การเปรียบเทียบผลระดับน้ำตาลในเลือดผู้ป่วยเบาหวานชนิดที่ 2 ที่รักษาด้วยระบบคลินิกหมอครอบครัว ตำบลพระธาตุขิงแกง อำเภอจุน จังหวัดพะเยา

Abstract

                The purpose of this study is to compare the blood sugar level of the 33 patients with
Type 2 diabetes who received the medications and treatments from the primary care cluster system in Phra That Khing Kaeng Sub District before and after using the system. Each patient with the fasting blood sugar (FBS) level higher than 140 mg/dL or the average glucose over 7 (HbA1c) would be professionally visit once by a physician, nurse, pharmacist, Thai traditional physician and volunteer in order to gain the knowledge about self-care at home. According to the findings, it was found that the average FBS level was 133.38 +/- 33.32 mg/dL and the average HbA1c was
7.35 +/- 1.22 before using the system. After being treated in the system for three months, it was found that the average FBS level was 115.70 +/- 17.75 mg/dL. The level was significantly reduced with the statistic significance at P-value of 0.04. The average HbA1c was 6.95 +/- 1.32. The value was significantly reduced with the statistic significance at P-value of 0.02. After being treated in the system for six months, it was found that the average FBS level was 120.82 +/- 25.70 mg/dL.
The level was significantly reduced with the statistic significance at P-value of 0.048. The average HbA1c was 7.10 +/- 1.22. The value was  insignificantly reduced with the statistic at
P-value of 0.13. By comparing the patients in the 3^rd and 6^th months of the treatments, it was found that the average FBS levels seemed to increase with the insignificant difference at P-value of 0.202 and the average HbA1c seemed to increase with the insignificant difference at P-value of 0.26.
It was concluded that treating the patients with Type 2 diabetes in the primary care cluster system in Phra That Khing Kaeng Sub District could actually reduce the FBS levels and HbA1c values.