Impact of adherence to lifestyle factors on glycemic control among individuals with type 2 diabetes
Journal Title: National Journal of Research in Community Medicine - Year 2017, Vol 6, Issue 0
Abstract
Background: Diabetes is one among the non communicable diseases which is an upcoming public health problem in India. Due to its chronic nature, the disease leads to complications which are life threatening and also affects the quality of life of the patients. Objectives: To evaluate compliance to lifestyle management among type 2 diabetes patients and To study the effect of lifestyle management on glycemic control. Methodology: A hospital based cross sectional study was done in a tertiary care teaching hospital. The study involved 600 type 2 diabetes patients who were on treatment for diabetes, attending the outpatient department of the hospital. The study participants were interviewed using a semi structured interview schedule to obtain information on duration of diabetes, awareness and practice of pharmacological and non pharmacological treatment for diabetes, complication of diabetes. Fasting and postprandial blood sugar levels were measured. The data was entered and analyzed using IBM SPSS version 20.0 and presented in the form of mean and percentages. Chi-square test, binary logistic regression were used to find the association between parameters assessed and glycemic control. Results: Among the diabetic patients, 50.7% were males and mean age was 52.19±11.08 years. Mean duration of the diabetes was 7.3±3.2 years. About 50% of the patients were overweight, 29% were obese and 21% had normal BMI values. Glycemic control was unsatisfactory for 50% of the patients using fasting blood glucose (>125mg/dl) and 44% using 2 hour postprandial blood glucose levels (180mg/dl). With bivariate analysis young age, regular physical activity, non alcoholic and compliance to pharmacological treatment had significantly low blood glucose level. Conclusion: Along with pharmacological treatment, adherence to healthy behavioral factors should be emphasized to achieve better glycemic control among diabetics.
Authors and Affiliations
Hemalatha K, Karthikeyan K, Kavitha G, Jayachandran N
Keywords
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