Introduction:Good quality care in Type 2 diabetes mellitus (T2DM), whose prevalence is
approximately 10% in Kenya, may prevent or delay diabetes complications. This study
determined blood glycemic targets, defined by HbA1c levels (>6.5% [53mmol/mol]) and associated factors
among patients receiving diabetes management at Kenyatta National Hospital in Kenya.Methods: In this cross-sectional study
conducted between May to September 2017, we obtained blood samples from 381 consenting
T2DM patients attending KNH. The study collected data using a detailed questionnaire
while taking glycemic measurements. Factors associated with poor glycemic control (HbA1c levels >6.5%) were determined using
Ordinal logistic regression modeling, STATA software version 13.Results: 103 (27.1%) T2DM patients with
poor glycemic control were identified. In multivariate analysis, independent risk
factors associated with poor glycemic control and their 95% confidence intervals
included: concurrent hypertension (aOR 1.6, [1.1, 2.4]), receiving ≥3 oral anti-diabetes
medication (aOR 2.4, [1.3, 4.6]) and good
adherence to medication based on self-reporting (aOR 6.2, [1.9, 41.3). Independent
protective factors included self-monitoring of blood glucose levels (aOR 0.35, [0.2,
0.4]), patients aged 51 to 60 years (aOR 0.5, [0.3, 0.9]), weight between 50 and
70kgs (aOR 0.5,
[0.3, 0.9]) and receiving 1 to 2 diabetes medication (aOR 0.4, [0.3, 0.7]). Conclusion: Significantly high proportion of T2DM patients receiving treatment at KNH had
poor glycemic control. Addressing comorbidities and promoting good glycemic control
among long-standing T2DM patients receiving ≥3 oral anti-diabetes medication
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