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Journal of Diabetes Research
Volume 2016, Article ID 7934654, 9 pages
http://dx.doi.org/10.1155/2016/7934654
Research Article

Glycaemic Control and Associated Self-Management Behaviours in Diabetic Outpatients: A Hospital Based Observation Study in Lusaka, Zambia

1Department of Physiological Sciences, School of Medicine, University of Zambia, Ridgeway Campus, P.O. Box 50110, 10101 Lusaka, Zambia
2Department of Public Health, Section for Epidemiology and Biostatistics, School of Medicine, University of Zambia, Ridgeway Campus, P.O. Box 50110, 10101 Lusaka, Zambia

Received 8 June 2015; Revised 4 September 2015; Accepted 9 September 2015

Academic Editor: Andrea Tura

Copyright © 2016 Emmanuel Mwila Musenge et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. The control of diabetes mellitus depends on several factors that also include individual lifestyles. We assessed glycaemic control status and self-management behaviours that may influence glycaemic control among diabetic outpatients. Methods. This cross-sectional study among 198 consenting randomly selected patients was conducted at the University Teaching Hospital diabetic clinic between September and December 2013 in Lusaka, Zambia. A structured interview schedule was used to collect data on demographic characteristics, self-management behaviours, and laboratory measurements. Binary logistic regression analysis using IBM SPSS for Windows version 20.0 was carried out to predict behaviours that were associated with glycaemic control status. Results. The proportion of patients that had good glycaemic control status ( 48 mmol/mol) was 38.7% compared to 61.3% that had poor glycaemic control status ( 49 mmol/mol). Adherence to antidiabetic treatment and fasting plasma glucose predicted glycaemic control status of the patients. However, self-blood glucose monitoring, self-blood glucose monitoring means and exercise did not predict glycaemic control status of the patients.  Conclusion. We find evidence of poor glycaemic control status among most diabetic patients suggesting that health promotion messages need to take into account both individual and community factors to promote behaviours likely to reduce nonadherence.