Assessment of fasting plasma glucose (FPG) and hemoglobin A1c (HbA1c) monitoring in type 2 diabetic patients at Trang Hospital

Abstract

The purpose of this study was to assess glycemic control in type 2 diabetic patients at Trang Hospital and the Health-Promoting Hospitals in Trang Province by monitoring fasting plasma glucose (FPG) and hemoglobin A1c (HbA1c). Data collected from October 2016 to September 2017 consisted of 3,156 type 2 diabetics, 1,996 females (63.2%) and 1,160 males (36.8%) with the average age of 61.8 ± 12.5 years, 940 (29.8%) of which were within the age range of 51-60 years and 1145 (36.3%) were from the Health-Promoting Hospitals. A total of 979 patients (31.1%) were able to control their glucose levels (FPG ≤130 mg/dL, HbA1c <7%) while 2,177 patients (68.9%) were unable to do so. In the well glycemic controlled group (FPG < 130 mg/dL, and HbA1c < 7%), most were male, age 70 years and over, and attended the outpatient services. In the poor glycemic controlled group ((FPG > 130 mg/dL and HbA1c > 7%), most were female, age between 51-60 years, and attended the District of Health- Promoting Hospitals. In conclusion, most of type 2 diabetic patients at Trang Hospital and associated service units were unable to control their glucose level (68.9%). Therefore, the
campaign and the modification of patient monitoring system are needed to encourage patients to control their blood glucose level with the emphasis on female patients, age 60 years and below, who attend the Health-Promoting Hospitals.