, 33.75), use of insulin (aOR 6.47; 95%CI: 4.28, 9.80), overweight (aOR 6.03, 95%CI: 1.36, 26.67), age less than 40 years old (aOR 1.55, 95%CI: 1.09, 2.20) and longer diabetic duration (aOR range 1.36 - 2.94; 95%CI: 1.01, 5.07) were found to be the factors associated with poor glycaemic control. CONCLUSION: Findings of this study indicate a high prevalence of poor glycaemic control among the Putrajaya population. Targeted intervention should focus more towards patients with obesity and for education in proper use of insulin to improve glycaemic control among the patients here.}, note = {Type: POSTER PRESENTATION; Organisation: Pejabat Kesihatan WP Putrajaya}, keywords = {diabetes, glycaemic control, insulin, obesity}, pubstate = {published}, tppubtype = {proceedings} }