en Endocrinology Endocrinology Original Article Original Article <p><span style="font-size:14px"><span style="font-family:Times New Roman"><strong><em><span style="color:blue">Background</span></em></strong><em><span style="color:blue">:</span></em> Hyperglycemia caused by diabetes is closely related to long-term damage in organ functional disorders. The objective of the study was to determine the prevalence of uncontrolled glycemia and its associated factors in Iranian diabetic patients.<br> <strong><em><span style="color:blue">Methods:</span></em></strong> This cross-sectional study was conducted on 496 types 2 diabetic patients in the outpatient clinic of a referral hospital center affiliated with Babol University of Medical Sciences, North of Iran. The data of fasting blood sugar (FBS) and hemoglobin A1C were extracted from recent laboratory tests. The demographic, clinical data, and comorbidity were collected. The reliable and valid scales of self-care and self-efficacy were used to collect data through face-to-face interviews with patients.<br> <strong><em><span style="color:blue">Results:</span></em></strong> About half of the participants, 241(48.6%) patients<strong> </strong>had poor glycemic control (FBS&ge;152 mg/dl) and a higher proportion, 382 (79.6%) patients<strong> </strong>were found based on the criterion of HbA1C&ge;7%. There was no significant difference in poor glycemic control between genders. The adjusted OR for risk of poor glycemic control (FBS>152mg/dl) after controlling potential confounders was 2.37 (95%CI: 1.34, 4.12) for the duration of diabetes >15 years compared to 5 years or less. The higher level of self-efficacy prevented poor glycemic control (adjusted OR=0.50, 95%CI: 0.29, 0.87). While the high level of self-care tended to protect against poor glycemic control non-significantly (adjusted OR=0.65, 95%CI: 0.41, 1.11).&nbsp;<br> <strong><em><span style="color:blue">Conclusion</span></em></strong><em><span style="color:blue">:</span></em> Our findings show that majority of diabetic patients have poor glycemic control. The high level of self-care and self-efficacy substantially reduced the risk of poor glycemic control.</span></span><br> &nbsp;</p> Fasting blood sugar, Hemoglobin A1C, uncontrolled diabetes, self-care, self-efficacy 336 346 http://caspjim.com/browse.php?a_code=A-10-133-9&slc_lang=en&sid=1 Zahra Geraili graili.stat@gmail.com 100319475328460052295 100319475328460052295 No Student Research Committee, Health Research Institute, Babol University of Medical Sciences, Babol, Iran Karimollah Hajian-Tilaki drhajian@yahoo.com 100319475328460052296 100319475328460052296 Yes Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran Neda Meftah Nedameftah@yahoo.com 100319475328460052297 100319475328460052297 No Department of Internal Medicine, Ayatollah Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran