Microvascular complication among type II diabetes mellitus patients with poor glycemic control in Samut Prakan Hospital: a survival analysis
DOI:
https://doi.org/10.14456/dcj.2023.11Keywords:
type 2 Diabetes, uncontrolled diabetes mellitus patient, microvascular complicationAbstract
Diabetes Mellitus has been the global public health problem. The uncontrolled diabetes mellitus creates a higher risk of diabetes complications. This study aimed to explain and identify factors affecting microvascular complications among type II diabetes patients. The total of 1,006 medical records of registered diabetes patients who experienced uncontrolled blood sugar levels from October 2016 to September 2020 were reviewed. The results showed that the incidence of microvascular complication was 17.2%, and the average forming duration of diabetic peripheral neuropathy revealed the shortest duration of complication occurrence at 2.14 years. Factors significantly related to the occurrence of microvascular complications were sex (HR=1.40; p=0.037), insurance (HR=1.87; p=0.011), and history of insulin prescription (HR=1.69; p=0.006). Strengthening the health promotion program provided to uncontrolled diabetes patients is suggested in order to alleviate risks of microvascular complications.
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