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. 2022 Jun 15;22(1):161.
doi: 10.1186/s12902-022-01070-y.

Glycemic control among children and adolescents with diabetes in Southern Ethiopia: a cross-sectional study

Mulugeta Sitot Shibeshi #  1 , Alemneh Kabeta Daba #  2 , Kebede Mola Meiso  3 , Birkneh Tilahun Tadesse  1
Affiliations

Glycemic control among children and adolescents with diabetes in Southern Ethiopia: a cross-sectional study

Mulugeta Sitot Shibeshi et al. BMC Endocr Disord. .

Abstract

Background: Glycemic control is an important part of diabetes management. Strict glycemic control has been shown to reduce the long-term complications of diabetes. However, achieving good glycemic control is challenging for people with diabetes especially in resource limited settings. The aim of this study was to assess glycemic control and identify its determinants among children and adolescents with diabetes.

Methods: A cross-sectional study among 116 children and adolescents with diabetes was done at a pediatric endocrine clinic in southern Ethiopia. Data on socioeconomic, demographic, nutrition, and diabetes related variables were collected. Glycemic control was assessed based on glycosylated hemoglobin level. Logistic regression analysis was used to identify predictors of glycemic control.

Results: The mean glycated hemoglobin (HbA1c) of the participants was 9.6 ± 2.4% (81 ± 3 mmol/mol). Ninety seven (83.6%) of the study participants had poor glycemic control [HbA1c ≥7.5% (58 mmol/mol)]. The presence of lipodystrophic change at injection sites (p =0.028) and being from a family that cannot afford for insulin when there is no free supply (p =0.009) were associated with poor glycemic control.

Conclusions: The majority of children and adolescents with diabetes had poor glycemic control. Stakeholders shall focus on identifying strategies to improve the magnitude of poor glycemic control. More research is warranted to exhaustively list out factors contributing to poor glycemic control.

Keywords: Adolescents; Children; Diabetes; Ethiopia; Glycemic control.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Proportion of children and adolescents with type 1 diabetes with good or poor glycemic control (N = 116)
See this image and copyright information in PMC

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