Factors Associated with glycemic control in type 2 diabetic patients at Klinik Kesihatan Jalan Masjid, Kuching, Sarawak

GOOd glycaemic control reduces the risk of diabetic complications. Despite this, achieving good glycaemic control remains a challenge in diabetic patients. The objective of this study is to identify the factors associated with glycaemic control among DM Type 2 patients at KK lalan Masjid, Kuching...

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Main Author:	Amirulazman, Bin Abu Hassan
Format:	Thesis
Language:	English
Published:	2013
Subjects:	R Medicine (General)
Online Access:	http://ir.unimas.my/id/eprint/10124/1/Amir.pdf
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spelling	my-unimas-ir.101242023-05-02T06:40:03Z Factors Associated with glycemic control in type 2 diabetic patients at Klinik Kesihatan Jalan Masjid, Kuching, Sarawak 2013 Amirulazman, Bin Abu Hassan R Medicine (General) GOOd glycaemic control reduces the risk of diabetic complications. Despite this, achieving good glycaemic control remains a challenge in diabetic patients. The objective of this study is to identify the factors associated with glycaemic control among DM Type 2 patients at KK lalan Masjid, Kuching, Sarawak. A clinic-based cross-sectional study was conducted on systematically sampled 303 DM Type 2 patients on a regular follow up. Data was collected using selfadministered questionnaire and reviewing respective medical recor Data collection took place from 25 Mac 2013 till 6 May 2013. Optimal glycaemic control was defined HbA1c < 6.5%. Patients had a mean age of 54.0 (±9.2) years, 62% were females, the mean duration of since diagnosis was 7.3 (±5.3) years, 29.7% achieved optimal glycaemic control (HbA1c <6,5%), 74.7% were on oral anti diabetic agent (OAA) alone. Mean BMI for the patient was 27.3 (±4.3) kg/m2 . About 60.9 % of study participants had both Hypertension and Hyperlipidaemia. Chisquare test revealed, Employment status/working hours and Type of diabetic treatment had significant association with glycaemic control. Working 8 hours or more/day had significantly high mean HbAlc, 8.1% (±1.7%), compare to working 8 hour or less/day and unemployed group (P<O.OOO). Patients that were on OAA alone had significant lower mean HbA 1 c compare to patient on Insulin alone or on Combination treatment (Insulin and OAA). Most of the patient had positive attitude towar,d s the disease, however, there were no significant association with p' glycaemic control. The proportion of patients with sub optimal glycaemic control was high, which resulted in the development of one or more complications regardless of duration of disease. Hence, appropriate management of a patient focusing on the relevant associated factors and independent predictors of poor glycaemic control would be of great benefit. Keywords: Diabetes mellitus, factor, glycaemic control, HbAlc, Kuching Universiti Malaysia Sarawak, (UNIMAS) 2013 Thesis http://ir.unimas.my/id/eprint/10124/ http://ir.unimas.my/id/eprint/10124/1/Amir.pdf text en validuser masters Universiti Malaysia Sarawak, UNIMAS Faculty of Medicine and Health Sciences.
institution	Universiti Malaysia Sarawak
collection	UNIMAS Institutional Repository
language	English
topic	R Medicine (General)
spellingShingle	R Medicine (General) Amirulazman, Bin Abu Hassan Factors Associated with glycemic control in type 2 diabetic patients at Klinik Kesihatan Jalan Masjid, Kuching, Sarawak
description	GOOd glycaemic control reduces the risk of diabetic complications. Despite this, achieving good glycaemic control remains a challenge in diabetic patients. The objective of this study is to identify the factors associated with glycaemic control among DM Type 2 patients at KK lalan Masjid, Kuching, Sarawak. A clinic-based cross-sectional study was conducted on systematically sampled 303 DM Type 2 patients on a regular follow up. Data was collected using selfadministered questionnaire and reviewing respective medical recor Data collection took place from 25 Mac 2013 till 6 May 2013. Optimal glycaemic control was defined HbA1c < 6.5%. Patients had a mean age of 54.0 (±9.2) years, 62% were females, the mean duration of since diagnosis was 7.3 (±5.3) years, 29.7% achieved optimal glycaemic control (HbA1c <6,5%), 74.7% were on oral anti diabetic agent (OAA) alone. Mean BMI for the patient was 27.3 (±4.3) kg/m2 . About 60.9 % of study participants had both Hypertension and Hyperlipidaemia. Chisquare test revealed, Employment status/working hours and Type of diabetic treatment had significant association with glycaemic control. Working 8 hours or more/day had significantly high mean HbAlc, 8.1% (±1.7%), compare to working 8 hour or less/day and unemployed group (P<O.OOO). Patients that were on OAA alone had significant lower mean HbA 1 c compare to patient on Insulin alone or on Combination treatment (Insulin and OAA). Most of the patient had positive attitude towar,d s the disease, however, there were no significant association with p' glycaemic control. The proportion of patients with sub optimal glycaemic control was high, which resulted in the development of one or more complications regardless of duration of disease. Hence, appropriate management of a patient focusing on the relevant associated factors and independent predictors of poor glycaemic control would be of great benefit. Keywords: Diabetes mellitus, factor, glycaemic control, HbAlc, Kuching
format	Thesis
qualification_level	Master's degree
author	Amirulazman, Bin Abu Hassan
author_facet	Amirulazman, Bin Abu Hassan
author_sort	Amirulazman, Bin Abu Hassan
title	Factors Associated with glycemic control in type 2 diabetic patients at Klinik Kesihatan Jalan Masjid, Kuching, Sarawak
title_short	Factors Associated with glycemic control in type 2 diabetic patients at Klinik Kesihatan Jalan Masjid, Kuching, Sarawak
title_full	Factors Associated with glycemic control in type 2 diabetic patients at Klinik Kesihatan Jalan Masjid, Kuching, Sarawak
title_fullStr	Factors Associated with glycemic control in type 2 diabetic patients at Klinik Kesihatan Jalan Masjid, Kuching, Sarawak
title_full_unstemmed	Factors Associated with glycemic control in type 2 diabetic patients at Klinik Kesihatan Jalan Masjid, Kuching, Sarawak
title_sort	factors associated with glycemic control in type 2 diabetic patients at klinik kesihatan jalan masjid, kuching, sarawak
granting_institution	Universiti Malaysia Sarawak, UNIMAS
granting_department	Faculty of Medicine and Health Sciences.
publishDate	2013
url	http://ir.unimas.my/id/eprint/10124/1/Amir.pdf
_version_	1783728010335092736

Factors Associated with glycemic control in type 2 diabetic patients at Klinik Kesihatan Jalan Masjid, Kuching, Sarawak

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