Prevalence of Uncontrolled Diabetes and Its Predictors in Patients with Type 2 Diabetes Covered by Comprehensive Health Care Centers of Isfahan

Abstract

Introduction: Type 2 diabetes is one of the most prevalent chronic diseases in the world, and its proper control is necessary to prevent complications. This study aimed to investigate the prevalence of uncontrolled diabetes, and its predictors in diabetic patients admitted to comprehensive health care centers in Isfahan. Materials and Methods: A total of 265 patients with type 2 diabetes covered by comprehensive health care centers in Isfahan were included in this cross-sectional study using random sampling. Demographic data, lifestyle, self–care, and quality of care were collected. Glycated Hemoglobin A levels were also measured, and levels above 7 were considered uncontrolled diabetes. The logistic regression test was used to determine the contribution of different factors in diabetes control. Results: The prevalence of uncontrolled diabetes in the studied patients was 45.3. The adjusted odds ratio of uncontrolled diabetes in those taking insulin was 3.46 compared with patients receiving only oral medication (p=0.002). Also, the adjusted odds ratio of uncontrolled diabetes was more than five years in those whose duration of diabetes was 3.27 compared to others (p <0.001). Conclusion: Considering the high prevalence of poor glycemic control in patients with type 2 diabetes, the doctors of comprehensive health care centers must pay special attention to patients diagnosed for about five years and people who use insulin. Reconsidering the type and dose of the medicine for these patients may be helpful. © 2022, Research Institute for Endocrine Sciences. All rights reserved.