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Evaluation of Glycemic Control, Lifestyle and Clinical Characteristics in Patients with Type 2 Diabetes Treated at King Abdullah University Hospital in Jordan

      Abstract

      Objectives

      The study aimed to assess glycemic control in a Jordanian population with type 2 diabetes and to explore the sociodemographic, clinical and medication-related factors as well as the anthropometric indexes and laboratory values associated with and possibly contributing to unsatisfactory glycemic control.

      Methods

      We included 237 patients previously diagnosed as having type 2 diabetes. Data were collected through direct interviews. Sociodemographic and clinical details were collected using a questionnaire designed for the purpose of the study, anthropometric measurements were obtained at the time of the interviews, and laboratory data were extracted from the medical records of King Abdullah University Hospital.

      Results

      Of the participants, 60.8% were found to have unsatisfactory glycemic control (glycated hemoglobin levels ≥7%). Unsatisfactory glycemic control was associated with younger ages at diabetes diagnosis, higher mean weights and higher prevalences of diabetic neuropathy. No relationships were found among glycemic control and body mass index, waist circumference or central obesity. Patients with adequate control were more likely to have health insurance and to have hypothyroidism as a comorbidity. Insulin use and medication plans containing insulin were associated with unsatisfactory control. Patients with unsatisfactory control had higher mean levels of low-density lipoproteins and triglycerides and lower mean levels of high-density lipoproteins. Moreover, elevated triglycerides (≥150 mg/dL) and dyslipidemia were associated with unsatisfactory glycemic control.

      Conclusions

      More than half of the participants had unsatisfactory glycemic control, highlighting the need for a change in the approach and strategies used for patients with diabetes in Jordan. Factors associated with glycemic control that were found in this study should be further studied and used in the prevention and management of diabetes.

      Résumé

      Objectifs

      L'étude visait à évaluer le contrôle glycémique d'une population jordanienne atteinte de diabète de type 2, et d'explorer les facteurs sociodémographiques, cliniques et ceux liés à la médication ainsi que les indices anthropométriques et les données biologiques associées contribuant éventuellement à un contrôle glycémique insatisfaisant.

      Méthodes

      Nous avons inclus 237 patients préalablement diagnostiqués comme étant atteints de diabète de type 2. Les données ont été recueillies lors d'entretiens directs. Les renseignements d'ordre sociodémographiques et cliniques ont été collectés à l'aide d'un questionnaire conçu dans le cadre de l'étude, les mesures anthropométriques ont été obtenues au moment des entretiens, et les données biologiques ont été extraites des dossiers médicaux de l'hôpital universitaire du roi Abdallah.

      Résultats

      Parmi les participants, 60,8% ont été identifiés comme ayant un contrôle glycémique insatisfaisant (taux d'hémoglobine glyquée≥7%). Un contrôle glycémique insatisfaisant a été associé à un âge plus jeune lors du diagnostic du diabète, un poids moyen plus élevé, et une prévalence plus élevée de neuropathie diabétique. Aucune relation n'a été trouvée entre contrôle glycémique et indice de masse corporelle, tour de taille, ou obésité abdominale. Les patients avec un contrôle adéquat étaient plus susceptibles d'avoir une assurance santé et d'avoir une hypothyroïdie comme comorbidité. L'utilisation de l'insuline et les planifications d'une médication contenant de l'insuline ont été associées à un contrôle insatisfaisant. Les patients ayant un contrôle insatisfaisant avaient des niveaux moyens plus élevées de lipoprotéines de basse densité et de triglycérides, et un niveau moyen plus bas de lipoprotéines de haute densité. De plus, des triglycérides élevés (≥150 mg/dL) et une dyslipidémie ont été associés à un contrôle glycémique insatisfaisant.

      Conclusions

      Plus de la moitié des participants avaient un contrôle glycémique insatisfaisant, révélant la nécessité d'un changement dans l'approche et les stratégies utilisées pour les patients atteints de diabète en Jordanie. Les facteurs associés à un contrôle glycémique qui ont été trouvés dans cette étude devraient être davantage étudiés et utilisés dans la prévention et la gestion du diabète.

      Keywords

      Mots clés

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