Abstract:
Background: However the prevalence of diabetes mellitus is increasing rapidly in middle and low
income- countries like Ethiopia and glycemic control in diabetes mellitus is crucial in reducing
morbidity and mortality of the disease. Data regarding glycemic control and associated factors are
very important for significant reduction of diabetes mellitus complications, are very few when
compared with the dieases condition.
Objective: To assess the prevalence of glycemic control and associated factors among adult
diabetic patients at public hospitals in Harari region and Dire Dawa city administration, Eastern
Ethiopia, 2018.
Methods: A facility based cross-sectional study design was used among randomly selected 422
adults with diabetes mellitus who were attending in public hospitals at Harar and Diredawa, from
March1-30, 2018. A pretested structured questionnaire was used to collect data. Descriptive
statistics was used to describe the data. Bivariable logistic regression was performed to assess the
association between each independent and dependent variable. All variables with p value of less
than 0.25 were entered into multivariable logistic regression to identify factors associated with
glycemic control. Odds Ratios along with 95% Confidence intervals were estimated to measure
the strength of the association. Level of statistical significance was declared at p-value <0.05.
Results: The prevalence of poor glycemic control was 78.9%, 95%CI: 75%-82.3%.Patients who
had collge/universtiy education with [AOR = 0.10, 95 % CI: 0.04–0.27] and being diabetic for >
10 years with [AOR = 2.44, 95 % CI: 1.12–5.32] were stastically associated with poor glycemic
control. In addition, having diabetic education with [AOR = 2.46, 95 % CI: 1.36–4.47], non
adherence with physical exercise with [AOR = 2.75, 95 % CI 1.49–5.09] and being in the age
group of 51-60 years old with [AOR = 0.23, 95 % CI: 0.08–0.59] and age >60 years old with [AOR
= 0.15, 95 % CI: 0.06–0.38] were significantly associated with poor glycemic control.
Conclusion: Patients who can’t read and write, being the age of ≤40 years old, duration of diabetes
mellitus >10 years, not having diabetic education, and not adhere to the recommended physical
exercise were independent pridictors of poor glycemic control. Therefore, educational programs
that focus on the above independent pridictors of poor glycemic control are encouraged to improve
poor glycemic control and quality of life.
