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Volume 9
Issue 5
Online publication date 2011-11-05
Title Control of glycosylated haemoglobin (HbA1c) among type 2 diabetes mellitus patients attending an urban health clinic in Malaysia
Author Hasimah Ismail, Muhamad Hanafiah, Siti Saa’diah, Salmiah MS, Tahir A., Huda Z., Mohd Yunus
Abstract Diabetes  mellitus  is  a  public  health  problem  and  has  become  a  concern  to  all  levels  of  society.  In  Malaysia,  the  prevalence  of  diabetes  mellitus  had  increased,  from  about  0.65%  in  early  1960s  to  2 – 4%  in  1980s  and  14%  in  early  21st   century.  Studies  had  showed that  glucose  control  is  effective  in  preventing  complications  from  diabetes  mellitus.  Level of  glycosylated  hemoglobin  (HbA1c)  is  an  accepted  indicator  of  glycaemic  control.  A cross- sectional  study  was  carried  out  to  determine  the  level  of  control  of  HbA1c  among 307  type  2  diabetes  mellitus  patients  attending  the  health  clinic  in  Bandar  Tun  Razak, Kuala  Lumpur  using  validated  structured  questionnaires,  while secondary  data  were obtained  from  patients’  medical  reports.  Response  rate  for  this  study  was 89%.  Majority of  type  2  diabetes  mellitus  patients  attending  the  health  clinic  in  Bandar  Tun  Razak  were  Malays  (79.5%),  women  (61.9%)  and  married  (77.2%),  and  with  secondary  education  (49.5%).  The  mean  age  of  respondents  was  56.9 ± 9.5  years,  median  Body  Mass  Index (BMI)  was  28.5  (IQR: 6.0)  and  median  HbA1c  was  7.4%  (IQR: 2.7).  About  three  quarter  of  the  type  2  diabetes  mellitus  patients  studied  had  poor  controlled  level  of HbA1c  (≥6.5%).  Age  (p=0.047),  blood  pressure  (systolic  blood  pressure  p=0.049,  and  diastolic  blood  pressure p=0.011)  and  low  density  lipid  level  (p=0.039)  had  significant  relationship  with  the  level  of  HbA1c.  Other  risk  factors  studied  had  no  significant  relationship  with  the  level  of  HbA1c.  The  study  concluded  that,  there  was  poor  glycaemic  control  among  type  2  diabetes  mellitus  studied,  this  exposed  them  to  complications  of  diabetes  mellitus.  It  is  recommended  that  health  education  activities,  counselling  and  prevention  activities  are  intensified  and  targeted  to  this  group  of  patients.  
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Keywords Glycosylated hemoglobin (HbA1c), type 2 diabetes mellitus, urban health clinic, Malaysia
Pages 58-65
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