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|Title: ||Predictors of Glycaemic Control among Ghanaian Type 2 Diabetic Patients Using Diabetes Self-management Approach|
|Authors: ||Apini, Richard|
Annan, Reginald A.
|Issue Date: ||2018|
|Publisher: ||International Journal of Biochemistry Research & Review|
|Citation: ||International Journal of Biochemistry Research & Review 23(2): 1-18, 2018; Article no.IJBCRR.42976 ISSN: 2231-086X, NLM ID: 101654445|
|Abstract: ||Aims: Management of a complex metabolic disease like diabetes can be very challenging since it
involves a careful combination of medication, exercise, diet and regular monitoring of blood glucose
in order to achieve good glucose control. The study aimed at determining predictors of glycaemic
control of type 2 diabetic patients using diabetes self-management approach.
Study Design: A Cross-sectional study.
Place and Duration of study: Diabetes clinic at two selected district hospitals in Ashanti region of
Methodology: A structured questionnaire was used to collect demographic, medical history and
dietary information. A validated Diabetes Self-Management Questionnaire was also used. Serum glycated haemoglobin (HbA1c) was used as the standard for glycaemic control.
Results: Mean glycated haemoglobin level for study participants was 7.2%±0.2. Optimal glycaemic
control was significantly associated with diabetes self-management (r= -0.428), diabetes-related
distress (r= 0.381) and acceptance and action on diabetes (r= 0.316). In. addition to the above
associations, diabetes self-management (β= -0.297, p=0.007) and diabetes-related distress (β=
0.219, p=0.028) could significantly predict glycated haemoglobin but not acceptance and action on
diabetes (β= 0.046, p=0.665).
Conclusions: All the three study variables correlated with glycated haemoglobin of study
participants but only diabetes self-management and diabetes-related distress had predictive value.
Further, an epidemiological study is needed to ascertain the strength of the effects. Various health
stakeholders should encourage diabetic patients to understand the importance of diabetes selfmanagement
which may help in better glycaemic control, disease management and better quality of
|Description: ||An article published by International Journal of Biochemistry Research & Review
23(2): 1-18, 2018; Article no.IJBCRR.42976
ISSN: 2231-086X, NLM ID: 101654445|
|Appears in Collections:||College of Science|
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