Determinants of glycemic control in female diabetic patients: a study from Iran.
BACKGROUND
Since microvascular and macrovascular complications are reduced through strict glycemic control, this study carried out to identify the factors that affect glycemic control.


METHODS
A cross-sectional design was carried out to examine the role of demographic, anthropometric, clinical and other relevant characteristics in a sample of 103 female diabetic patients in Tehran, Iran. Personal interviews were conducted to collect data. Then blood sampling collected and the patients were divided into two outcome groups (controlled and uncontrolled diabetes). The groups were compared on the basis of their characteristics using both univariate and multivariate analyses.


RESULTS
In all 103 patients were entered into the study. The mean age of patients was 46.38 (SD = 11.42) years. Overall, the mean value of HbA1c for the whole sample was 7.5 (SD = 2.35) and 56.3% had HbA1c > or = 7%. The findings obtained from univariate analysis revealed that there were no significant differences between controlled and uncontrolled patients. However, in multivariate analysis the waist circumference was found to be a significant predictor of increased level of HbA1c (OR = 1.04, 95% CI = 1-1.08, P = 0.04).


CONCLUSIONS
The findings suggest that increased level of HbA1c is associated with waist circumference that is a modifiable factor. It seems that physical activity might be a solution to overcome this health problem. A larger study to identify other factors also is recommended.
Ghazanfari
Zeinab
Z
Department of Health Education, Tarbiat Modares University, Tehran, Iran.
Niknami
Shamsaddin
S
Ghofranipour
Fazlollah
F
Larijani
Bagher
B
Agha-Alinejad
Hamid
H
Montazeri
Ali
A
D000328:Adult; D000554:Ambulatory Care Facilities; D000886:Anthropometry; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D003710:Demography; D003920:Diabetes Mellitus / Q000188:drug therapy / Q000628:therapy*; D003925:Diabetic Angiopathies / Q000517:prevention & control; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis*; D006801:Humans; D006943:Hyperglycemia / Q000097:blood / Q000453:epidemiology* / Q000517:prevention & control*; D007492:Iran / Q000453:epidemiology; D008875:Middle Aged; D016896:Treatment Outcome; D055105:Waist Circumference
D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human