Glycemic Control in Patients with Type 2 Diabetes Mellitus in a Tertiary Hospital in Monrovia,Liberia


Authors : Emmanuel A. DAVID; George F. SORBOR; Ezekiel F. HALLIE; Joshua T. PETERS, Jr; John D. OHIEKU

Volume/Issue : Volume 6 - 2021, Issue 4 - April

Google Scholar : http://bitly.ws/9nMw

Scribd : https://bit.ly/3h6LrtI

Diabetes mellitus is now a common public health concern worldwide, with over 50% of diabetes population unable to achieve or maintain optimal glucose control. Butthe status of glycemic control among diabetic population in Liberia is uncertain Aim: To assess glycemic control among patientswith type 2 diabetes mellitus attending clinic at the John F. Kennedy Memorial Hospital, Monrovia, Liberia Methods: This was a prospective cross-sectional assessment of 128 patients with type 2 diabetes mellitus, attending clinic at the John F. Kennedy Memorial Hospital. Only adults (≥ 18 years of age), with up to 6 months consecutive clinic attendance and in stable conditions were included in the study, while patients with gestational diabetes and those suffering from advanced complications of diabetes were excluded. The socio-demographic characteristics of participants were obtained using a researcher-designed proforma for data collection, while data involving fasting blood glucose, blood pressure, height and weight were measured using Accu chek glucometer, digital blood pressure machine and stadiometer respectively. The data obtained were analysed using Statistical Package for Social Sciences (SPSS) Version 26.0 and presented as frequencies and percentages Results: A total of 128 type 2 diabetic patients participated in the study. The female patientswere more than the male (64.1% vs 35.9%) and 64.1% were married. The peak prevalence ofdiabetes in the studied population (39.8% & 29.7%) occurred at the sixth (6th) and seventh (7th) decade of life. Over 70% of the patients did not receive secondary or tertiary education and approximately 63% of them were civil servants or private business owners. Majority of the participants were obese/overweight (72.7%) and have had diabetes for not more than 5 years(83.6%) as well as engaged in low physical activity (70.3%). More than half (56.8%) of the patients had poor glycemic control, while over three quarters (76.6%) of them failed to attain good blood pressure control, with 52.4% of the patients having positive family history of diabetes Conclusion: Poor glycemic control was highly prevalent in the studied population, thus enhanced management is advocated to ensure improved quality of life for the patients

Keywords : Glycemic Control, Type 2 Diabetes, Tertiary Hospital, Liberia

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