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Sasi ST, Kodali M, Burra KC, et al. Self Care Activities, Diabetic Distress and other Factors which Affected the Glycaemic Control in a Tertiary Care Teaching Hospital in South India. J Clin Diagn Res. 2013;7(5):857-60doi: 10.7860/JCDR/2013/5726.2958.
Sasi, S. T., Kodali, M., Burra, K. C., Muppala, B. S., Gutta, P., & Bethanbhatla, M. K. (2013). Self Care Activities, Diabetic Distress and other Factors which Affected the Glycaemic Control in a Tertiary Care Teaching Hospital in South India. Journal of clinical and diagnostic research : JCDR, 7(5), 857-60. https://doi.org/10.7860/JCDR/2013/5726.2958
Sasi, Sekhar Tvd, et al. "Self Care Activities, Diabetic Distress and other Factors which Affected the Glycaemic Control in a Tertiary Care Teaching Hospital in South India." Journal of clinical and diagnostic research : JCDR vol. 7,5 (2013): 857-60. doi: https://doi.org/10.7860/JCDR/2013/5726.2958
Sasi ST, Kodali M, Burra KC, Muppala BS, Gutta P, Bethanbhatla MK. Self Care Activities, Diabetic Distress and other Factors which Affected the Glycaemic Control in a Tertiary Care Teaching Hospital in South India. J Clin Diagn Res. 2013 May;7(5):857-60. doi: 10.7860/JCDR/2013/5726.2958. Epub 2013 Mar 22. PMID: 23814728; PMCID: PMC3681055.
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J Clin Diagn Res. 2013 May;7(5):857-60. doi: 10.7860/JCDR/2013/5726.2958. Epub 2013 Mar 22.

Self Care Activities, Diabetic Distress and other Factors which Affected the Glycaemic Control in a Tertiary Care Teaching Hospital in South India.

Journal of clinical and diagnostic research : JCDR

Sekhar Tvd Sasi, Madhavi Kodali, Kalyan Chakravarthy Burra, Baby Shalini Muppala, Parvathi Gutta, Murali Krishna Bethanbhatla

Affiliations

  1. Associate Professor, Department of General Medicine.

PMID: 23814728 PMCID: PMC3681055 DOI: 10.7860/JCDR/2013/5726.2958

Abstract

BACKGROUND: Interventions which were made to promote a better self-management have produced improvements in the glycaemic control in patients with Diabetes mellitus. An improved glycaemic control is known to prevent the long term complications.

METHOD: This study was conducted at the Dr. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, which is a rural tertiary health care centre. 546 patients were included in our study and they were assessed for the glycaemic control (HbA1c), diabetes distress (DDs), and self care activities.

RESULTS: Of the total 546 patients, 49% had a poor glycaemic control, as was indicated by HbA1c levels of >7%. The factors which are significantly associated with a poor glycaemic control are age (p=0.03 ), sex (p= 0.0415), literacy (p=0.0422), duration of the disease (p=0.0006), diabetic distress (p=0.0001) and self care activities like diet ( p=0.0001), medication (p=0.0001) and exercise (p=0.0001), whereas there was no significant effect of the BM I (p=0.094) on the glycaemic control.

CONCLUSION: This study revealed the factors that could predict the glycaemic control in the diabetic patients who attended our tertiary care teaching hospital. The barriers that prevent these patients from meeting their goals must be explored, to improve their health outcomes.

Keywords: Diabetes; Glycaemic control; HbA1c

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