Socio-Demographic Profile, Asymptomatic Malaria
Parasitaemia and Glycemic Control among
Midled-Aged and Elderly Type 2 Diabetes Mellitus
Patients in Rural Southwestern Nigeria: A Cross
Sectional Study
The main therapeutic goal for all type 2 diabetes mellitus (T2DM)
patients is to maintain good control so as to prevent the risk of
complications associated with poor control. This study determined the prevalence of poor control and its association with
socio-demographics and malaria parasitaemia among middle
aged and elderly T2DM patients at a tertiary hospital in rural
Southwestern Nigeria. We conducted a retrospective observational study on 250 T2DM using semi-structured interviewer administered questionnaire. Venous blood samples were collected
and processed for glycated hemoglobin sugar estimation and
malaria parasite detection by microscopy. Data were analyzed
using SPSS version 20.0. Multivariate logistic regression identified the association of socio-demographics and asymptomatic
malaria parasitaemia with poor control. The prevalence of poor
glycemic control was 31.6% (95%CI: 34.4%-45.8%). Old age,
(AOR=4.868; 95% CI: 1.258-24.574), female genders (AOR=7.100;
95% CI: 1.875-34.655), no formal education (AOR=3.447; 95% CI:
1.098-21.478), presence of malaria parasitaemia (AOR=48.423;
95% CI: 4.987-411.366), and higher parasite density (AOR=7.102;
95% CI: 1.785-15.002), were significantly associated with poor
control. Health facilities should integrate screening of malaria
parasitaemia into the management of T2DM patients while also
exploring other barriers of poor control