Sociodemographic determinants of glycaemic control among children with type 1 diabetes in South Eastern Nigeria

The Pan African Medical Journal

Ugochi MaryAnn Ibekwe¹  Ugo Nnenna Chikani²  Chikosolu Yvonne Okiche³  Chinwe Flora Ogugua³ 

[1] Paediatric Endocrinology Unit, Alex Ekwueme Federal University Teaching Hospital Abakaliki;Paediatric Endocrinology Unit, Department of Paediatrics, University of Nigeria, Ituku Ozalla Campus, Enugu, Nigeria;Paediatric Endocrinology Unit, Department of Paediatrics, Alex Ekwueme Federal University Teaching Hospital Abakaliki, Abakaliki, Nigeria;

关键词: diabetes;    glycaemic control;    socio-demographic factors;   

DOI  :  10.11604/pamj.2021.38.250.19790

来源: DOAJ

【 摘 要 】

INTRODUCTION: Diabetic complications have been identified as the major causes of morbidity and mortality in persons with type 1 diabetes mellitus (T1DM). Lack of appropriate glycaemic control is a significant risk factor for the onset and progression of long term complications of diabetes. Identifying the determinants of good glycaemic control is therefore imperative. METHODS: this was a cross-sectional, hospital-based study of children aged 3-18 years with T1DM. Subjects were consecutively enrolled after obtaining consent from their parents and assent from children aged greater than 7 years. A questionnaire was completed recording their clinical history and socio-demographic variables. Their HbA1c was estimated and values less than 7.5% was defined as the cut-off for optimal glycaemic control. RESULTS: seventy one children with T1DM were enrolled for the study. Thirty eight (53.5%) of them were males. Mean age (years) was 13.7±4. Mean age at onset of diabetes was 11.6 years (range: 3-16 years), mean duration of diabetes was 24.4 months (range: 4–84 months), mean HbA1c value was 10.5% (range: 6.4%–14%); a multivariate logistic regression analysis was performed to identify determinants of optimal glycaemic control. Only caregivers´ involvement in diabetes management P=0.016, Odd ratio 13.03 (95% CI:1.60-105.95) was identified as determinant of good glycaemic control.

【 授权许可】

Unknown