Glycaemic control and its associated factors among adult Omanis with type 1 diabetes mellitus: a cross-sectional survey.

IF 2.7 Q3 ENDOCRINOLOGY & METABOLISM Expert Review of Endocrinology & Metabolism Pub Date : 2024-05-01 Epub Date: 2023-12-15 DOI:10.1080/17446651.2023.2295483

Rajaa Al-Hadhrami, Omar M Al-Rawajfah, Joshua K Muliira, Atika Khalaf

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Abstract

Objectives: This study aimed to investigate the relationship between glycemic control and diabetes self-management (DSM) and other associated factors among adult Omanis with Type-1 Diabetes Mellitus (T1DM).

Methods: A cross-sectional, descriptive design was used to collect data among 210 adult Omanis with T1DM who were conveniently recruited. All tools were self-reported, whereas the HbA1c was collected from the patient's electronic medical records.

Results: The HbA1c mean value was 8.6 (SD = 2.5), 30.5% had optimal glycemic control (<7.0). A significant negative relationship between HbA1c and DSM (r = - 0.191, p = 0.006) and diabetes knowledge (r = - 0.153, p = 0.026) was found. Furthermore, the mean HbA1c was significantly lower for persons with a single marital status, have higher education level, have children, are unemployed, were not admitted to the hospital in the last year, and have a health care professional as a family member. Additionally, marital status, level of education, DSM, and social support were significant predictors of glycemic control.

Conclusions: The results suggested that better glycemic control could be achieved by optimizing DSM, social support, and diabetes knowledge. Sociodemographic factors should be considered when treating individuals with T1DM to reach good glycemic control.

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患有 1 型糖尿病的阿曼成年人的血糖控制及其相关因素：一项横断面调查。

研究目的本研究旨在调查患有 1 型糖尿病（T1DM）的阿曼成年人的血糖控制和糖尿病自我管理（DSM）与其他相关因素之间的关系：方法：采用横断面描述性设计，从方便招募的 210 名 T1DM 阿曼成年人中收集数据。所有工具均为自我报告，而 HbA1c 则从患者的电子病历中收集：结果：HbA1c 平均值为 8.6（SD = 2.5），30.5% 的患者血糖控制达标（r = - 0.191，p = 0.006），糖尿病知识达标（r = - 0.153，p = 0.026）。此外，婚姻状况单身、教育程度较高、有子女、失业、去年未入院以及家庭成员中有医护人员的人，其平均 HbA1c 明显较低。此外，婚姻状况、教育水平、DSM 和社会支持也是血糖控制的重要预测因素：结论：研究结果表明，通过优化 DSM、社会支持和糖尿病知识，可以更好地控制血糖。治疗 T1DM 患者时应考虑社会人口因素，以达到良好的血糖控制效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Expert Review of Endocrinology & Metabolism ENDOCRINOLOGY & METABOLISM-

CiteScore

4.80

自引率

0.00%

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期刊介绍： Implicated in a plethora of regulatory dysfunctions involving growth and development, metabolism, electrolyte balances and reproduction, endocrine disruption is one of the highest priority research topics in the world. As a result, we are now in a position to better detect, characterize and overcome the damage mediated by adverse interaction with the endocrine system. Expert Review of Endocrinology and Metabolism (ISSN 1744-6651), provides extensive coverage of state-of-the-art research and clinical advancements in the field of endocrine control and metabolism, with a focus on screening, prevention, diagnostics, existing and novel therapeutics, as well as related molecular genetics, pathophysiology and epidemiology.