Glycemic control and association with diabetes-related distress, self-management behavior, financial toxicity, and cost-related non-adherence: a mixed-methods study

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Nigeria has the highest diabetes burden in sub-Saharan Africa, projected to double by 2050, highlighting an urgent need for effective glycemic management.
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The study found that 43% of participants had poor glycemic control, with significant associations to diabetes-related distress and poor self-management.
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Financial toxicity and cost-related non-adherence were prevalent but did not significantly correlate with glycemic control in this study.
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Younger age, multiple antidiabetic medications, insulin use, and lack of access to endocrinologists were identified as key factors linked to poor glycemic control.
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The study emphasizes the need for diabetes education focused on behavioral modification and the inclusion of trained healthcare professionals in patient care.

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