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Diabetes knowledge and glycemic control among patients with type 2 diabetes in Bangladesh

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Islam, Sheikh Mohammed Shariful, Niessen, Louis ORCID: https://orcid.org/0000-0002-8639-5191, Seissler, Jochen, Ferrari, Uta, Biswas, Tuhin, Islam, Anwar and Lechner, Andreas (2015) 'Diabetes knowledge and glycemic control among patients with type 2 diabetes in Bangladesh'. SpringerPlus, Vol 4, Issue 284.

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Abstract

Aims
To explore the association between knowledge on diabetes and glycemic control among patients with type 2 diabetes in Bangladesh.

Methods
A cross-sectional study was conducted among 515 patients with type 2 diabetes attending a tertiary hospital in Dhaka, Bangladesh. Trained interviewers were used to collect data on socioeconomic status, time since the onset of diabetes, co-morbidities, anthropometric measurements, blood tests, knowledge and perceptions about the causes, management, and complications of diabetes through face to face interviewers based on a structured questionnaire. Diabetes knowledge was reported using a composite score. Chi square tests and correlation analysis were performed to measure the association between knowledge on diabetes and glycemic control.

Results
Overall, 45.6% participants had good, 37.7% moderate and 16.7% poor knowledge on diabetes. The mean composite score was 0.75 ± 0.28 and the proportion of participants with a score of ≤50% was 16.7%. Only 24.3% participants identified physical inactivity as a risk factor for diabetes. Knowledge on diabetes was significantly associated with education, gender, monthly income, duration of diabetes, body mass index, family history of diabetes, and marital status but not with glycated hemoglobin (HbA1c). Correlation matrix showed weak negative association between diabetes knowledge score and glycemic control (p < 0.001).

Conclusion
Patients with type 2 diabetes in Bangladesh have limited knowledge on the causes, management and risk factors for diabetes, despite receiving professional health education and care in a tertiary diabetic hospital. Strategies to improve the quality of diabetes education and identifying other potential factors for glycemic control are important for ensuring optimum management of diabetes in Bangladesh.

Item Type: Article
Subjects: WA Public Health > WA 30 Socioeconomic factors in public health (General)
WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries
WK Endocrine System > WK 810 Diabetes mellitus
WK Endocrine System > WK 815 Therapy
Faculty: Department: Clinical Sciences & International Health > Clinical Sciences Department
Digital Object Identifer (DOI): https://doi.org/10.1186/s40064-015-1103-7
Depositing User: Jessica Jones
Date Deposited: 19 Jan 2016 09:19
Last Modified: 30 Aug 2019 17:25
URI: https://archive.lstmed.ac.uk/id/eprint/5512

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