Good Glycemic Control in Type 2 Diabetes Mellitus: An Inquiry-based on Clinic Records in Six Cities of Maharashtra state of India
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Abstract
Background: Type 2 Diabetes mellitus (T2DM) is a global epidemic, with about 7.3% prevalence in the Indian adult population, 10.3% pre-diabetes, also has a 47% undiagnosed caseload. This study is about Good Glycemic Control (GGC) in T2DM management.
Objectives: To estimate the proportion of GGC attainment among T2DM patients, and associated factors.
Methods: The records (m:202, f: 142) of the first visit of patients attending a private clinic and six lifestyle-modification-diabetes-reversal clinics in Maharashtra were studied. The sampling was based on convenience. Independent variables like age, gender, energy intake, height, weight, waist, hip, weekly aerobic time, parental history of T2DM, and HbA1c as an outcome variable (by HPLC method), along with antidiabetic medication (ADM) generic count were studied from available records. Data was available in Excel and analyzed with JAMOVI 4.8.6 software.
Results: The study population was mainly sedentary (48%), upper class (54%), and college-educated (72%) with a higher male proportion (59%). Diet type was both vegetarian (45%) and mixed (48%) subjects as compared general population. Findings include Mean and (SD) values: age 53.5(8.89) years, T2DM duration years 5.54 (4.75), Waist in cms F 102(8.86), M 102(11.8), energy intakes in Kcal f 896(324), m 1211(493), HbA1C in gm%: 7.73(2.29), use of ADM 38.1%, missing ADM information 58.4%, ADM free 3.5%, patients having GGC 54.7%. Linear regression for GGC outcome for independent variables age, energy intake, aerobic time, and diabetes duration showed no statistically significant association at p=0.05.
Conclusion: We found that 54.7% of patients had GGC. Sizeable missing data was a constraint.
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