Glycaemic Control among Type 2 Diabetes Mellitus Patient Attending the Out Patient’s Clinic at Parirenyatwa Hospital in Zimbabwe

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DOI: 10.21522/TIJPH.2013.07.01.Art016

Authors : Pasipanodya Ian Machingura, Robson Dembah, Memory Mushava, Heather Phillipo, Witmore Bayayi Mujaji


Type 2 diabetes mellitus is the most common type of diabetes mellitus accounting for approximately 90% of all cases. Many diabetes mellitus patients experience difficulties following their treatment regimen causing low number of patients achieving glycaemic control target. Failure to achieve glycaemic control is associated with the development of complications. This study sought to determine the prevalence of poor glycaemic control and identify factors associated with glycaemic control among type 2 diabetes mellitus patient attending an out patient’s clinic.

All type 2 diabetic patients aged 18 years and above attending the Parirenyatwa out patient’s diabetic clinic during the study period who consented to participate in the study were consecutively enrolled. A questionnaire was administered, the patients’ weight and height were measured. A blood sample was collected for glycosylated haemoglobin analysis using the enzymatic method.

A total of 180 type 2 diabetic patients were enrolled into the study of whom 69.4% were female. The median age was 60.0 years, median duration of disease was 6.0 years, median body mass index was 26.0 kg/m2 and median glycosylated haemoglobin was 7.4. Poor glycaemic control was diagnosed in 60.9% of the patients. Gender (p value 0.016), duration (p value ˂0.001) and physical activity (p value 0.007) were significantly associated with glycaemic control.

The majority of the type 2 diabetic patients had poor glycaemic control. There is need of coming up with strategies to improve glycaemic control in type 2 diabetic patients attending the out patient’s clinic. Gender, duration and physical activity were associated with glycaemic control.

Keywords: Diabetes mellitus, type 2 diabetes mellitus, glycaemic control.


[1].Adeniyi, Oladele Vincent, Parimalaranie Yogeswaran, Benjamin Longo-Mbenza, Daniel Ter Goon, and Anthony Idowu Ajayi. 2016. “Cross-Sectional Study of Patients with Type 2 Diabetes in OR Tambo District, South Africa.” BMJ Open 6 (7): e010875.

[2].Al-Akour, N.A., Y.S Khader, and A.M. Alaoui. 2011. “Glycemic Control and Its Determinants among Patients with Type 2 Diabetes Mellitus Attending a Teaching Hospital.” Journal of Diabetes & Metabolism 02 (04).

[3].American Diabetes Association. 2017. “American Diabetes Association Standards of Medical Care in Diabetes 2017.” Diabetes Care 40 (1): S1–135.

[4].Ashur, Sana Taher, Shamsul Azhar Shah, Soad Bosseri, Tong Seng Fah, and Khadijah Shamsuddin. 2016. “Glycaemic Control Status among Type 2 Diabetic Patients and the Role of Their Diabetes Coping Behaviours: A Clinic-Based Study in Tripoli, Libya.” Libyan Journal of Medicine 11 (1): 31086.

[5].Blonde, Lawrence, Pablo Aschner, Clifford Bailey, Linong Ji, Lawrence A. Leiter, Stephan Matthaei, and Global Partnership for Effective Diabetes Management. 2017. “Gaps and Barriers in the Control of Blood Glucose in People with Type 2 Diabetes.” Diabetes and Vascular Disease Research 14 (3): 172–183.

[6].Chako, Kurai Z., Heather Phillipo, Erisi Mafuratidze, and Danai Tavonga Zhou. 2014. “Significant Differences in the Prevalence of Elevated HbA1c Levels for Type I and Type II Diabetics Attending the Parirenyatwa Diabetic Clinic in Harare, Zimbabwe.” Chinese Journal of Biology 2014: 1–5.

[7].International Diabetes Federation. 2017. “International Diabetes Federation Diabetes Atlas.”

[8].Kassahun, Tefera, Tesfahun Eshetie, and Hailay Gesesew. 2016. “Factors Associated with Glycemic Control among Adult Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Survey in Ethiopia.” BMC Research Notes 9 (1).

[9].Kautzky-Willer, A., L. Kosi, J. Lin, and R. Mihaljevic. 2015. “Gender-Based Differences in Glycaemic Control and Hypoglycaemia Prevalence in Patients with Type 2 Diabetes: Results from Patient-Level Pooled Data of Six Randomized Controlled Trials.” Diabetes, Obesity and Metabolism 17 (6): 533–40.

[10]. Khattab, Maysaa, Yousef S. Khader, Abdelkarim Al-Khawaldeh, and Kamel Ajlouni. 2010. “Factors Associated with Poor Glycemic Control among Patients with Type 2 Diabetes.” Journal of Diabetes and Its Complications 24 (2): 84–89.

[11]. Mata-Cases, Manel, Josep Franch-Nadal, Jordi Real, and Dídac Mauricio. 2016. “Glycaemic Control and Antidiabetic Treatment Trends in Primary Care Centres in Patients with Type 2 Diabetes Mellitus during 2007–2013 in Catalonia: A Population-Based Study.” BMJ Open 6 (10): e012463.

[12]. Ministry of Health and Child Welfare Republic of Zimbabwe. 2013. “6th Essential Medicines List and Standard Treatment Guidelines for Zimbabwe.” The National Medicine and Therapeutics Policy Advisory Committee, Ministry of Health and Child Welfare.

[13]. Musenge, Emmanuel Mwila, Alexey Manankov, Boyd Mudenda, and Charles Michelo. 2014. “Glycaemic Control in Diabetic Patients in Zambia.” Pan African Medical Journal 19.

[14]. Ngoyo, J.N., S Karanja, E Njenga, and L Muthami. 2016. “Factors Associated with Glycemic Control among Type 2 Diabetes Patients Attending Mathari National Teaching Hospital, Nairobi Kenya.” Journal of Endocrinology and Diabetes 3 (6): 1–11.

[15]. Odume, Bethrand Brian, Onyebuchi Stephanie Ofoegbu, Elias Chike Aniwada, and Emeka Franklin Okechukwu. 2015. “The Influence of Family Characteristics on Glycaemic Control among Adult Patients with Type 2 Diabetes Mellitus Attending the General Outpatient Clinic, National Hospital, Abuja, Nigeria.” South African Family Practice 57 (6): 347–52.

[16]. Pérez, A, J.J. Mediavilla, I Miñambres, and D González-Segura. 2014. “Glycemic Control in Patients with Type 2 Diabetes Mellitus in Spain.” Rev Clin Esp 214: 429–36.

[17]. Ufuoma, Chukwuani, YovwinD Godwin, ADigban Kester, and JChukwuebuni Ngozi. 2016. “Determinants of Glycemic Control among Persons with Type 2 Diabetes Mellitus in Niger Delta.” Sahel Medical Journal 19 (4): 190.

[18]. Verma, Meena, Sangeeta Paneri, Preetha Badi, and P. G. Raman. 2006. “Effect of Increasing Duration of Diabetes Mellitus Type 2 on Glycated Hemoglobin and Insulin Sensitivity.” Indian Journal of Clinical Biochemistry 21 (1): 142.

[19]. Viana, Luciana V., Cristiane B. Leitão, Caroline K. Kramer, Alessandra TN Zucatti, Deborah L. Jezini, João Felício, Ana B. Valverde, Antonio R. Chacra, Mirela J. Azevedo, and Jorge L. Gross. 2013. “Poor Glycaemic Control in Brazilian Patients with Type 2 Diabetes Attending the Public Healthcare System: A Cross-Sectional Study.” BMJ Open 3 (9): e003336.