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Anwari, Farida
STIKES RS ANWAR MEDIKA Jl. Bypass Krian KM 33. Balongbendo, Sidoarjo.
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Journal : Journal of Applied Nursing and Health

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Body Mass Index, Glucose, and Triglycerides as Predictors of HbA1c Control in Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study Anwari, Farida; Octifani, Amellya
Journal of Applied Nursing and Health Vol. 7 No. 3 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i3.393

Abstract

Background: Type 2 diabetes mellitus (T2DM) is a chronic disease with rising global and national prevalence. Glycemic control, measured by glycated hemoglobin (HbA1c), is essential to prevent complications. Previous studies showed inconsistent findings on the effects of age, gender, body mass index (BMI), and triglycerides on HbA1c levels, with limited use of logistic regression. This study examined the influence of age, gender, BMI, glucose, and triglyceride levels on HbA1c control in Indonesian patients with T2DM. Methods: A cross-sectional study was conducted using secondary medical records of 55 T2DM patients treated at RA Basoeni Clinic, Mojokerto, Indonesia, in 2024. Inclusion criteria included patients aged ≥18 without anemia or hemoglobinopathy; patients with incomplete data were excluded. HbA1c values were estimated from average fasting and postprandial glucose over the past three months using the American Diabetes Association (ADA) 2019 conversion table. HbA1c status was categorized as controlled (≤6.5%) and uncontrolled (>6.5%). Logistic regression analysis was performed using SPSS version 25.0. The study adhered to STROBE reporting guidelines. Results: Of the 55 patients, 24 (43.6%) had controlled HbA1c and 31 (56.4%) had uncontrolled HbA1c. Logistic regression showed that BMI (OR=1.192, p=0.047), glucose (OR=1.026, p=0.044), and triglycerides (OR=1.017, p=0.049) significantly predicted HbA1c status. Age (p=0.837) and gender (p=0.884) were not significant predictors. The model explained 68.9% of the variance (Nagelkerke R²=0.689) with an overall classification accuracy of 83.6%.. Conclusion: BMI, glucose, and triglycerides are significant predictors of HbA1c control in T2DM patients, while age and gender are not. To improve glycemic outcomes, clinical management should prioritize weight regulation, glucose monitoring, and triglyceride control.
Co-Authors Aaliyah, Reza Acivrida Mega Charisma Acivrida Mega Charisma Acivrida Mega Charisma Acivrida Mega Charisma Adinugraha Amarullah Amarullah, Adinugraha Ambari, Yani Arianing, Intan Febiola Arif Rahman Arif Rahman Nurdianto Arista Wahyu Ningsih Arista Wahyu Ningsih Arista, Arista Wahyu Ningsih Aristia, Bella Fevi Bella Fevi Aristia Charisma, Acivrida Mega Citra Amaniah Anhar DEWI RAHMAWATI DEWI RAHMAWATI Dinda Zulia Rahma Elis Anita Farida Elis Anita Farida Elis Anita Farida Farida, Elis Anita Febriyani, Dwi Fickri, Djelang Zainuudin Fifin Aristian HAMIDAH Hamidah . Hisbiyah, A'yunil Ivan Charles Ivan Charles Seran Jannah, Ananda Kurniatul Jannah, Nurhidayah Miftahul Khoirun Nisyak Klau, Ivan Charles Seran Martina Kurnia Rohmah Martina Kurnia Rohmah May Linda Wijayanto Mega Charisma, Acivrida Melawati Olevianingrum Negara, Yohanes Abdi Kapri Negara, Yohanes Ardi Kapri Negara, Yohanes Ardian Kapri Nungky Taniasari Nurdianto, Arif Rahman Nurrosyidah, Iif Hanifa Octifani, Amellya Octivani, Amellya Oktafia Damayanti Prajawanti, Kadeq Novita Rahayu, Eka Octaviana Ramadhan Maulana Putra Rifdah Nuur Ronaa Puteri Sari, Netaneel Junita Sela Mustika Sari Seran, Ivan Charles Tawakal, Muhamad Aulia Putra Umi Fatmawati Wahyu Ningsih, Arista Wahyu Ningsih, Arista Wahyu Ningsih Wahyuni, Khurin In Windy Puji Ashari Yani Ambari