Assessment of factors associated with poor glycemic control among patients with Type II Diabetes mellitus

Background: Glycemic control remains the major therapeutic objective for prevention of target organ damage and other complications arising from diabetes.In addition, elucidation of various determinants of poor glycemic control may contribute to a clearer understanding of modifiable antecedents of diabetes-related complications and help to achieve improved diabetic control and patient outcomes.Method: Two hundred twenty patients of Type II diabetes mellitus were taken after Informed consent.Patients who fulfill Inclusion and Exclusion Criteria were participated for the study.A Case record form was administered to these patients, which included details regarding the socio-demographic, anthropometric, metabolic, disease profile and diabetes self-care practices of the Type II diabetic patients.Result: Based on HbA1c values, majority of diabetic patients had poor glycemic control (91.8%) while only 8.2% Type II diabetic patients had good (ideal) glycemic control.Statistically significant difference (P = 0.044) was found between patients with good and poor glycemic control in relation with BMI (P = 0.044), central obesity (P < 0.001), dyslipidemia (P < 0.001) and diabetes self-care practices {glucose management (P = 0.003), dietary control (P = 0.006), sum scale (P = 0.028)}.Conclusion: Majority of Type II diabetic patients had poor glycemic control.Factors affecting glycemic control included BMI, central obesity, dyslipidemia and diabetes self-care practices (glucose management and dietary control).