Determinants of Glycemic Control Among Patients with T2Dm in Saudi Arabia: a Systemic Review and Meta-Analysis of Prevalence

Title

Determinants of Glycemic Control Among Patients with T2Dm in Saudi Arabia: a Systemic Review and Meta-Analysis of Prevalence

College

College of Health Sciences

Program

Ph.D. Health Services Research

Publication Date

3-28-2019

Abstract

Aims: Despite the increased prevalence of diabetes in Saudi Arabia, individuals with T2DM had lack management of the blood glucose which contribute to the economy and well-being; therefore, it was deemed important to address the prevalence and evaluate personal, psychological, and behavioral risk factors related to poor glycemic control among T2DM patients in SA. Methods: Meta-analysis of prevalence and systematic review was conducted following PRISMA flowchart, and scrutinized peer-reviewed articles retrieved from Scopus, PubMed, PsycINFO, Web of Science, and CINAHL Plus databases. The included articles were assessed using modified STROBE tool, and random effects model used for the meta-analysis. Results: 19 articles were included of which 3 retrospective cohort, 1 case-control, and 15 cross-sectional. The quality of the studies was 3 high, 7 moderate, and 9 low. The pooled prevalence of uncontrolled T2DM, ≥ 7% (53 mmol/mol), was 77.7% and mean (SD) age was 54.2 (11.1). The most examined factors were age, gender, treatment modality, education, diabetes duration BMI, physical activity and diet. The most studied factors established association with HbA1c were diet, diabetes duration, and treatment modality while the least was age, gender and education. Conclusions: Variation was evident among the studies due to the differences in the methodology. The overall quality of the studies was relatively weak, and the findings had limited generalizability. Further studies are needed to address the psychological and behavioral factors with emphasis on a theoretical foundation. Collaboration between the government and healthcare providers is necessary to effectively lessen the burden of diabetes.

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Determinants of Glycemic Control Among Patients with T2Dm in Saudi Arabia: a Systemic Review and Meta-Analysis of Prevalence


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