Socio-demographic factors associated with poor glycemic control among type 2 diabetes mellitus patients at a tertiary health care facility: A cross-sectional study

Title : Socio-demographic factors associated with poor glycemic control among type 2 diabetes mellitus patients at a tertiary health care facility: A cross-sectional study

Abstract:

This study investigates the socio-demographic factors associated with poor glycemic control among type 2 diabetes mellitus (T2DM) patients attending a tertiary healthcare facility. Identifying these factors is crucial for developing targeted interventions to improve diabetes management and patient outcomes. A cross-sectional study was conducted with 170 T2DM patients attending the Medicine OPD of a tertiary care hospital. Systematic random sampling was used to select participants, with data collected on socio-demographic characteristics, dietary habits, physical activity, medication adherence, and clinical parameters, including HbA1c levels. Statistical analyses, including descriptive statistics, Chi-Square tests, and multivariate logistic regression, were employed to identify associations between these factors and poor glycemic control. The median age of participants was 50 years, with a majority being male (56.4%) and married (95.53%). Key factors associated with poor glycemic control included lower educational attainment, a non-vegetarian diet, high fasting and postprandial blood sugar levels, and elevated BMI. Multivariate analysis revealed that a non-vegetarian diet (adjusted odds ratio [aOR]: 2.35), random blood sugar >140 mg/dl (aOR: 3.91), postprandial blood sugar >140 mg/dl (aOR: 5.13), and education up to junior school level (aOR: 7.04) were independently linked to poor glycemic control. The study highlights significant factors contributing to poor glycemic control in T2DM patients, including educational levels, dietary choices, and elevated blood sugar levels. Addressing these factors through targeted interventions such as educational programs, dietary adjustments, and enhanced diabetes management strategies is crucial for improving glycemic control and patient outcomes.

Biography:

Dr. Rashmi Kumari is an Associate Professor in the Department of Community Medicine at Dr. Ram Manohar Lohia Institute of Medical Sciences (RMLIMS), Lucknow, India, where she has been serving since 2018. She holds an MD from IMS, BHU, and FCGP, and has worked on both intramural and extramural funded projects as Principal Investigator (PI) and Co-Principal Investigator (Co-PI). With over 20 national and international publications in indexed journals, she has also presented at various platforms. Her areas of interest include non-communicable diseases (NCDs), MCH, epidemiology, and public health. Dr. Kumari has notable achievements such as serving as Sub-Dean of the UG Cell, a national assessor for UNICEF’s “Effective Vaccine Management” program, and a national trainer for the SAANS CDR program. She is also a member of the IEC at Command Hospital, Lucknow, a reviewer for IJCM, IJCH, and IJCFM, and an Executive Council member of UP-UK IAPSM.