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Glycemic Control and Associated Factors Among Children With Type 1 Diabetes Mellitus at the Pediatric Diabetic Clinic of Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia

Year: 2026

Type: article

Abstract: INTRODUCTION: Type 1 DM is the most common endocrine-metabolic disorder of childhood, and poor glycemic control increases the risk of long-term complications and mortality. Despite this burden, evidence on glycemic control and its associated factors among children with Type 1 DM in Ethiopia remains limited. OBJECTIVE: The aim of the study is to assess glycemic control and its associated factors among children with T1DM attending the pediatric diabetes clinic at Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia. METHODS: A cross-sectional study was conducted among 181 children from September 1 to November 30, 2023. Data were collected using a structured questionnaire and analyzed using SPSS Version 25. Variables with p < 0.25 in binary logistic regression were entered into multivariable logistic regression, with adjusted odds ratios (AOR), 95% confidence intervals (CI), and p < 0.05 used to declare significance. RESULTS: Among the 181 participants, 59 (32.6%) had good glycemic control, whereas 122 (67.4%) had poor glycemic control. On multivariable logistic regression, caregiver illiteracy (AOR 5.36, 95% CI: 1.41-20.47, p = 0.014) and presence of lipodystrophy at the injection site (AOR 11.29, 95% CI: 3.03-41.99, p = 0.003) were independently associated with poor glycemic control. CONCLUSION: Poor glycemic control is highly prevalent among children with Type 1 DM at Yekatit 12 Hospital Medical College. Caregiver illiteracy and lipodystrophy at the injection site were associated with poor glycemic control. Multicenter studies are recommended to validate these findings in similar resource-limited settings.

Source: Journal of Diabetes Research

DOI: 10.1155/jdr/7285054

Authors: Mekashaw Wudu, Senbeto Gehano, Minase Shenkute, Alemayehu Tsegaye

Institution: Dilla University

Language: English

Topic: Diabetes Management and Research

Subfield: Endocrinology, Diabetes and Metabolism

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,760