ArticleTherapeutic advances in endocrinology and metabolism2014
Level of A1C control and its predictors among Lebanese type 2 diabetic patients.
Article in Therapeutic advances in endocrinology and metabolism, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.
- Glycaemic control and its associated factors in patients with type 2 diabetes in the Middle East and North Africa: An updated systematic review and meta-analysis.Journal of advanced nursing · 2022Pooled it
- Determinants of sub-optimal glycemic control among patients enrolled in a medicine dispensing programme in KwaZulu-Natal: A cohort study, 2018-2021.African journal of primary health care & family medicine · 2024Article
- The Economic Burden of Diabetic Retinopathy in Jordan: Cost Analysis and Associated Factors.ClinicoEconomics and outcomes research : CEOR · 2024Article
- Dietary Knowledge and Eating Habits among Patients with Type 2 Diabetes in Lebanon.Global health, epidemiology and genomics · 2024Article
- Control of diabetes, hypertension, and dyslipidemia in Jordan: a cross-sectional study.Annals of medicine and surgery (2012) · 2023Article
- Article
- Factors associated with glycemic control among diabetic adult out-patients in Northeast Ethiopia.BMC research notes · 2018Article
- Association of diabetes-related self-care activities with glycemic control of patients with type 2 diabetes in Pakistan.Patient preference and adherence · 2018Article
- GOAL study: clinical and non-clinical predictive factors for achieving glycemic control in people with type 2 diabetes in real clinical practice.BMJ open diabetes research & care · 2018Article
- Glycaemic control status among type 2 diabetic patients and the role of their diabetes coping behaviours: a clinic-based study in Tripoli, Libya.The Libyan journal of medicine · 2016Article
- Glycemic Control among Patients with Type 2 Diabetes Mellitus in Countries of Arabic Gulf.International journal of health sciences · 2015Review
- Evaluation of medication adherence among Lebanese diabetic patients.Pharmacy practiceArticle
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimLebanon is among the top 10 countries with the highest prevalence of diabetes in the Middle East region with estimates reaching as high as 16.6% in adults aged 20-79 years. The objective of this study was to assess the level of A1C control among a cohort of type 2 diabetic patients and factors associated with uncontrolled A1C.
methodsWe carried out a retrospective observational study among type 2 diabetes mellitus patients attending an outpatient endocrinologist's clinic between June 2008 and July 2012 in Beirut, Lebanon. Two groups were compared, based on their diabetic control (A1C < 7% and A1C ≥ 7%).
resultsA total of 551 patients were included in this study, where 31.8% attained A1C control. Crude analyses showed that some factors were significantly associated with uncontrolled A1C, and these were long-standing diabetes, diabetes-related complications, uncontrolled blood pressure, lipid profile, as well as the use of metformin, sulfonylurea, or insulin. When multivariate analysis was carried out, the chances of having uncontrolled A1C were significantly higher among patients who developed neuropathy (odds ratio [OR] 2.08, 95% confidence interval [CI] 1.11-3.90), had uncontrolled triglycerides (OR 1.98, 95% CI 1.33-2.94), used insulin (OR 4.52, 95% CI 2.32-8.83), and sulfonylureas (OR 2.88, 95% CI 1.88-4.40).
conclusionUncontrolled diabetes is more likely to exist in patients with neuropathy, uncontrolled triglycerides and those using insulin or sulfonylurea. Further research is needed to confirm the findings.
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