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Indian Journal of Pharmaceutical Education and ResearchNOW IN
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IJPER · Lens · Risk Factor Analysis in Diabetes and Hypertension Patients from Odisha, India: A Cross-Sectional Study

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Article · Volume 60, Issue 2S · pp. s794–s804

Risk Factor Analysis in Diabetes and Hypertension Patients from Odisha, India: A Cross-Sectional Study

Prabhudatta Mohapatra1, Ashrumochan Debata2, Rohan Kumar Pradhan3, Karmajeet Rath4, Swayamsidha Mangaraj5, Mihir Kumar Kar3, Durga Madhab Kar1

  1. 1Department of Pharmacology, School of Pharmaceutical Sciences-II, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, INDIA.
  2. 2Department of Public Health, Dhenkanal Academy of Medical Science, Talabarkote, Sadar, Dhenkanal, Odisha, INDIA.
  3. 3Department of Pharmacology, Sri Jayadev College of Pharmaceutical Sciences, Naharkanta, Bhubaneswar, Odisha, INDIA.
  4. 4Department of Pharmacology, Institute of Medical Science and SUM Hospital, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, INDIA.
  5. 5Department of Endocrinology, Institute of Medical Science and SUM Hospital, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, INDIA.

Abstract

Objectives: This study aims to investigate the incidence of poor glycemic control among elderly diabetic individuals with hypertension in urban areas of Odisha, India. This observational cross-sectional study was conducted in an urban area of Odisha involving individuals with a diabetes duration of over five years.Materials and Methods: Participants were categorized into two groups based on their glycemic control status: those with good control (HbA1C<7%) and those with poor control (HbA1C≥7%). Multivariate analysis was employed to identify independent determinants.Results: Poor glycemic control was detected in 70.15% of 449 patients with diabetes for more than five years, indicating substantial relationships between numerous variables and glycemic control. A multivariate logistic regression study indicated significant links with poor glycemic control in people with diabetes mellitus. Participants who cohabitated with a partner had an increased risk of poor glycemic control (p=0.02). Financial dependence was identified as a protective factor, considerably lowering the risk of poor glycemic control (p=0.02). Among the study participants, the number of patients with chronic co-morbidities particularly hypertension and hyperlipidaemia were comparatively higher than only diabetic conditions. In contrast, poor medication adherence substantially increased the risk of poor glycemic control (p=0.04).Conclusion: The study highlights the significant impact of factors such as a lack of social support, poor medication adherence, and the presence of hypertension on poor glycemic control in diabetics, emphasising the importance of targeted interventions to address these issues and improve treatment outcomes.

Keywords: Glycemic Control; HbA1C; Diabetes; Hypertension

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