1.Determinants of glycemic control in the Philippines
Ernesto L. Ang ; Leilani Baldeviso ; Elizabeth Ann F. Catindig ; Richard Elwyn Fernando ; Marcelo A. Lim ; Araceli A. Panelo ; Leorino M. Sobrepena ; Rima T. Tan ; Jose Ronilo G. Juangco
Philippine Journal of Internal Medicine 2025;63(4):61-69
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.
Human
;
Blood glucose
;
Philippines

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