Published in:
01-10-2019 | Original Article
Glycaemic control among adults with self-reported diabetes in health and demographic surveillance site (HDSS) of rural North India
Published in: International Journal of Diabetes in Developing Countries | Issue 4/2019
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Background
Achievement of adequate glycaemic control is important to alleviate complications, improve quality of life and reduce mortality among persons with diabetes. This study estimated the level of glycaemic control and determinants of poor glycaemic control among persons with diabetes in a rural population of North India.
Methods
We randomly selected 245 persons aged ≥ 18 years with self-reported diabetes from the information of 100,000 individuals available in Health Information Management System of Health Demographic Surveillance Site (HDSS) Ballabgarh. Glycaemic control was assessed by measurement of glycated haemoglobin (HbA1c). Blood pressure, weight, height, waist and hip circumference were measured with standard procedures. Information regarding disease and treatment history was recorded.
Results
Mean age of participants was 56.2 (± 11.3) years. Mean HbA1c was 8.04% (± 2.54), with no significant difference across age and sex. Good glycaemic control (HbA1c < 7%) was observed in 41.3%. On multivariate logistic regression, duration of > 10 years since diagnosis of diabetes (OR = 2.71, 95% C.I. 1.08–6.81), and high serum triglyceride (OR = 2.17, 95% C.I. 1.19–3.98) levels were significantly associated with poor glycaemic control, while persons aged > 60 years were less likely of poor glycaemic control.
Conclusion
Achievement of adequate glycaemic control in this population is poor and warrants prompt interventions.