Determinants of Glycemic Control in Type 2 Diabetes Patients at Kenyatta National Hospital Diabetes Outpatient Clinic Master in Public Health, University of Nairobi

Abstract

Background of the study: Type II Diabetes Mellitus is globally with roughly 80% of those affected being found in developing countries. Glycemic control is the main forecaster of diabetes-related complications, morbidity and mortality. Poor glycaemic control is associated with disastrous complications such as foot complications, renal and heart failure, which are expensive to treat and lead to poor quality of life. There is a paucity of literature in the characterization of determinants of poor glycemic control in Kenya. Objective: The primary objective of this study was to establish determinants of glycemic control among Type II diabetic patients attending the Kenyatta national hospital outpatient clinic. Methodology: This was a hospital-based analytic cross-sectional survey design done at the Kenyatta National Hospital diabetes outpatient clinic. The study population was patients diagnosed with Type II diabetes mellitus and seeking treatment at the diabetic clinic. The sample size was 308 participants. Systematic random sampling method was used to select 308 participants. Data was collected using three tools, that is the questionnaire, observation guide, and physical measurements tool. Data from the research tool was entered into the statistical package for social sciences version 25 (SPSS) data editor, cleaned and analyzed. Descriptive statistics, frequency distribution tables and graphs have been used to present the data. The Pearson chi-squared test for independence was used to test the significance of the relationship between variables. Variables found significant at p-value <0.05 analysis. Statistical significance was placed at p< 0.05. Multivariate analysis was used to evaluate the association between predictor variables and glycemic control.