Uncontrolled Glycemic Level and its Associated Factors among Adult Diabetes Mellitus Patients Who Visited Diabetic Clinic of Tibebe Ghion Specialized Hospital, Bahir Dar, Northwest Ethiopia, 2023. A Cross Sectional Study

Background: Achieving target glycemic control in clinical practice is challenging. As a result, identifying the factors that influence glycemic control is crucial. Objective: To assess the uncontrolled glycemic level and its associated factors among adult Diabetes mellitus patients on follow up at the Diabetic clinic of Tibebe Ghion Specialized Hospital, 2023. Methods: An institution based cross sectional study was conducted among 229 diabetes mellitus patients at Tibebe Ghion Specialized Hospital from November 2023 to January 2024. The samples were selected using systematic random sampling technique. Pretested, structured, and interviewer-administered questionnaires were used to collect data. Data entered using Epidata Manager version 4.6 and analyzed using SPSS version 27. Multivariable logistic regression analysis was used, considering with a p-value of <0.05 as statically significant, with a 95% confidence interval. Results: The mean HbA1c of the participants were 8.0% [SD ± 1.8547%] and 158(69.0%) participants were having poor and or inadequate HbA1c (HbA1c ≥ 7.0). Not having access to self-monitoring blood glucose (SMBG) tools (AOR=5.48 ,95%CI 2.21-13.57), polypharmacy (AOR = 3.68, 95%CI 1.17-11.59), minimal physical activity (AOR = 3.52, 95%CI 1.17-10.53), physical inactivity (AOR = 6.55, 95%CI 2.20-19.42), poor medication adherence (AOR = 8.05, 95%CI 2.53-25.56) and body mass index (BMI) ≥ 25.0kg/m2 (AOR = 4.37, 95%CI 1.39-13.73) were factors associated with inadequate and poor glycemic control. Conclusions: In this study 7 out of 10 participants had inadequate and or poor glycemic control levels. Effective and tailored interventions are needed to mitigate these risk factors.