This study which was designed to select a nationally representative sample of the general population, covering major geographic areas of all 28 governates
This is a nation wide survey which was conducted on 2198 diabetic patients of which 758 patients had type I DM and 1440 patients had type II DM.
The overall prevalence of glycemic control in Egypt was 22.3% .
The percentage of adults achieving HbA1c, blood pressure and LDL-C simultaneously was only 9%.
Factors affecting glycemic control:
1)Age
Age (p –value 0.023) was found to be significantly associated with glycemic control. In our study, the non- elderly group was more likely to have good glycemic control compared with the elderly group
2)Socioeconomic state
There was a significant positive correlation between socioeconomic state of the patients and glycemic control in high socioeconomic state more than average more than low(p –value 0.04)
3)Sex
There was no significant correlation between sex and glycemic control (p –value >0.05)
4 )residence
There was no significant correlation between residence of the patients and glycemic control (p –value 0.12)
5)educational level
There was a significant positive correlation between educational level of the patients and glycemic control in high level more than moderate more than low(p –value 0.03)
6)duration of diabetes
Patients with duration of diabetes more than 5 years have lowest rate of diabetic control more than other groups(p –value 0.034)
7)BMI
Patients with BMI less than 25 kg/m2 have highest rate of diabetic control than other groups(p –value 0.039)
8) regular follow up
There was a significant positive correlation between regular follow up and glycemic control (p –value 0.046)
9) Follow up diet control
There was a significant positive correlation between Follow up diet control and glycemic control (p –value 0.048)
10) type of medication
There was a significant positive correlation between type of medication (injection more than oral more than oral plus injection and glycemic control (p –value 0.014)
11) blood pressure control
There was a significant positive correlation between blood pressure control and glycemic control (p –value 0.02)
12) type of diabetes
There was no significant correlation between type of diabetes, and glycemic control(p –value >0.05)
13) medication adherence
There was a positive significant correlation between medication adherence and glycemic control (p –value 0.002)
14)lipid profile
There was a significant Positive correlation between low-density lipoprotein (LDL) and glycemic control (p –value 0.04).
There was a significant Positive correlation between triglyceride level and glycemic control (p –value 0.014).
15) Albumin/creatinine
There was a significant negative correlation between Albumin/creatinine ratio and glycemic control(p –value 0.003). |
