MAGNITUDE OF GLYCEMIC CONTROL AND DIABETES COMPLICATIONS AMONG ADULT PATIENTS IN ADDIS ABABA SELECTED HOSPITALS

Abstract

Abstract Background; Diabetes mellitus is a chronic illness but not yet have been got cure and its prevalence is rapidly Increasing worldwide with dramatic increment in low income countries while we are suffering from infectious disease. Currently around 425million adults have DM and by 2045 it is expected to rise to 629million. Even though there are researches done on the glycemic control on type two diabetes mellitus patients in the country there is scanty of researches done on type one diabetes mellitus patients. It is clear fact that there is poor glycemic control in the country while the disease prevalence is keep increasing. The risk and burden of Diabetes is swelling in Ethiopia where the magnitude and deep rooted problems associated with it wasn’t studied well. So I strongly believe that we need much more studies as remedy for our past and to cope up with the rapidly changing diabetes distribution over the world [2, 5]. Objectives; the aim of this study is to assess the current prevalence of glycemic control, associated factors and diabetes mellitus complications in selected hospitals in Addis Ababa which included St. Paul’s hospital millennium medical college and Ras damtew hospital. Methods. Institution based cross sectional study design was used and respondents were selected by convenience method from Ras desta damtew and St. Paul’s hospital millennium medical college in 180 patients by both chart review and questionnaires and the data analysis was by SPSS version 21. The study was conducted in March 2018 and was done with 22,888birr. Result Hundred eighty patients were participated from ras desta (n=63) and St. paul’s hospital (117) from whom 100were females and the other 80 were males. Good glycemic control was seen in 13.9% of patients. Diabetic neuropathy in SPHMMC is 49.6% and in RDDH is 50.8% whereas retinopathy in SPHMMC is 15.4% and in RDDH is 7.9%. Conclusion and recommendation In this study the magnitude of glycemic control is too low which might be due to different factors which I couldn’t addressed in this study and it needs to be promptly followed by other research and it is the area that needs attention. Diabetic neuropathy and diabetic retinopathies are the first two leading complications from DM and it is well known fact that good glycemic control will decrease those complications.