STATUS OF GLYCEMIC CONTROL AND FACTORS ASSOCIATED WITH POOR GLYCEMIC CONTROL AMONG DIABETIC ADULT OUT-PATIENTS, FROM DECEMBER 16, 2019 TO FEBRUARY 16, 2020 AT HIWOT FANA SPECIALIZED UNIVERSITY HOSPITAL, HARAR, ETHIOPIA

Abstract

Background: Diabetes is increasing rapidly throughout the world especially in developing countries most likely because of rapid increase in urbanization, aging of the population and sedentary life style. Most diabetes patients had poor glycaemic control worldwide especially in SSA and continues to be a major challenge. Glycemic control is the most important predictor of diabetic related complications and deaths. Identifying factors associated with glycemic control help health care providers and patients to focus on areas that decrease causes of poor glycemic control, diabetic related complications and deaths. Despite this growing prevalence of diabetes and its complications, data regarding glycemic control is scarce and little is known about the factors contributing for poor glycemic control especially in Ethiopia. Such researches are of great relevance for planning healthcare programs targeting improved diabetes control. Thus assessing glycaemic control and associated factors in Eastern Ethiopia is important because there are different habits of the people, different way of life than the rest of parts of Ethiopia and undiagnosed DM is also high in this area. Objective: To assess the status of glycemic control and factors associated with poor glycemic control among diabetic adult out-patients at Hiwot Fana Specialized University Hospital, Harar, Eastern Ethiopia, from December 16, 2019 to February16, 2020. Methods: Hospital- based cross sectional study will be conducted on diabetic patients who are attending in diabetic follow up clinic at HFSUH from the population of Eastern Ethiopia with sample size of 355. Data will be collected via structured questionnaire both patient interview and chart review from each patient and patient’s medical records from December 16, 2019 to February 16, 2020. So the study subjects will be selected based on their card numbers (evens or odds) by systematic random sampling technique method who will have follow-up appointment on the months of December 16, 2019 to February 16, 2020 and the months are selected by using conventional method because having follow up in this period is also a chance. After completion of data collection, it will be edited and coded for processing and analysis and analyzed by using scientific calculator and SPSS statistical software. Descriptive statistics, odds ratio and multivariate analysis with 95% confidence interval will be used to show associations between target variables, frequency tables and graphs will be used to show the results. Expected outcome: The majority of participants will have poor glycemic control and obesity, poor drug adeherence,noncompliance to diet, inadequate exercise ,not ever attend diabetic education and those who had no self-monitoring of their blood glucose level will be factors associated with poor glycemic control. The total estimated budget needed for the study will be 43,097 Ethiopian Birr.