Abstract:

Glycemic control remains a major cornerstone in the management of diabetes mellitus. Despite consistent studies, the incidence of both short-and long-term complications of diabetes had been quite alarming. This study employed a descriptive design. A total enumeration of 185 diabetic women of reproductive age constituted the sample size. A self-structured questionnaire with 40 items divided into five sections and a checklist for recording glycemic control were used for data collection. The data analysis involves the use of Statistical Package for Social Sciences (SPSS) version 23. Results were presented as frequencies, mean and standard deviation, and regression analysis. The findings from the study revealed that 112 (67.1%) of the women had normal glycemic status while 55 (32.9%) had high status. Furthermore, it revealed a significant negative correlation between educational qualification and glycemic control (r = -.161, p= 0.049). The study revealed a slight significant correlation between diet and glycemic control (r = -.148, p=0.052). Other practices did not share a significant correlation with glycemic control. The study concluded that an appreciable percentage of the respondents had high glycemic control status, education and diet had a significant partial correlation with glycemic control. Most of the women had good practice of diet, exercise, medication, and self-monitoring of blood glucose as shown in their health records. However, a sharp contrast exists between their record of glycemic control, which was good, and the current level, which revealed no significant correlations between self-management practices and glycemic control. Hence, the need for more patient education on self-management practices.

References:

[1] Witkowski A, et al. (2011). Effects of renal sympathetic denervation on blood pressure, sleep apnea course, and glycemic control in patients with resistant hypertension and sleep apnea. Hypertension; 58:559–65.

[2] Al-Goblan, A. S., Al-Alfi, M. A., & Khan, M. Z. (2014). Mechanism linking diabetes mellitus and obesity. Diabetes Metab Syndrome.

[3] World Health Organization (WHO) (2018). World health statistics 2017: Monitoring health World Health Day (2016). Beat Diabetes. Global Report on Diabetes. License: CC BY-NC-SA 3.0 IGO.https://www.who.int/about/who-weare/publishing-policies/copyright.

[4] Ayesha, O. (2015). Reproductive knowledge and use of contraception among women with diabetes. South African Med J .9.

[5] Kisokanth, G., Prathapan, S., Indrakumar, J., & Joseph, (2013). “Factors influencing self-management of diabetes mellitus; a review article” journal of diabetology 3, (1). Vol-3 Pg. 6.

[6] Rasaki O. S, Kasali, F. O, Biliaminu, S. A, Louis, O. O, Abdullateef, G. S. & Yusuf, M. (2017). Prevalence of diabetes and pre-diabetes in Oke-Ogun region of Oyo State, Nigeria. Journal of medical research and Health Edu.

[7] Oluyombo, R., Ayodele, P. O., Akinwusi, O. O., Okunola, A., Arogundade, F. A., Sanusi, A. A. & Onayade A. (2013). A Community Study of the Prevalence, Risk Factors, and Pattern of chronic kidney disease in Osun State, southwest Nigeria. West African journal of medicine.2013;32(2):85-92.

[8] Center for Disease Control and Prevention, National Diabetes Statistics Report, 2014 & 2015 (US Department of Health and Human Services, Center for Disease Control and Prevention, Atlanta, 2014).

[9] De-Graft, A. A., Owusu-Dabo, E., Agyemang, C. (2013) Diabetes in Ghana: a review of research on prevalence, experiences, and healthcare. Available from https://www.researchgate.net/

[10] Stuckey, H. L., Mullan-Jensen, C. B., & Reach, G. (2014) personal accounts of the negative and adaptive psychosocial experiences of people with diabetes in the second Diabetes Attitudes, Wishes and Needs (DAWN2) study. Diabetes Care; 37, 2466–74. type 2 diabetes mellitus: present and future perspectives. Nature reviews.

[11] Gurmu, Y., Gela, & Aga, (2018) Factors associated with self-care practice among adult diabetes patients in West Shoa Zone, Oromia Regional State, Ethiopia BMC Health Serv Res. 18, 732 (2018). https://doi.org/10.1186/s12913-018-3448-4.

[12] Tennant, P. W., Bilous, R. W., Prathapan, S., & Bell, R. (2105). Risk and recurrence of serious adverse outcomes in the first and second pregnancies of women with preexisting diabetes.” Diabetes Care. 38, 610–619.

[13] Yekta, Z., Pourali, R., Aghassi, M. R., Ashragh, Ravanyar, L., & Rahim, M. Y. (2015). “Assessment
of self-care practice and its associated factors among diabetic patients in Urban are of Urmia, Northwest of Iran” Journal of Research in Health Science 11, 1-4.