Abstract:
Title: Diabetes knowledge and glycemic control in diabetics at Butere county
hospital, Kakamega.
Background: Lack of knowledge on diabetes and self care practices among diabetics
are some of the important factors influencing the progression of diabetes and its
complications.
Objective: To assess patients knowledge on diabetes and self care practices and relate
this to achievement of satisfactory glycemic control.
Methodology: This was a cross sectional study at the outpatient clinic of Butere
District Hospital involving all diabetic patients. Data was collected using pretested
structured questionnaires. Blood was drawn for random blood sugar testing. Data
wasanalyzed for descriptiveand inferential statistics using Microsoft excel 2007 and
Statistical Package for Social Scientists version 11.5.
Results: A total of 71 patients participated in this study,47.8% were males.Majority
(29.6%) were aged between 46-55 years. Seventy three percent were married, 86.5%
had secondary education and below with only 4.2% having university education.
Majority (46.5%) were self employed while11.3% were retired. Forty eight percent of
the patients had diabetes for more than 5 years andmajority (80%) were on oral
medication.Diabetes patients had poor glycemic control with 87.3% having random
blood sugar more than 8mmol/l with the mean random blood sugar of12.2 ±3.7
mmol/l.Majority of the patients (64.8%) had poor knowledge. The mean total
knowledge score was 32 ± 4.3, diabetes knowledge score was 16 ± 4.2 and self care
knowledge score was 15.6 ±3.9. Patients scored poorly on self care practices with
more than 71% scoring less than 50% of the score.There was a negative correlation
between random blood sugar and knowledge score(r = -0.340, p = 0.004).Patients
with good glycemic control hadknowledge mean of 37.3 ± 0.9 while those with poor
glycemic control had mean of 31.2 ± 0.7. The difference was statistically significant (t
= 2.999, p = 0.004).
Conclusion: Diabetic patients at Butere County Hospital had low knowledge on
diabetes and self care practices and this was associated with unsatisfactory glycemic
control.
Recommendation: There is need to find out if knowledge deficit in these patients is
the cause of unsatisfactory glycemic control
