Glycemic control in Kuwaiti diabetes patients treated with glucose-lowering medication

Ameera Abdullah, Abdullah Alkandari, Joseph C. Longenecker, Devarajan Sriraman, Ahmad Alkhatib, Rihab AlWotayan, Qais Al Duwairi, Jaakko Tuomilehto

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Abstract

tBackground: Diabetes is prevalent in Kuwait. We aimed to assess the level of glycemic control in Kuwaitiadults with diabetes.Methods: The World Health Organization’s STEPS non-communicable disease risk factor survey was con-ducted in Kuwait in 2014. Participants’ demographics, medical history, physical measurements and bloodbiochemistry were assessed. A total of 2561 Kuwaiti men and women aged 18–69 years completed allthree survey steps. Glycemic control in 278 individuals with diabetes who were on glucose-lowering med-ication was determined using the US National Institutes of Health guidelines of fasting plasma glucose(FPG) ≤7.2 mmol/l and the American Diabetes Association guidelines of glycated hemoglobin (HbA1c)<7% (53 mmol/mol).Results: Adequate glycemic control in people with drug-treated diabetes was 34.5% when determined byHbA1c, 37.8% when determined by FPG level, and 24.5% when both criteria were met. Mean body-massindex and fasting serum triglycerides were significantly higher and serum high-density lipoprotein-cholesterol significantly lower in individuals with an inadequate glycemic control than in those withadequate control. Women with diabetes were almost twice as likely to have inadequate HbA1c levels asmen with diabetes (OR, 1.9, [95% CI, 1.03, 3.5]).Conclusions: Glycemic control in Kuwaiti adults with treated diabetes is low. A systemic, multi-disciplinary public health approach is needed to improve diabetes education and adherence to treatment.
Original languageEnglish
Article numberhttps://doi.org/10.1016/j.pcd.2019.12.001
Number of pages6
JournalPrimary Care Diabetes
Publication statusPublished - 2019

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Abdullah, A., Alkandari, A., Longenecker, J. C., Sriraman, D., Alkhatib, A., AlWotayan, R., Al Duwairi, Q., & Tuomilehto, J. (2019). Glycemic control in Kuwaiti diabetes patients treated with glucose-lowering medication. Primary Care Diabetes, [https://doi.org/10.1016/j.pcd.2019.12.001].