Healthcare seeking behavior and glycemic control in patients with type 2 diabetes attending a tertiary hospital
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ORIGINAL ARTICLE
Healthcare seeking behavior and glycemic control in patients with type 2 diabetes attending a tertiary hospital Sheikh Mohammed Shariful Islam 1,2,3,4 & Riaz Uddin 1 & Sojib Bin Zaman 5 & Tuhin Biswas 4 & Tania Tansi 6 & Zahra Chegini 7 & Mohammad Ali Moni 8 & Louis Niessen 4,9,10 & Aliya Naheed 4 & for the MPID Trial Investigators Received: 9 May 2020 / Accepted: 25 September 2020 # Research Society for Study of Diabetes in India 2020
Abstract Purpose To assess the relationship between healthcare seeking behaviors and glycemic control in patients with type 2 diabetes. Methods A secondary data analysis was conducted among patients with type 2 diabetes from a randomized controlled trial conducted in a tertiary hospital, Bangladesh. Data on health center use, healthcare providers visited, self-monitoring of blood glucose, blood pressure, foot care, and physical activity were collected through structured questionnaires. Uncontrolled diabetes was defined as HbA1c ≥ 7%. Multivariable logistic regression models were performed. Result Of the 265 patients (mean age 50.3 ± 9.9 years; 49.8% females), the majority (71.3%) had uncontrolled diabetes. More than one-third (34.9%) of the participants did not visit their physician or a healthcare center during the previous 3-months. Only 12.4% of participants checked their blood glucose, and 35.8% checked their blood pressure during the last week. Participants who did not visit a physician or a healthcare center during the past 3 months had twice the odds of having uncontrolled diabetes, compared with those who visited during the same period [OR 2.12, 95% CI (1.02–5.14), p = 0.04]. Conclusion Regular consultation with a physician or visiting a healthcare center might help to improve glycemic control in patients with type 2 diabetes in Bangladesh. Keywords Healthcare seeking behavior . Type 2 diabetes . Blood pressure . Self-management . Healthcare provider . Bangladesh
Introduction Non-communicable diseases, including diabetes, cardiovascular diseases, chronic respiratory diseases, and cancers, are significant health burden globally causing 41.1 million deaths in 2017 [1], and affecting millions of people in low- and * Sheikh Mohammed Shariful Islam [email protected] 1
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middle-income countries (LMICs) [1, 2]. The International Diabetes Federation estimated that in 2019, there were 463 million adults with diabetes globally, which is projected to rise to 700 million by 2045 [3]. In 2019, an estimated 4.2 million global deaths were due to diabetes and related complications [3]. Diabetes is a costly condition with direct and 5
Maternal and Child Health Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh
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Bangladesh College of Home Economics, University of Dhaka, Dhaka, Bangladesh
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Cardiovascular Division, The George Institute for Global Health, University of Sydney, Sydney, Australia
Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz U
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