Glycemic Control and Associated Factors Among Adult Type Two Diabetic Patients in Selected Hospitals, Addis Ababa, Ethiopia

BACKGROUND/AIMS: Diabetes mellitus (DM) is a chronic metabolic disease characterized by elevated blood glucose levels and affects 3.8 percent of the Ethiopian population, according to the American Diabetes Association's recommendations.To prevent long-term diabetesrelated complications, people diagnosed with DM should always maintain their glycemic control (GC).This study will examine why adults with type 2 diabetes do not adequately manage their GC. MATERIALS AND METHODS:Patients with type 2 DM were enrolled in the cross-sectional study.Using a finite population correction factor, the sample size was calculated.A structured questionnaire and a signed consent form were developed, and data generated via an exit interview were collected.Data were entered into the Statistical Package for the Social Sciences (SPSS) for analysis.Descriptive statistics and multivariable logistic regression analyses provided information on the examined constructs. RESULTS:A total of 294 participants were enrolled in the study.The prevalence of GC issues was increasing in this population.Of these participants, 170 (65% of all participants) had metabolic dysregulation related to elevated blood glucose.Furthermore, the study demonstrated that participants' occupational status (e.g., being a housewife or self-employed), the level of family support, a family history of type 2 diabetes and/or other chronic diseases, and participants' use of blood pressure medication all predicted poor GC.The use of blood pressure medication was associated with a positive attitude toward seeking medical help.All predictors were statistically significant (p<0.05)and/or had 95% confidence intervals indicating statistical significance. CONCLUSION:Because many patients have uncontrolled glucose levels, the overall management of these patients should be improved so that they can better manage their diabetes and hypertension.Hence, ongoing health education and counseling are recommended for diabetic patients to achieve and maintain optimal levels of blood glucose while preventing major complications related to their disease.In the professional realm, the findings of this study represent an important resource for healthcare administrators and leaders, aiding them in developing healthcare policies and making strategic decisions.Additionally, it makes a novel contribution to the growing body of literature in the field of healthcare.