Prevalence and Predictors of Glycemic Control in Hospitalized Patients with Diabetes

Abstract

Objective: To assess the level of glycemic control among type 2 diabetic patients and to evaluate the factors
associated with glycemic control in hospitalized patients.
Method: The current prospective study included type 2 diabetes patients who were admitted into cardiology
and medical wards in King Abdulaziz Medical City in Riyadh from October 2016-February 2017 for at
least 3 days and followed for a maximum of 10 days or until discharge. Patients were classified into good
glycemic control (average FBG<140mg/dl), or poor glycemic control (average FBG>140mg/dl). Data
on demographic and clinical factors were gathered. Predictors of glycemic control were identified using
multivariate logistic regression.
Result: A total of 158 patients were included. Average ± SD age was 69.2 ± 11.4 years, with 54% females
and average ± SD HbA1C was 8.8% ± 2.0,. Thirty-seven patients (23.4%) had average FBG controlled.
Results from multivariate regression showed that higher likelihood of poor glycemic control was significantly
associated with use of steroids (OR = 5.56, p = 0.039), use of Aspart (OR = 2.86, p = 0.012) and Human
regular 70/30 (OR = 5.88, p = 0.029). Patients with uncontrolled HbA1C had poor glycemic control (OR =
2.34, p = 0.047).
Conclusion: Poor glycemic control appeared to be significantly associated with uncontrolled HbA1C,
patients receiving steroids, aspart or human regular insulin. Further studies are warranted to confirm this
finding.