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conferenceseries
.com
Volume 08
Journal of Community Medicine & Health Education
Public Health Summit 2018
May 24-25, 2018
May 24-25, 2018 Osaka, Japan
4
th
World Congress on
Public Health, Epidemiology & Nutrition
Factors associated with glycemic control among type-2 diabetes mellitus (T2DM) patients attending
clinics at Suva health centers, Fiji in 2011-2016: Amixed method study
Masoud Mohammadnezhad, Pablo Cabrela Romakin, Donald Wilson and Sabiha Khan
Fiji National University, Fiji
Background & Objective:
Diabetes, a global health emergency, is the number one cause of morbidity and mortality in Fiji.
Despite advancement in diabetes management, a lot of diabetics in Fiji are still suffering from preventable complications and
dying prematurely. This study is conducted to determine poor glycemic control proportion and its associated factors among
T2DM adults attending clinics at Suva health centres in 2011-2016.
Methodology:
This quantitative study was conducted at three Suva health centres on sample size of 338 adult T2DM patients
registered on August 1, 2011-August 1, 2017 for the quantitative study and 18 health care workers working at the same diabetes
clinics purposively selected for three focus group discussions. Data analysis included logistic regression analysis using SPSS
version 22.0. P-value less than 0.05 was considered as the significant level.
Result:
Out of the 338 participants, 261 (77.2%) had poor glycemic control (HbA1C<7%). Patients had a mean age of 56 years,
59% were female, mean duration of diabetes was 4.7 years, 23.7% were treated with insulin and 70.7% were in overweight and
obese categories. Patients who had poor RBS (AO =7.43, 95% CI: 2.46-22.45) and poor FBS (AOR=9.76, CI: 3.11-30.58) had
high odds of poor glycemic control.
Conclusion:
Majority of patients had poor glycemic control. Patients with poor random and fasting blood sugars were likely
to have poor glycemic control. Regular RBS monitoring could be a cost-effective way of monitoring glycemic control in the
absence of HbA1C testing.
masraqo@hotmail.comJ Community Med Health Educ 2018, Volume 8
DOI: 10.4172/2161-0711-C2-036