RESUMO
Diabetes control is elusive so great effort is needed to keep blood glucose normal or near the required level. Various factors are suspected for poor glycemic control. These factors included: aging, sex, duration of diabetes, medication adherence, clinical inertia, physical inactivity, patient knowledge, comorbidity and quality of medications. To assess factors associated with poor glycemic control among patients with type2 diabetes. This was a descriptive cross sectional hospital-based study conducted in the National Ribat University [NRU] Diabetes Clinic, Khartoum state, Sudan. Out of 398 diabetic patients attending NRU Diabetes Clinic 88.2% has type 2 DM, Of whom 31.4% [125 patients] had poor glycemic control and were shifted to insulin therapy. Female constituted 76.8% of the poor glycemic control patients and 88.8% of patients were above 40 years of age. About 64.8% were shifted to insulin within 10 years of diabetes diagnosis. The majority [79.2%] were not having an exercise program, 84% were not having diet program, 70.4% their knowledge about hypoglycemia symptoms was not satisfactory and 61.6% their knowledge about medication usage was not satisfactory. About 66.4% were on mono anti diabetic therapy and need medications intensification, and 54.4% were not adherent to anti diabetic medications. Our findings showed that sedentary life, clinical inertia and longer diabetes duration were behind poor diabetes control