Factors Impacting Glycemic Level of People with Type 1 Diabetes Mellitus in Kanchanaburi Province: A Retrospective Study.
Keywords:
Type 1 diabetes mellitus, HbA1c, Impacting factors, Retrospective studyAbstract
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 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, treatment and clinical data record. The collected data were analyzed by descriptive statistics such as percentage, mean, and standard deviation, whereas, Binary Logistic Regression, Chi-square, Odd Ratio, and 95% confidence intervals were used to analyze factors impacting the 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.
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