The Impact of Inadequate Glycemic Control in Type 2 Diabetes Mellitus Patients at the Diabetic Clinic of Hoima Regional Referral Hospital in Hoima City

INOSR Experimental Sciences Pub Date : 2023-09-18 DOI:10.59298/inosres/2023/2.7.1000

Ecagu Morris

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Abstract

Per the 2016 World Health Organization (WHO) Global Report on Diabetes, the prevalence of diabetes and associated risk factors has been on a steady rise, currently standing at 2.7% for males and 3.0% for females. Overweight individuals make up about 18.6% of adults, while the obese account for 3.9%. This particular study conducted at Hoima Regional Referral Hospital focused on assessing the prevalence of inadequate glycemic control and the factors contributing to this issue among Type 2 Diabetes Mellitus patients. Employing a descriptive, cross-sectional design utilizing quantitative data collection and analysis methods, the study captured the opinions and perceptions of a considerable number of Type 2 diabetic patients attending the hospital's diabetic clinic at a specific moment, allowing for broader generalizations. The study uncovered that poor glycemic control among Type 2 diabetic patients led to various complications, notably cardiovascular issues (56%), diabetic neuropathy (50%), diabetic nephropathy (33%), diabetic retinopathy (25%), and infections (21%). Specifically, cardiovascular complications were more prevalent among patients with a family history of diabetes, hypertension, high BMI, and those categorized as overweight. Additionally, patients over the age of 60, highly educated individuals, married persons, and professionals exhibited higher instances of cardiovascular complications due to poor glycemic control. The study recommended hospital management to dedicate time for educating patients on managing their conditions beyond medication intake, addressing factors hindering good glycemic control. Furthermore, the study suggested strategies such as community outreach programs and routine screening for Diabetes Mellitus among hypertensive patients to facilitate early detection of non-communicable diseases. Keywords: Diabetes Mellitus, Overweight, Obesity, Cardiovascular diseases, Glycemic control.

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霍伊马市霍伊马地区转诊医院糖尿病诊所 2 型糖尿病患者血糖控制不足的影响

根据世界卫生组织（WHO）《2016 年全球糖尿病报告》，糖尿病及相关风险因素的发病率一直在稳步上升，目前男性为 2.7%，女性为 3.0%。超重者约占成年人的 18.6%，肥胖者占 3.9%。这项在霍伊马地区转诊医院进行的研究重点是评估 2 型糖尿病患者血糖控制不足的发生率以及导致这一问题的因素。该研究采用描述性横断面设计，利用定量数据收集和分析方法，捕捉了大量在医院糖尿病门诊就诊的 2 型糖尿病患者在某一特定时刻的意见和看法，以便进行更广泛的归纳。研究发现，2 型糖尿病患者血糖控制不佳会导致各种并发症，尤其是心血管问题（56%）、糖尿病神经病变（50%）、糖尿病肾病（33%）、糖尿病视网膜病变（25%）和感染（21%）。具体来说，心血管并发症在有糖尿病家族史、高血压、高体重指数和超重的患者中更为常见。此外，由于血糖控制不佳，60 岁以上患者、受过高等教育者、已婚人士和专业人士出现心血管并发症的几率更高。该研究建议医院管理层专门拨出时间教育患者，让他们了解如何在服药之外控制病情，解决阻碍良好血糖控制的因素。此外，研究还提出了一些策略，如社区外展计划和对高血压患者进行糖尿病常规筛查，以促进非传染性疾病的早期发现。关键词糖尿病超重肥胖心血管疾病血糖控制

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INOSR Experimental Sciences

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