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Published on: February 28, 2013
Patient-related factors associated with poor glycaemic control among patients with type 2 diabetes mellitus
Pablo Romakin1, Masoud Mohammadnezhad2
1MD, MPH, Chief Medical Officer Community Health Suva, Fiji Ministry of Health and Medical Services, Fiji.
Background And Objectives:
Poorly controlled type 2 diabetes mellitus (T2DM) is the number one cause of premature deaths, hospital admissions and disability in Fiji. The purpose of this qualitative study was to determine healthcare providers' perceptions of factors associated with glycaemic control.
Method:
Three focus group discussions were conducted with 19 healthcare providers selected through purposive variation sampling in three selected diabetes clinics in Suva, Fiji, in August 2017 and analysed using thematic analysis.
Results:
Five themes on factors associated with poor glycaemic control emerged: patients' adherence to treatment and management plans, attitudes, knowledge about diabetes, culture/beliefs and support. Other factors that play a pivotal part in achieving good glycaemic control are healthcare providers' behaviour and addressing patient's caregiver issues DISCUSSION: Knowing how to empower patients with T2DM to manage the different patient-related factors associated with poor glycaemic control at first encounter will assist healthcare providers to deliver high-quality patient-centred diabetic care services and achieve better health outcomes in patients.
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