Assessment of Glycaemic Control among Diabetic Patients Attending Care at Bowen University Teaching Hospital, Ogbomoso

A. E. Idowu

Bowen University Teaching Hospital, Ogbomoso, Nigeria.

I. O. Amole

Bowen University Iwo, Bowen University Teaching Hospital, Ogbomoso, Nigeria.

A. O. Durodola

Bowen University Iwo, Bowen University Teaching Hospital, Ogbomoso, Nigeria.

S. A. Adesina

Bowen University Iwo, Bowen University Teaching Hospital, Ogbomoso, Nigeria.

A. O. Adegoke *

Bowen University Teaching Hospital, Ogbomoso, Nigeria.

A. I. Akinwumi

Department of Family Medicine, Afe Babalola University, Ado-Ekiti, Ekiti State, Nigeria.

O. A. Idowu

Bowen University Teaching Hospital, Ogbomoso, Nigeria.

O. T. Awotunde

Bowen University Iwo, Bowen University Teaching Hospital, Ogbomoso, Nigeria.

A. D. OlaOlorun

Bowen University Iwo, Bowen University Teaching Hospital, Ogbomoso, Nigeria.

*Author to whom correspondence should be addressed.


Background: Diabetes mellitus (DM) is a group of metabolic disorders characterized by hyperglycaemia resulting from impairment in insulin secretion, insulin action or both. The aim of management of diabetes mellitus is to achieve and maintain blood glucose levels within normal ranges and prevent its complications. This study aims to assess the glycaemic control among adult outpatients with diabetes mellitus in Bowen University Teaching Hospital (BUTH), Ogbomoso with a view to intensify effort towards achieving good glycaemic control.

Methods: A descriptive cross-sectional study in which 299 consenting diabetic patients were recruited using systematic sampling technique. Sociodemographic characteristics of each participant and their medical history were obtained using a structured interviewer   administered questionnaire. The level of glycaemic control was assessed with glycosylated haemoglobin level and recorded for each participant and it was classified as either poor or good. The data collected was analysed using SPSS version 20 software and presented as Descriptive statistics. The association between two or more categorical variable was tested using Chi-square test and fisher’s exact test. Statistical significance was set at p-value less than 0.05.

Results: The age group above 60 years had the highest proportion (41.8%) of participants, 60.9% of the participants were females. Majority of the participants (91.6%) were married. About 67.9% of the respondents were in social class 2 and majority of the participants (69.6%) were urban dwellers. Participants on oral anti-diabetic drugs were 62.2% and of this proportion, about 34.1% were on both oral drugs and insulin. About 67.2% of the participants had a duration of diabetes less than 5 years. Most of the participants had a poor glycaemic control with a frequency of 83.6%. The mean level of glycosylated haemoglobin (HbA1C) in this study was 9.2 ± 2.5%. A significant association with glycaemic control was found with the participants age group, sex, level of education and duration on treatment.

Conclusion: The long-term glycaemic control of the participants was unacceptably poor. There is need to intensify efforts targeting good glycaemic control in the patients with diabetes mellitus in order to prevent complications from the disease. There is also a need to do further studies to find out the factors associated with poor glycaemic control found in this study.

Keywords: Diabetes, glycaemic control, disease, insulin

How to Cite

Idowu, A. E., I. O. Amole, A. O. Durodola, S. A. Adesina, A. O. Adegoke, A. I. Akinwumi, O. A. Idowu, O. T. Awotunde, and A. D. OlaOlorun. 2022. “Assessment of Glycaemic Control Among Diabetic Patients Attending Care at Bowen University Teaching Hospital, Ogbomoso”. Asian Journal of Medicine and Health 20 (12):56-64.


Download data is not yet available.


Raghav A, Ahmad J, Noor S, Ozair M, Alam K, Mishra BK, et al. Updates of diabetes mellitus: A concern for public health. J Res Diabetes Metab. 2017;3(1):8-16.

Chinenye S, Ofoegbu EN, Uloko AE, Ogbera A, Kuku S, Johnson TO, et al. Clinical practice guidelines for diabetes management in Nigeria. Nigeria: Diabetes Association of Nigeria. 2013:118. Access on 2018 Jun 4.

Lau CS, Aw TC. HbA1C in the diagnosis and management of diabetes mellitus: an update. OAT 2020;6(1):1-20.

DOI: 10.15761/DU.1000137

Dekker RG, Qin C, Ho BS, Kadakia AR. The effect of cumulative glycemic burden on the incidence of diabetic foot disease. J Orthop Surg Res. 2016;11(1):1–8.


Yazdanpanah L, Nasiri M, Adarvishi S. Literature review on the management of diabetic foot ulcer. World J Diabetes. 2015;6(1):37-53.

DOI: 10.4239/wjd.v6.i1.37

American Diabetes Association. Standards of medical care in diabetes. J Clin Appl Res Educ. 2017;40(1):1-142

Ngwogu KO, Mba I.E.K., Ngwogu A.C. Glycaemic control amongst diabetic mellitus patients in Umuahia Metropolis, Abia state, Nigeria. Int J of Basic, App and Inno Res. 2012;1(3):98-104.


Ufuoma C, Godwin YD, Kester AD, Ngozi JC. Determinants of glycemic control among persons with type 2 diabetes mellitus in Niger Delta. Sahel Med J. 2016;19(4):190-5.


Musenge EM, Michelo C, Mudenda B, Manankov A. Glycaemic control and associated self-management behaviours in diabetic outpatients: A hospital based observation study in Lusaka, Zambia. J Diabetes Res. 2016;2016(1):7934654.


Tshitenge S, Ganiyu A, Mbuka D, Shama JM. The diabetic foot risks profile in Selebi Phikwe Government Hospital, Botswana. African J Prim Heal Care Fam Med. 2014;6(1):6–10.

DOI: 10.4102/phcfm.v6i1.610

Chetoui A, Kaoutar K, Elmoussaoui S, Boutahar K, El Kardoudi A, Chigr F, et al. Prevalence and determinants of poor glycaemic control: A cross-sectional study among Moroccan type 2 diabetes patients. Int Health. 2020;1(1):1–8.


Alemany M. Metabolic syndrome: A multifaceted disease of affluence. J Endocrinol Metab. 2012;2(5):155–65.


Dahiru T, Aliyu AA, Shehu AU. A review of population-based studies on diabetes mellitus in Nigeria. Sub-Saharan Afr J Med. 2016;3(2):59-64.

DOI: 10.4103/2384-5147.184351

International Diabetes Federation. IDF Diabetes Atlas. 7th ed. Brussels: International Diabetes Federation [Internet]. 2015:527. Access on 2018 Jun 2.

Ogbera AO, Ekpebegh C. Diabetes mellitus in Nigeria: The past, present and future. World J Diabetes. 2014;5(6):905-11.

DOI: 10.4239/wjd.v5.i6.905

Araoye MO. Sample size determination. Research methodology with statistics for health and social sciences. 1st Ed. Ilorin: Nathadex Publishers. 2004:115-120. Access on 2018 Jun 4.

Ogbera AO, Adedokun A, Fasanmade OA, Ohwovoriole AE, Ajani M. The foot at risk in Nigerians with diabetes mellitus-the Nigerian scenario. Int J Endocrinol Metab. 2005;4(1):165–73.


Dijkstra L, Hamilton E, Lall S, Wahba S. How do we define cities, towns, and rural areas? World Bank Blog [Internet]. 2020:1–15.


Access on 2018 Jun 4

Adesina SA, Amole IO, Durodola AO, Awotunde OT, Olaolorun DA, Adeniran A, et al. Family functioning of people living with HIV/AIDS accessing care at a Nigerian tertiary health centre. Asian J Med Heal. 2019;16(2):1–9.


Yakubu A, Dahiru S, Mainasara AS, Anaja PO, Musa B, Hassan HA. Determinants of poor glycaemic control among type 2 diabetic patients at a suburban tertiary hospital in North-Western Nigeria. Int. J Sci Hlt Res. 2020;5(4):207-214.

Ogbogu CJ, Opara CH, Anarado AN, Anetekhai WI. High-risk diabetic foot among adults with diabetes in Enugu state, Nigeria. WCET Journal. 2018;38(3): 10-20.


Leye A, Diack ND, Leye YM, Ndiaye N, Bahati A, Dieng A, et al. Assessment of the podiatric risk on diabetics in Dakar hospital area: cross-sectional study in regard to 142 patients. J Diabetes Mellit. 2018; 08(01):1–8.

DOI: 10.4236/jdm.2018.81001

Oduor PR, Ondari NJ, The prevalence of diabetic foot at risk (diabetic foot neuropathy and peripheral vascular disease) in a selected Kenyan population. Int J Sci Res Innov Technol. 2016; 3(12):63–74.

Wu L, Hou Q, Zhou Q, Peng F. Prevalence of risk factors for diabetic foot complications in a Chinese tertiary hospital. Int J Clin Exp Med. 2015;8(3):3785-92.

Kirkman MS, Briscoe VJ, Clark N, Florez H, Haas LB, Halter JB, et al. Diabetes in older adults. Diabetes Care. 2012;35 (12):2650-64.