Conference abstract
Factors associated with poor glycemic control among patients with type 2 diabetes followed at the Bafoussam Regional Hospital: a preliminary study
Pan African Medical Journal - Conference Proceedings. 2023:19(15).23
Nov 2023.
doi: 10.11604/pamj-cp.2023.19.15.2079
Archived on: 23 Nov 2023
Contact the corresponding author
Keywords: Poor glycemic control, associated factors, Regional Hospital Bafoussam, HbA1c
Oral presentation
Factors associated with poor glycemic control among patients with type 2 diabetes followed at the Bafoussam Regional Hospital: a preliminary study
Sylvain Raoul Simeni Njonnou1,2,&, Sybil Leslie Nguiloun Nguedoung3, Eric Vounsia Balti1,4,5, Christian Ngongang Ouankou1,6, Fernando Kemta Lekpa1,7, Marie-Josiane Ntsama Essomba5,8, Michaella Waffo9, Simeon Pierre Choukem1,7,10
1Department of Internal Medicine and Specialties, Faculty of Medicine and Pharmaceutical Sciences University of Dschang, PO box 96 Dschang, Cameroon, 2Dschang Regional Hospital Annex, Dschang, Cameroon, 3Department of Public Health, Faculty of Medicine and Pharmaceutical Sciences University of Dschang, PO box 96 Dschang, Cameroon, 4Diabetes Research Center and Department of Internal Medicine, Universiteit Ziekenhuis Brussel, Vrije Universiteit Brussel, Brussels, Belgium, 5Yaoundé Central Hospital, Yaoundé, Cameroon, 6Yaounde Teaching Hospital, Yaoundé, Cameroon, 7Douala General Hospital, Douala, Cameroon, 8Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon, 9Bafoussam Regional Hospital, Bafoussam, Cameroon, 10Health and Human Development (2HD) Research Network, Douala, Cameroon
&Corresponding author
Introduction: glycemic control remains suboptimal and remains the main cause of the exponential increase in the occurrence of complications in diabetic patients. A high rate of morbidity, mortality, disability, and impaired quality of life of these patients is attributable to the complications of diabetes. In order to remedy this scourge, we set to study the factors associated with poor glycemic control in a group of type 2 diabetic patients followed at the Regional Hospital of Bafoussam.
Methods: a cross-sectional study was carried out for six months (January to June 2022) at the Regional Hospital of Bafoussam. The data (sociodemographic, clinical, and paraclinical) collected using a data sheet were entered and analyzed by Epi info software version 7.2.2.16 and Microsoft Office Excel 2013. The Khi Two Statistical Test and the Fisher Exact Test were used to look for the association between qualitative variables with a significance threshold set at 5%. Multiple logistic regression was used to identify associated factors independent of poor glycemic control.
Results: we recruited 70 (28 men) patients with type 2 diabetes. The median age was 63.5 years. The proportion of patients with an HbA1c level greater than 7% was 31.43%. Poor glycemic control was significantly associated with irregular disease monitoring (aOR=14; 1.15<CI<169.6; p=0.038). While it was better in patients not using herbal medicine (aOR=0.06; 95% CI 0.01-0.42; p=0.004), among those with a monthly income of more than 100,000 FCFA/160.5 USD (aOR=0.04; 95% CI 0.002-0.82; p=0.03) and those observing treatment (aOR=0.07; 95% CI 0.012-0.38; p=0.002) relative to others.
Conclusion: our study showed that the factors associated with poor glycemic control were low monthly income, lack of medical follow-up, use of herbal medicine, and therapeutic non-compliance. We suggest urgent interventions to deal with the active management of people with type 2 diabetes.
Factors associated with poor glycemic control among patients with type 2 diabetes followed at the Bafoussam Regional Hospital: a preliminary study
Sylvain Raoul Simeni Njonnou1,2,&, Sybil Leslie Nguiloun Nguedoung3, Eric Vounsia Balti1,4,5, Christian Ngongang Ouankou1,6, Fernando Kemta Lekpa1,7, Marie-Josiane Ntsama Essomba5,8, Michaella Waffo9, Simeon Pierre Choukem1,7,10
1Department of Internal Medicine and Specialties, Faculty of Medicine and Pharmaceutical Sciences University of Dschang, PO box 96 Dschang, Cameroon, 2Dschang Regional Hospital Annex, Dschang, Cameroon, 3Department of Public Health, Faculty of Medicine and Pharmaceutical Sciences University of Dschang, PO box 96 Dschang, Cameroon, 4Diabetes Research Center and Department of Internal Medicine, Universiteit Ziekenhuis Brussel, Vrije Universiteit Brussel, Brussels, Belgium, 5Yaoundé Central Hospital, Yaoundé, Cameroon, 6Yaounde Teaching Hospital, Yaoundé, Cameroon, 7Douala General Hospital, Douala, Cameroon, 8Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon, 9Bafoussam Regional Hospital, Bafoussam, Cameroon, 10Health and Human Development (2HD) Research Network, Douala, Cameroon
&Corresponding author
Introduction: glycemic control remains suboptimal and remains the main cause of the exponential increase in the occurrence of complications in diabetic patients. A high rate of morbidity, mortality, disability, and impaired quality of life of these patients is attributable to the complications of diabetes. In order to remedy this scourge, we set to study the factors associated with poor glycemic control in a group of type 2 diabetic patients followed at the Regional Hospital of Bafoussam.
Methods: a cross-sectional study was carried out for six months (January to June 2022) at the Regional Hospital of Bafoussam. The data (sociodemographic, clinical, and paraclinical) collected using a data sheet were entered and analyzed by Epi info software version 7.2.2.16 and Microsoft Office Excel 2013. The Khi Two Statistical Test and the Fisher Exact Test were used to look for the association between qualitative variables with a significance threshold set at 5%. Multiple logistic regression was used to identify associated factors independent of poor glycemic control.
Results: we recruited 70 (28 men) patients with type 2 diabetes. The median age was 63.5 years. The proportion of patients with an HbA1c level greater than 7% was 31.43%. Poor glycemic control was significantly associated with irregular disease monitoring (aOR=14; 1.15<CI<169.6; p=0.038). While it was better in patients not using herbal medicine (aOR=0.06; 95% CI 0.01-0.42; p=0.004), among those with a monthly income of more than 100,000 FCFA/160.5 USD (aOR=0.04; 95% CI 0.002-0.82; p=0.03) and those observing treatment (aOR=0.07; 95% CI 0.012-0.38; p=0.002) relative to others.
Conclusion: our study showed that the factors associated with poor glycemic control were low monthly income, lack of medical follow-up, use of herbal medicine, and therapeutic non-compliance. We suggest urgent interventions to deal with the active management of people with type 2 diabetes.
