The challenge of proper glycaemic control among patients with type 2 diabetes in Bangladesh

Abstract

Introduction: Despite the numerous advances achieved in diabetes control and evaluation, the management of this complex disease remains challenging. This study was conducted with the aim of determining the level of glycaemic control among adult patients with type 2 Diabetes mellitus. Method: The cross-sectional study was conducted in the diabetes care centers of the outpatient departments in Bangladesh. Adult patients with at least 2 years documented history of type 2 diabetes mellitus (T2DM) were recruited and data regarding the demographics, treatment they received and the level of glycaemic control was assessed. Result: A total of 5140 diabetic patients fulfilling the inclusions criteria were recruited for the study. 9.90% of the patients were below 40 years of age and the majority (64.05%) of the respondents were from urban communities. Based on HbA1c levels, only 18.8% of the patients had good glycaemic control. Gender, educational level and the income seem to have a relationship with the level of glycaemic control. Conclusion: Despite the medical advances in the management of diabetes, the glycaemic control of the majority (81.2%) of the T2DM patients are still very poor.

Keywords

• type 2 diabetes, glycaemic control, bangladesh