Factors Associated with Glycemic Control among Type 2 Diabetes Mellitus Patients Attending Tambon Health Promotion Hospitals within The Banphai Hospital’s Catchment Area, Khon Kaen Province

Abstract

The purpose of this matched case‐control study was to determine the
factors associated with glycemic control of type 2 diabetes mellitus patients who
were treated at the diabetic outpatient clinics at the Tambon health promotion
hospitals within the area of the Banphai Hospital, Khon Kaen Province from June to
October, 2011. The participants were seventy four patients participating together
with the same number of controls. Cases were those patients with poor glycemic
control and controls were patients with a good glycemic control. Matching was
done by allocating one control to each case according to sex, and age within a five
years range. The data were analyzed using descriptive statistics, chi‐square for a
univariate analysis, and forward stepwise logistic regression for a multivariate
analysis. All analyses were performed with STATA 8 statistical software. The
results of the multivariate analysis showed that factors associated with glycemic
control were duration of diabetes >7 years (ORAdj=2.72, 95%CI:1.01‐7.28), BMI
>23 kg/m2 (ORAdj=3.60, 95%CI:1.22‐10.55), inappropriate eating habits (ORAdj=
4.80, 95%CI:1.68‐13.80), and poor compliance with anti‐diabetic medication
regimens (ORAdj=2.83, 95%CI:1.06‐7.53). The findings of this research highlighted
some major risk factors associated with glycemic control for type 2 diabetes
mellitus patients. To increase the effectiveness of treatment and control of diabetes
mellitus, health care teams should focus on physical health care, dietary habits, and
medication compliance.