What is suboptimal glycemic control?
Suboptimal glycemic control was defined as glycated hemoglobin (HbA1c) level ≥7%. Multivariable analysis was applied to determine the predictors.
What is inadequate glycemic control?
Inadequate glycemic control among patients with T2DM indicates a major public health issue and a significant risk factor for the progression of diabetic complications. Glycemic control remains the main therapeutic target for prevention of organ damage and other complications arising from diabetes [13].
How do you measure glycemic control?
Self-monitoring of blood glucose (SMBG) and A1C testing are helpful tools to assess overall glycemic control. Patients who take multiple doses of insulin should perform SMBG before meals and snacks, at bedtime, postprandially on occasion, before exercise or driving, and when they experience hypoglycemia.
What does poor glycemic control and diabetes management mean?
Poor glycemic control is the most determinant of diabetes-related complication and death. The percentage of patients whose blood glucose level are not well controlled remains high yet.
What is specified diabetes mellitus?
E13, “Other specified diabetes mellitus,” is another cat- egory that is rarely used in primary care. This category includes diabetes mellitus due to genetic defects of beta- cell function and insulin action. It also includes postpro- cedural diabetes mellitus including postpancreatectomy diabetes mellitus.
What does poor glycemic control cause?
Individuals with diabetes mellitus (DM) are at high risk of developing cardiovascular events, including heart failure, myocardial infarction, and death. Prior studies have demonstrated that poor glycemic control can increase the risk of cardiovascular complications and hospitalizations for heart failure (1,2).
What causes poor glycaemic control?
Two main causes of poor glycaemic control has been describe in diabetic patients: lack of patient adherence to antidiabetic drugs and lack of treatment intensification by the physician.
What is meant by glycemic control?
Glycemic control is a medical term referring to the typical levels of blood sugar (glucose) in a person with diabetes mellitus.
What is glycemic control and why it is important?
It is an important tool to aid in prevention of the potentially serious consequences of very high or very low blood glucose levels. SMBG allows patients with diabetes to determine the daily effects of lifestyle and pharmacologic interventions on their glycemic control, and subsequently take appropriate action.
Why is glycemic control important?
Intensive glycemic control reduces risk of microvascular complications in Type 1 and Type 2 diabetes, and long-term treatment and follow-up studies have shown that initial intensive control is associated with reduced cardiovascular risk.
What is suboptimal glycemic control in diabetes?
Suboptimal glycemic control was defined as HbA(1c) values ≥7%, with 29.8% of the sample (n=1718) scoring above this cut-off.
What happens when glycemic control is not optimized?
When glycemic control is not optimized, diabetes imposes additional burdensome care requirements, health-care costs, and high risk of disabling complications, and this has been especially evident in socioeconomically disadvantaged and minority populations ( 2).
Is there suboptimal diabetes care in Africa?
Studies on the quality of diabetes care from Africa have documented suboptimal screening for diabetic complications and control of glycemic, lipid and blood pressure levels among diabetic patients [4-8].
Which is the optimal glycaemic blood pressure level?
Using fasting blood glucose levels assessed in all the patients, optimal glycemic control of <7.2 mmol/l was noted in 42.8% of the patients. Glycated haemoglobin was performed at least once in the last year in 24 (9.6%) patients , of which 5 (20.8%) of these attained optimal control of <7%.