Socioedemographic determinants of glycaemic control in young diabetic patients in peninsular Malaysia

Ismail, I.S. and Nazaimoon, W.M.W. and Mohamad, W.B.W. and Letchuman, R. and Singaraveloo, M. and Pendek, R. and Faridah, I. and Rasat, R. and Sheriff, I.H. and Khalid, B.A.K. (2000) Socioedemographic determinants of glycaemic control in young diabetic patients in peninsular Malaysia. Diabetes Research and Clinical Practice, 47 (1). pp. 57-69. ISSN 0168-8227

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Abstract

Recent studies have shown that good glycaemic control can prevent the development of diabetic complications in type 1 and type 2 diabetes. We wished to observe the glycaemic control in patients from different centres in Peninsular Malaysia and the factors that determine it. We recruited 926 patients with diabetes diagnosed before age 40 years from seven different centres, with proportionate representation from the three main ethnic groups. Clinical history and physical examination were done and blood taken for HbA(1c) and fasting glucose. The overall glycaemic control was poor with geometric mean HbA(1c) of 8.6 whilst 61.1 of the patients had HbA(1c) greater than 8. Glycaemic control in patients with type 2 diabetes varied between various centres and ethnic groups, with the best control obtained in Chinese patients. Significant predictors of HbA(1c) in both type 1 and type 2 diabetes include access to nurse educators, ethnic background and WHR. In type 2 diabetes, use of insulin was a significant predictor, while in type 1 diabetes, household income was a significant predictor. Socioeconomic status did not have a significant effect in type 2 diabetes. There were no significant differences in the glycaemic control in patients with different educational status. In conclusion, glycaemic control in big hospitals in Malaysia was poor, and was closely related to the availability of diabetes care facilities and ethnic group, rather than socioeconomic status. (C) 2000 Elsevier Science Ireland Ltd. All rights reserved.

Item Type: Article
Additional Information: Times Cited: 17 Ismail, IS Nazaimoon, WMW Mohamad, WBW Letchuman, R Singaraveloo, M Pendek, R Faridah, I Rasat, R Sheriff, IH Khalid, BAK
Uncontrolled Keywords: Diabetic control; Socioeconomic factors; Diabetes care facilities; Malaysia
Subjects: R Medicine
Divisions: Faculty of Medicine
Depositing User: Ms Haslinda Lahuddin
Date Deposited: 12 Jul 2013 01:49
Last Modified: 20 Oct 2014 06:11
URI: http://eprints.um.edu.my/id/eprint/7231

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