MAGNITUDE OF GLYCEMIC CONTROL AND ITS ASSOCIATED FACTORS AMONG ADULT DIABETIC MELLITUS PATIENTS IN GURAGE ZONE SELECTED HEALTH FACILITIES, WOLKITE, ETHIOPIA, 2023

Abstract

Background: Diabetes is one of the non-communicable diseases with the highest prevalence worldwide, and Glycemic control is the most important predictor of diabetes related complications and death. Glycemic control for Diabetic individuals aims to reduce or delay Problems and improve Quality of life. Although glycemic control is crucial in managing diabetes, it is difficult to achieve in real-world clinical settings. Therefore, it is essential to determine the factors that affect glycemic outcomes to enhance the quality of diabetic care.Objective: This study aimed to assess the Magnitude of Glycemic control and its associated factors among Diabetic out patient at Gurage Zone Selected health facilities. Methods: An institution based, cross-sectional study was conducted among systematically selected 388 patients with DM who has attended on follow-up at selected health facilities. The study subjects were selected using systematic random sampling technique from May 25 to June25, 2023. The data were entered and analyzed on SPSS V23.Logistic regression analysis was conducted to identify factor associated with outcome variable. the level of significance was declared at a p-value of <0.05.Result: Among 388 participants attending in follow up visit, (225)57.9% had poor glycemic control. Age (44-54) (AOR: 5.41, 95% CI: 2.043-14.368 P = 0.001) and Age (55-65) (AOR: 3.150,95%CI: 1.063-9.334 P= 0.038), secondary education, (AOR: 3.51, 95% CI: 1.259-9.963, P= 0.017 follow up visit <3 times/year (AOR: 2.536, 95% CI:1.301-4.946, P = 0.006) being housewife,,(AOR:0.287, 95% CI: 0.104-0.792, P = 0.016) and nephropathy, (AOR: 3.214, 95% CI: 1.127-9.160, P = 0.029), and were factors associated with poor glycemic control .Conclusion: The Magnitude of poor glycemic control among diabetes patients at Selected Gurage zone Health Facilities was relatively high. Therefore, Appropriate attention shall be given for glycemic control especially for patients with Middle Age, Early Advanced age and Patients with DM Complication and also increasing health education programs for diabetes patients at each follow-up visit is Essential. Further studies are also recommended to identify important factors like dyslipidemia which were not identified by the current study.