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Diabetes control low in patients with type 2 diabetes in Bangladesh
ORLANDO, Fla. — Among people with type 2 diabetes in Bangladesh, less than 20% have their glycemic status controlled, according to a presenter here.
In this cross-sectional study, Shahjada Selim, MD, of Bangabandhu Sheikh Mujib Medical University in Dhaka, Bangladesh, and colleagues evaluated data from 1,158 adults (33% aged 40-49 years; 33.5% aged 50-59 years) with type 2 diabetes from outpatient departments of diabetes care centers in Dhaka, between January 2013 and December 2014. Researchers sought to determine the frequency and status of glycemic controls among the study population.
Participants completed a semi-structured questionnaire that contained items about sociodemographic information and relevant information on comorbidities. Each participant’s patient guidebook provided by the hospital was used to collect diabetes-related information. HbA1c was estimated by 3 mm venous blood from each participant.
Sixty-four percent of participants were from an urban background, about 27% had a primary level education and 57% college level, 54% were male, and about 19% were smokers. Most participants had low-to-middle income (34.9%). Twenty-six percent of participants had at least one family member with diabetes and 24% had multiple family members with diabetes.
Ten percent of participants were receiving medical nutrition therapy, 27.8% were prescribed a secretagogue, 50.3% an oral antidiabetic medication, and 21.4% insulin.
Glycemic control status was determined by HbA1c measurements, and 18.8% of participants had controlled diabetes (15% of men and 18.9% of women). Diabetes control status was significantly related with level of education and family income. Participants with increasing educational attainment and higher level of family income had better HbA1c control (P < .01) compared with those with lower education and lower family income.
No significant relationship existed between family size and diabetes control status.
“Sex in general seems to be unrelated to HbA1c,” Selim said. “HbA1c showed to have better control with increasing educational attainment and higher level of family income among the diabetes patients; however, family size doesn’t seem to have significant relation with diabetes control status.” – by Amber Cox
Reference:
Selim S, et al. Abstract #843. Presented at: AACE Annual Scientific and Clinical Congress; May 25-29, 2016; Orlando, Fla.
Disclosure: Selim reports no relevant financial disclosures.