Metabolic Control and Its Correlates among Diabetic Patients in Aljouf Region, Saudi Arabia: A Cross-Sectional study

Rehab A Mohamed, Doaa Mazen Abdel-Salam, Heba M. Galal, Ohoud Mohammed F Alsahli, Alhanof Ahmed Althari, Batool Meshal Alorayyidh, Reema Hamad A ALHarbi, Zainab Mohammed M Almohammed
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Abstract

Background: Throughout the world, diabetes, and its consequences, constitutes a serious problem for public health. Metabolic control can reduce the risk of diabetes complications. The present study aims to determine diabetic metabolic control among diabetic patients in the Aljouf region, Saudi Arabia, and its association with family function, depression, and other sociodemographic and clinical data. Methods: A cross-sectional study was conducted among 279 diabetic patients attending the diabetic center in a specialized hospital in Aljouf Region, Saudi Arabia. A structured anonymous questionnaire was distributed to the targeted population during a direct interview. Results: The present study showed that HbA1c was 7% among 86% of the participants. Regarding lipid profile, abnormal HDL, LDL, triglycerides, and cholesterol levels were detected among 39.4%, 41.2%, 68.5%, and 50.2% of the participants, respectively. Severe depression and severe family dysfunction were detected among 22% and 6% of the participants, respectively. Increasing age was associated with higher LDL levels and diabetes duration was associated with higher HbA1c levels in patients with diabetes. Conclusion: The study concluded that family function and depression do not directly affect diabetic patients’ diabetes metabolic control and the study showed a high prevalence of uncontrolled HbA1c levels and dyslipidemia among the study participants. Further investigation into the variables underlying the control of diabetes is required to further enhance patient outcomes because many people are still failing to meet the metabolic control objectives. Keywords: Metabolic control; Depression; Family function; Diabetes mellitus; Saudi Arabia
沙特阿拉伯Aljouf地区糖尿病患者的代谢控制及其相关因素:一项横断面研究
背景:在世界范围内,糖尿病及其后果构成了一个严重的公共卫生问题。控制代谢可以降低糖尿病并发症的风险。本研究旨在确定沙特阿拉伯Aljouf地区糖尿病患者的糖尿病代谢控制及其与家庭功能、抑郁和其他社会人口统计学和临床数据的关系。方法:对沙特阿拉伯Aljouf地区某专科医院糖尿病中心279例糖尿病患者进行横断面研究。在直接访谈中,向目标人群分发了一份结构化的匿名问卷。结果:本研究显示,在86%的参与者中,HbA1c为7%。在血脂方面,分别有39.4%、41.2%、68.5%和50.2%的参与者检测到异常的HDL、LDL、甘油三酯和胆固醇水平。严重抑郁和严重家庭功能障碍分别在22%和6%的参与者中被检测到。在糖尿病患者中,年龄增加与较高的LDL水平相关,糖尿病病程与较高的HbA1c水平相关。结论:本研究认为,家庭功能和抑郁不直接影响糖尿病患者的糖尿病代谢控制,研究显示,研究参与者中HbA1c水平不受控制和血脂异常的患病率较高。由于许多人仍未能达到代谢控制目标,因此需要进一步调查糖尿病控制背后的变量,以进一步提高患者的预后。关键词:代谢控制;抑郁症;家庭功能;糖尿病;沙特阿拉伯
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