Factors Impacting Glycemic Level of People with Type 1 Diabetes Mellitus in Kanchanaburi Province: A Retrospective Study.
Abstract
This retrospective descriptive research was to study the factors impacting glycemic level of people with type 1 diabetes mellitus (T1DM) in Kanchanaburi province. The sample was data of 759 patients registered in the database for getting health care services in Kanchanaburi province consecutively between January to December 2021. The research instrument was a data record developed by reviewing literature including general data record, treatment data record, and clinical data record. The collected data was analyzed by descriptive statistics such as percentage, mean, standard deviation, whereas, Binary Logistic Regression, Chi-square, Odd Ratio, and 95% confidence intervals were used to analyze factors impacting glycemic level of the sample.
The results showed that the sample who had low educational attainment tended to get high glycemic level compared to those who had higher educational attainment (OR 1.10, 95% CI [0.09-13.74]). The sample who was older tended to get high glycemic level compared to those who was younger (OR 6.10, 95% CI [0.27-138.60]). Moreover, if the sample had the low Systolic pressure, Diastolic pressure, and Triglyceride, glycemic level also tended to decrease compared to those who had such clinical level higher ((OR 0.22, 95% CI [0.04-1.37], OR 0.66, 95% CI [0.37-1.84], OR 0.20, 95% CI [0.00-0.39]), respectively).
Therefore, it could be assumed that patients with T1DM in Kanchanaburi province should be enhanced self-management varied to ages and educational attainment to control clinical factors such as Systolic pressure, Diastolic pressure, and Triglyceride. Controlling such factors may be beneficial to decrease the glycemic level.
Downloads
References
Alassaf, A., Gharaibeh, L., Odeh, R., Ibrahim, S., & Ajlouni, K. (2022). Predictors of glycemic control in children and adolescents with type 1 diabetes at 12 months after diagnosis. Pedriatic Diabetes. 1–7.
Alexander, V., Blair, A., Blair, M., Campbell, I., Collier, A., Croll, J., … Waugh, N. (2001). Factors influencing glycemic control in young people with type 1 diabetes in Scotland: a population-based study (DIABAUD2). Diabetes Care. 24(2), 239–244.
Alonso Martín, D. E., Roldán Martín, M. B., Álvarez Gómez, M. Á., Yelmo Valverde, R., Martín-Frías, M., Alonso Blanco, M.,…Barrio Castellanos, R. (2016). Impact of diabetes education on type 1 diabetes mellitus control in children. Endocrinología y Nutrición (English Edition). 63(10), 536–542.
Atkinson, M. A., Eisenbarth, G. S., & Michels, A. W. (2014). Type 1 diabetes. Lancet. January 4(383(9911)), 69–82.
Berkovic, D., Fransquet, R., Soh, S.-E., & Ayton, D. (2022). Experiences of adults with adult-onset type 1 diabetes: a cross-sectional study. Australian Journal of Primary Health. 28(4), 357–363.
Cantley, N. W., Lonnen, K., Kyrou, I., Tahrani, A. A., & Kahal, H. (2021). The association between overweight/ obesity and double diabetes in adults with type 1 diabetes; a cross-sectional study. BMC Endocrine Disorders, 21(187), 1–7.
Chao, A., Whittemore, R., Minges, K. E., Murphy, K. M., & Grey, M. (2014). Self-management in early adolescence and differences by age at diagnosis and duration of type 1 diabetes. The Diabetes Educator. 40(2), 167–177.
Dejkhamron, P., Santiprabhob, J., Likitmaskul, S., Deerochanawong, C., Rawdaree, P., Tharavanij, T., … Nitiyanant, W. (2021). Type 1 diabetes management and outcomes a multicenter study in Thailand. Journal of Diabetes Investigation. 12, 516–526. [In Thai].
Fellinger, P., Fuchs, D., Wolf, P., Heinze, G., Luger, A., Krebs, M.,…Winhofer, Y. (2019). Overweight and obesity in type 1 diabetes equal those of the general population. The Central European Journal of Medicine, 131, 55–60.
Flora, M. C., & Gameiro, M. G. H. (2016). Self-care of adolescents with type 1 diabetes mellitus: knowledge about the disease. Journal of Nursing Referência. 17–26.
Ganesh, J., & Viswanathan, V. (2011). Management of diabetic hypertensives. Indian Journal of Endocrinology and Metabolism, 15, s374–s379.
Goldberg, T., Brener, A., Levy, S., Interator, H., Laurian, I., Dorfman, A., C… Lebenthal, Y. (2021). Association between age at type 1 diabetes diagnosis and metabolic outcome at young adulthood: a real-life observational study. Diabetes Metab Res Rev. 37(e3356), 1–10.
Ogle, G. D., James, S., Dabelea, D., Pihoker, C., Svennson, J., Maniam, J., …Patterson, C. C. (2022). Global estimates of incidence of type 1 diabetes in children and adolescents: results from the International Diabetes Federation Atlas, 10th edition. Diabetes Research and Clinical Practice. Jan(183:109083), 1–9.
Guo, J., Whittemore, R., Grey, M., Wang, J., Zhou, Z.-G., & He, G.-P. (2012). Diabetes self-management, depressive symptoms, quality of life and metabolic control in youth with type 1 diabetes in China. Journal of Clinical Nursing. 22, 69–79.
Huo, L., Deng, W., Shaw, J. E., Magliano, D. J., Zhang, P., McGuire, H. C., …Ji, L. (2020). Factors associated with glycemic control in type 1 diabetes patients in China: a cross-sectional study. Journal of Diabetes Investigation. 11, 1575–1582.
Ladeia, A., Adan, L., Couto-Silva, A., Hiltner, Â., & Guimarães, A. (2006). Lipid profile correlates with glycemic control in young patients with type 1 diabetes mellitus. Preventive Cardiology, 2, 82–88.
Lipsky, L. M., Gee, B., Liu, A., & Nansel, T. R. (2016). Glycemic control and variability in association with body mass index and body composition over 18 months in youth with type 1 diabetes. Diabetes Research and Clinical Practice, 120, 97–103.
McLarty, R. P., Alloyce, J. P., Chitema, G. G., & Msuya, L. J. (2021). Glycemic control, associated factors, acute complications of Type 1 diabetes mellitus in children, adolescents and young adults in Tanzania. Endocrinology, Diabetes & Metabolism. 4(e00200), 1–8.
Mostofizadeh, N., Hashemipour, M., Roostazadeh, M., Hashemi‑Dehkordi, E., Shahsanai, A., & Reisi, M.(2019). The impact of poor glycemic control on lipid profile variables in children with type 1 diabetes mellitus. Journal of Education and Health Promotion, 8, 1–5.
Ontrakrai, N., Jintrawet, U., & Chotibang, J. (2021). Factors related to self-management behaviors in adolescent with type 1 diabetes. Nursing Journal. 48(2), 246–258. [In Thai].
Petrie, J. R., Guzik, T. J., & Touyz, R. M. (2018). Diabetes, hypertension, and cardiovascular disease: clinical insights and vascular mechanisms. Canadian Journal of Cardiology, 34, 575–584.
Khanaroek, S., & Chanpet, U. (2019). Health behavior of the working age population aged 15-59 in health regional 5 Area. Chophayom Journal, 30(1), 153–164. [In Thai].
Torchinsky, M. Y., Gomez, R., Rao, J., Vargas, A., Mercante, D. E., & Chalew, S. A. (2004). Poor glycemic control is associated with increased diastolic blood pressure and heart rate in children with Type 1 diabetes. Journal of Diabetes and Its Complications. 18(4), 220–223.
Vergès, B. (2020). Dyslipidemia in type 1 diabetes: a masked danger. Trends in Endocrinology & Metabolism. 31(6), 422–434.
Zabeen, B., Balsa, A. M., Islam, N., Parveen, M., Nahar, J., & Azad, K. (2018). Lipid profile in relation to glycemic control in type 1 diabetes children and adolescents in Bangladesh. Indian Journal of Endocrinology and Metabolism, 22(1), 89–92.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Journal of Nursing and Health Sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
