Factors Associated with HbA1c Levels in Type 2 Diabetic in Somdej Prayannasungworn Hospital, Chiang Rai province
Keywords:
Type 2 diabetes, Factors associated with HbA1c levels in type 2 diabeticAbstract
INTRODUCTION: Diabetes is a chronic health condition that related to high blood sugar. More than 90 percents of the patients are type 2 diabetes. Diabetes is ranked as the 3rd causes of death among non-communicable diseases.
OBJECTIVES: To determine factors associated with blood sugar level (HbA1c) in type 2 diabetes.
METHODS: This research was a case-control study design. The study group was type 2 diabetes who registered at non-communicable diseases clinic at Somdej Prayannasungworn hospital. This study was conducted from October 2022 to January 2023. The ratio of the case: control was 1:1. The case group was among 169 patients of whom HbA1c ≥7 % and the control group was 169 patients who had HbA1c <7 %. The baseline data were collected from the hospital charts and questionnaires of the health literacy and behavior survey from 3 aor 2 sor. Multivariable logistic regression was used to evaluate associated factors.
RESULTS: The results found that factors associated with blood sugar level in patients were medication adherence and appointment compliance skills, the poor and fair skill patients were worst to control their blood sugar when compared with the good and very good skill patients (adjusted OR 10.03; 95%CI=1.23-81.70, p=0.031) and having kidney complication or nephropathy were poor controlled blood sugar level when compared with patients without nephropathy (adjusted OR 1.98; 95%CI=1.25-3.14, p=0.003).
CONCLUSION: From this study, factors associated with blood sugar level (HbA1c) in type 2 diabetes can guide the doctors to make a decision on the direction of treatment and predict the trend of blood sugar controlling. In addition, the doctors can use these data to solve more specific problem of these patients.
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