OJO AYOBAMI ESTHER

Effective glycemic control is essential for preventing diabetes-related complications, yet knowledge gaps and practice barriers persist among patients in resource-limited settings. This study examined knowledge, practices, and factors affecting glycemic control among diabetic patients at the University of Benin Teaching Hospital, Benin City, Nigeria. A cross- sectional descriptive study was conducted among 174 adult diabetic patients attending the Consultant Outpatient Department. Data were collected using structured questionnaires and analyzed using descriptive statistics. While 62% demonstrated overall good knowledge, critical deficits emerged in technical understanding: only 16.7% correctly defined glycemic control, 2.9% recognized HbA1c testing, and 26.4% understood appropriate monitoring frequency. Conversely, over 90% correctly identified symptoms, lifestyle modifications, and complications. Self-management practices were generally good (mean 3.37), with high medication adherence (85.6%) and clinic attendance (91.4%), but poor blood glucose monitoring (mean 3.20) and foot care (mean 2.47). Financial barriers emerged as primary impediments: 82.7% found glucometer kits too expensive, 58.6% struggled to afford medications, and 85.7% found monitoring painful. Additionally, 69% perceived cultural foods as incompatible with diabetes control, and 44.9% lacked glucometer use skills.Despite good symptom awareness and medication adherence, critical gaps in technical knowledge and substantial financial barriers limit effective glycemic self-management. Interventions must address both educational deficits in monitoring competence and structural barriers through subsidized supplies, skills training, and culturally adapted dietary counseling.