Poor glycemic control and associated factors in diabetic people attending a reference outpatient clinic in Mato Grosso, Brazil

• Published in: Investigacion y educacion en enfermeria Vol. 39; no. 3
• Main Authors: Espinosa, Mariano Martínez, Almeida, Vitesinha Rosa Dos Santos, Nascimento, Vagner Ferreira do
• Format: Journal Article
• Language: English
• Published: Colombia Universidad de Antioquía 01-10-2021; Imprenta Universidad de Antioquia; Universidad de Antioquia
• Subjects: Ambulatory Care Facilities; Blood Glucose; Brazil - epidemiology; control; controle; Cross-Sectional Studies; Diabetes; diabetes mellitus tipo 2; Diabetes Mellitus, Type 2 - epidemiology; Disease management; factores de riesgo; fatores de risco; Glucose monitoring; glycated hemoglobin A; Glycemic Control; Health behavior; Health risks; Hemoglobin; hemoglobina A glicada; hemoglobina A glucosilada; Humans; Insulin; Middle Aged; Original; Outpatient care facilities; risk factors; type 2 diabetes mellitus; Brazil; type 2 diabetes mellitus; risk factors; control; glycated hemoglobin A
• ISSN: 0120-5307; 2216-0280; 2216-0280
• DOI: 10.17533/udea.iee.v39n3e10

To identify the proportion of poor of glycemic control and associated factors among people with type 2 diabetes attending a regional reference outpatient clinic in Mato Grosso (Brazil).
This is a cross-sectional quantitative study based on data from medical records of 338 people with type 2 diabetes who attend a state reference outpatient clinic in Mato Grosso (Brazil). Information on glycemic control, sociodemographic factors, lifestyle and clinical conditions was collected.
The prevalence of elevated glycated hemoglobin was 47.34%. In the Poisson multiple regression model analysis with robust variance, poor glycemic control was significantly associated (p<0.05) with the following factors: insulin use (Prevalence Ratio -PR = 2.03), fasting glucose ≤70 and ≥100 mg/dL (PR = 2.0), postprandial glucose ≥180 mg/dL (PR = 1.76), no physical activity (PR = 1.62), the interaction between age group ≤59 years and the time of disease diagnosis >10 years (PR = 1.58), and presence of arterial hypertension (PR = 0.79).
Most users of the reference outpatient clinic with type 2 diabetes had poor glycemic control associated with risk factors that alter glycated hemoglobin and negatively affect the achievement of established glycemic levels.