Factors associated with glycemic control among type 2 diabetes mellitus patients in Lam Thamenchai District, Nakhon Ratchasima Province
Keywords:
Diabetes mellitus, Depression, Glycemic controlAbstract
This analytical cross-sectional study aims to study the relationship between demographic data, depression, self-care behavior, social support, and blood sugar control in patients with type 2 diabetes. The study sample was type 2 diabetes patients receiving services at the diabetes clinic of Lam Thamenchai Hospital, Nakhon Ratchasima Province. A total of 270 patients with type 2 diabetes mellitus were selected through simple random sampling. Data were collected through a self-administered questionnaire and analyzed using descriptive statistics and multivariable logistic regression analysis.
The results showed that respondents who had a risk of depression (AOR = 3.64, 95% CI: 1.03-12.82, p-value = 0.044), moderate consumption behaviors (AOR = 0.06, 95% CI: 0.02-0.18, p-value < 0.001), moderate exercise behavior (AOR = 0.18, 95% CI: 0.04-0.90, p-value = 0.037), and moderate medication adherence (AOR = 0.11, 95% CI: 0.01-0.91, p-value = 0.041) were more likely to have uncontrolled blood sugar than those who had no risk of depression, good consumption behaviors, good exercise behavior, and good adherence to medication guidelines.Therefore, public health agencies should promote mental health to encourage diabetes patients to improve their dietary habits, exercise, and medication adherence to achieve better blood sugar control.
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