Behavioral and demographic associations of optimal glycemic control among patients with type 2 diabetes mellitus in Sri Lanka: a multicenter study.

IF 2.8 3区医学 Q3 ENDOCRINOLOGY & METABOLISM

BMC Endocrine Disorders Pub Date : 2025-07-14 DOI:10.1186/s12902-025-01994-1

Warsha De Zoysa, Thilak Priyantha Weerarathna, Ipitagama Liyana Arachchige Nuwan Darshana, Udari Kaushalya Egodage, Priyamali Jayasekara, Vathulan Sujanitha, Shehan Silva, Chamila Mettananda, Manoji Pathirage, Udayangani Ramadasa, Dhammika Randula Palangasinghe, Keddagoda Gamage Piyumi Wasana, Sahan Mendis

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引用次数: 0

Abstract

Background: Type 2 diabetes mellitus (T2DM) is an escalating global public health concern. Effective management of T2DM needs a holistic approach, considering not only the medical interventions but also demographic and behavioral factors. This multicenter study aims to investigate the association between optimal glycemic control and demographic and behavioral factors among patients with T2DM followed up in outpatient clinics of tertiary care hospitals across Sri Lanka.

Methods: A cross-sectional study was carried out involving T2DM patients (n = 2013) visiting outpatient clinics at seven tertiary care facilities across five provinces in Sri Lanka. Information related to sociodemographic and behavioral factors was collected using an interviewer-administered questionnaire. HbA_1C < 7% was considered as optimal glycemic control. Predictors for glycemic control were identified using multiple logistic regression at a 0.05 significance level.

Results: Out of the total sample, 99.1% were on pharmacological treatment for T2DM while the minority were solely on dietary management. The optimal glycemic control had been achieved by 43.4%. Female gender (aOR = 1.56, 95% CI 1.18-2.05), younger age group (aOR = 1.39, 95% CI 1.06-1.82), non-Sinhalese ethnicities (aOR = 1.34, 95% CI 1.02-1.77), inadequate adherence to antidiabetic medication (aOR = 1.71, 95% CI 1.31-2.24), longer disease duration (aOR = 1.51, 95% CI 1.13-2.02), being treated with insulin (aOR = 2.79, 95% CI 1.77-4.41), and daily alcohol use (aOR = 2.27, 95% CI 1.19-4.32) were identified as risk factors for inadequate glycemic control in multiple logistic regression.

Conclusion: Over 50% of individuals demonstrated suboptimal glycemic control. It is recommended to implement targeted interventions for specific subgroups to address distinct demographic and behavioral factors to achieve optimal glycemic control and clinical outcomes for diabetes patients in Sri Lanka.

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斯里兰卡2型糖尿病患者最佳血糖控制的行为和人口统计学关联：一项多中心研究

背景：2型糖尿病（T2DM）是一个不断升级的全球公共卫生问题。有效的2型糖尿病管理需要一个整体的方法，不仅考虑医疗干预，而且考虑人口和行为因素。这项多中心研究旨在调查斯里兰卡三级医院门诊随访的T2DM患者的最佳血糖控制与人口统计学和行为因素之间的关系。方法：对斯里兰卡5个省7个三级医疗机构门诊就诊的2型糖尿病患者（n = 2013）进行横断面研究。与社会人口统计和行为因素相关的信息通过访谈者管理的问卷收集。HbA1C结果：在总样本中，99.1%的患者接受了T2DM的药物治疗，而少数患者仅接受了饮食管理。达到最佳血糖控制的比例为43.4%。在多重logistic回归中，女性（aOR = 1.56, 95% CI 1.18-2.05）、年轻年龄组（aOR = 1.39, 95% CI 1.06-1.82）、非僧伽罗族（aOR = 1.34, 95% CI 1.02-1.77）、抗糖尿病药物依从性不足（aOR = 1.71, 95% CI 1.31-2.24）、病程较长（aOR = 1.51, 95% CI 1.13-2.02）、接受胰岛素治疗（aOR = 2.79, 95% CI 1.77-4.41）和每日饮酒（aOR = 2.27, 95% CI 1.19-4.32）被确定为血糖控制不足的危险因素。结论：超过50%的人表现出血糖控制欠佳。建议针对特定亚组实施有针对性的干预措施，以解决不同的人口统计学和行为因素，以实现斯里兰卡糖尿病患者的最佳血糖控制和临床结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Endocrine Disorders ENDOCRINOLOGY & METABOLISM-

CiteScore

4.40

自引率

0.00%

发文量

280

审稿时长

>12 weeks

期刊介绍： BMC Endocrine Disorders is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of endocrine disorders, as well as related molecular genetics, pathophysiology, and epidemiology.