1Faculty of Health Sciences, University of Buea
CaHReF 2018, Yaoundé Congres hall, 08 – 11 January 2019 , OAU047
Background: Optimal diabetes control is associated with decreased diabetes-related death. In this regard, treatment goals have been set up as a measure to evaluate the quality of care and management of diabetes to curb the complications which are a significant contributor to diabetes-related death.
Objectif: This study evaluated the achievement of treatment goals and factors associated with it in outpatients with type 2 diabetes mellitus followed up in these hospitals
Methodology: A cross-sectional study from January to March 2018 at the outpatient diabetic clinics of the Buea and Limbe Regional hospitals. We included all type 2 diabetes patients with a minimum of twelve months follow-up. Structured questionnaires were administered and the Modified Morisky's Medication Adherence eight-item score was used to assess adherence to anti-diabetic drugs. Physical examination, blood pressure measurements and laboratory analysis for cholesterol and glycated haemoglobin followed. Data were analysed using the Statistical Package for Software Sciences version 22.0.
Results: 187 participants with a mean age of 57.9 ± 11.9, the median duration of diabetes was five years. 69.9 % used oral anti-diabetics, 3.8 % insulin only, and 26.3 %, both oral anti-diabetics and insulin. Also, 43.3 % were on anti-hypertensives, and 3.2 % were receiving statins. Thirteen percent of participants achieved the three goals with 46.5 % having good glycaemic control, 44.6 % good blood pressure control, and 51.9 % good lipid control. However, 18.2 % achieved none of the goals. Those with a longer duration of diabetes were ten times less likely to meet the three goals (OR=
Conclusion/Recommandation: Achievement of combined diabetes goals and adherence to anti-diabetic medication was suboptimal. Duration of diabetes was a determinant of optimal control while adherence to anti-diabetic medication was not. Therefore, adherence to anti-diabetic drugs alone would be insufficient for the achievement of goals. A multifaceted care plan should be used to achieve optimal diabetes control.
KEY WORDS: Achievement, goals, determinants, type 2 diabetes.