Abstract:

Background information: Diabetes Mellitus (DM) is a chronic disease that is characterized by hyperglycaemia which is a common effect of uncontrolled diabetes and over time leads to serious damage to many of the body's systems, especially the nerves and blood vessels. Appropriate glycaemic control and management is fundamental to prevent and delay diabetes complications. Thus, this study aims to assess glycaemic control and diabetes complications among DM patients.

Methodology: A cross sectional retrospective study was conducted among DM patients attending at BMC from 4th April 2023 to 30th April 2023 and STATA 15 was used for data analysis.

Results: Out of 324 patients, 66.4% had poor glycaemic control with HbA1c or RBG greater than 7% or 7mmol/L respectively. Older age, duration of DM of more than 10 years, insulin therapy and those unaware of glycaemic target goals were factors associated with poor glycaemic control. (AOR: 2.46, 95% CI: 1.28-6.01, P=0.03), (AOR: 3.15, 95% CI: 2.22-6.55, P=0.016), (AOR: 3.07, 95% CI: 2.10- 6.12, P=0.022) and (AOR: 3.42, 95% CI: 2.17-5.97, P=0.001), respectively. Neurological complications were more common 57.8% compared to other diabetic complications.

Conclusion: A higher proportion of DM patients failed to achieve good glycaemic control and about two-fifth had diabetic complications. Thus appropriate interventions are necessary to improve glycaemic control and prevent or control complications among DM patients.