MAGNITUDE GLYCEMIC CONTROL AND ITS ASSOCIATED FACTORS AMONG CHILDREN AND ADOLESCENTSWITH TYPE 1 DIABETES MELLITUS IN JUGOL AND HIWOT FANA COMPRESSIVE SPECIALIZED HOSPITAL EASTERN ETHIOPIA

Abstract

poor glycemic control increases the risk of both long-term consequences and acute metabolic derangements, which are the main causes of morbidity and mortality. It can be difficult for people with diabetes to maintain adequate glycemic control, particularly in environments with minimal resources. There are limited studies describing the magnitude of poor glycemic control and its predisposing factors in children and adolescents in Harar hospitals. Objective:To assess the magnitude of glycemic control and its associated factors among type 1 Diabetic Mellituschildren and adolescentsin Jugol and Hiwot Fana compressive specialized hospitalsNovember15,2022- January15, 2023. Methods and materials:Facility-based cross-sectional study was employed on 231 children and adolscents with type 1 diabetes mellitusin Jugoland Hiwot Fana compressive SpecializedHospitals. Participants were selected consecutively in the follow-up clinic. Data were collected usinga semi-structured questionnaire fromNovember15, 2022- January 15, 2023. Data were entered into EPI data 7 and analyzed using the statistical package of social sciences version 26.The binarylogisticregression model was used to identify the association between dependent and independent variables using an adjusted odds ratio witha 95% confidence interval. Finally,the statistical significance was declared with a p-value of less than 0.05 Result: A total of231 children and adolescents with type one DM were included in the study. The magnitude of poor glycemic control was 166 (71.9%) with95%CI 66.0-77.7%).In multivariable analysis,the age of the child (AOR =0.12, 95%CI: 0.24-0.57), education of care giver (AOR =4.05, 95% CI: 1.79-9.15), BMI of achild (AOR= 2.68, 95%CI: 1.05-6.88), forbidden foods (AOR= 2.85, 95% CI: 1.11-7.29), were factors significantly associated withpoor glycemic control. Conclusion: Two third of participants had poor glycemic control. There was a statically significant correlation with the age of a child, education of the caregiver, BMI, and forbidden foods.To improve glycemic control, advice for meal selection should be made during follow-up along with parent education.