Determinants of glycemic control in the Philippines
- Author:
Ernesto L. Ang
1
;
Leilani Baldeviso
1
;
Elizabeth Ann F. Catindig
1
;
Richard Elwyn Fernando
1
;
Marcelo A. Lim
1
;
Araceli A. Panelo
1
;
Leorino M. Sobrepena
1
;
Rima T. Tan
1
;
Jose Ronilo G. Juangco
2
Author Information
- Publication Type:Journal Article
- Keywords: Diabetes
- MeSH: Human; Blood glucose; Philippines
- From: Philippine Journal of Internal Medicine 2025;63(4):61-69
- CountryPhilippines
- Language:English
-
Abstract:
INTRODUCTION:Glycemic control in the Philippines has increased from 15% in 2008 to 47.4% in 2020. This study aims to identify the determinants of glycemic control in the Philippines.
METHODOLOGY:This study included patients with type 2 diabetes mellitus. Current glycated hemoglobin (HbA1c) levels, medication compliance and adherence, and the clinico-socio-demographic profile of diabetics in the Philippines were recorded.
RESULTS:There was no significant association between glycemic control and clinico-socio-demographic characteristics or medication compliance. However, the absence of complications showed a statistically significant positive association (odds ratio [OR], 1.65; p=0.02). While intensification of management provided a statistically significant reduction in HbA1c levels, no statistically significant association was observed. There was a statistically significant positive association with a diabetes duration of < 7 years (OR, 2.692; p < 0.0001). Observing a significant positive association would take 9 months of treatment (OR, 1.978; p=0.02).
DISCUSSION:Diabetes duration of < 7 years and absence of complications had a statistically significant impact on improving glycemic control. Although intensifying management led to a notable reduction in HbA1c levels, no statistically significant correlation was observed. The duration of management exhibited a curvilinear relationship with glycemic control, showing optimal glycemic control beginning at 9 months of duration, peaking at 1 year, and declining at 4 years of management. - Full text:202606301537398354710-2024-356.pdf
