Prevalence and Determinants of poor Glycemic Control in adults with Type 2 Diabetes Mellitus: A study from an urban population in Nadia district

Abstract

Background

India is known as the "diabetic capital of the world" and has the second-highest rate of adult diabetes globally. One

of the main causes of the diabetes epidemic in India is urbanisation. In patients with Type 2 diabetes, inadequate

glycaemic management is a major public health concern and a major risk factor for the disease's progression and

complications. Therefore, the purpose of this study is to evaluate the glycaemic control status and factors that

contribute to poor glycaemic control in individuals with type 2 diabetes.

Materials and Methods

This is a cross-sectional study done over a period of four months, among patients with T2DM attending the College

of Medicine and JNM hospital, Kalyani and UHTC Chakdah State General Hospital, Nadia district, West Bengal,

using a pre-tested semi-structured questionnaire. A total of 200 patients with T2DM who had the latest reports of

fasting blood sugar values were included in the study. SPSS version 26 was used to analyse the collected data and

to identify the determinants and risk factors leading to poor glycaemic control.

Results

Of the 200 study participants, 62.5% had poor glycaemic control. The mean FBS value of the study group was 145.59

± 42.57 mg/dL. Further, it was found that irregular check-ups, type of medication, and non-adherence to a diabetic

diet were risk factors for poor glycaemic status.

Conclusion

It was shown that a significant number of diabetics had poor glycaemic control; therefore, to effectively manage

this condition and lessen the burden of the disease, appropriate health education, diabetes counselling, and the

planning of health awareness programs are required.