Strict glycaemic control early in the treatment process has been shown to reduce the occurrence of micro- and macro- vascular complications of diabetes in the long-term. Thus, treatment guidelines advise early intensification of treatment to achieve glycaemic control goals. However, evidence in Bangladesh suggests that, despite guideline recommendations, glycaemic control among patients with T2DM remains challenging. The objective of this study was to determinants of glycaemic control among individuals with type 2 diabetes mellitus patients in Bangladesh. A cross-sectional study was conducted during March to September 2017 at Endocrinology OPD in Lab Aid Specialized Hospital, Dhaka, Bangladesh. A total number of 213 patients with type 2 diabetes mellitus patients were enrolled. Information was gathered from patients by means of eye to eye meet, and their clinical records were explored. Numerous calculated relapse examinations were performed. Among the patients, 46.48% were male. Mean age was 49.20and standard deviation (±13.04). Mean of HbA1c was 8.71% and standard deviation was (±3.97). Low training level, rustic living arrangement, undesirable dietary patterns, insulin use rate follow up registration related with insufficient and exceptionally poor controls. Being female and smokeless tobacco buyer gave off an impression of being related with deficient control anyway psychological debilitation was related with poor control as it were. Commonness of insufficient glycaemic level was exceptionally high in Bangladesh. Having comprehended relatable way of life change variables, socioeconomics and co-morbidities among individuals with type 2 diabetes, human services suppliers related to patients should cooperate to address the glycaemic control.

Keywords: Glycaemic control, Endocrine OPD, Co-morbidities.

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Dr Indrajit Prasad

Associate Professor, Department of Endocrinology, Dhaka Medical College, Dhaka