Factors Associated with Blood Glucose Control among Employees of the Metropolitan Electricity Authority, Samsen Hospital, Bangkok

Abstract

Diabetes mellitus is continuously increasing. Patients who cannot control their blood glucose are at risk of complications. This cross-sectional study aims to evaluate blood glucose control and determine its associated factors. The samples comprise 260 Metropolitan Electricity Authority employees with type 2 diabetes mellitus receiving treatment at the Metropolitan Electricity Authority Hospital, Samsen, Bangkok, randomly selected using a systematic sampling method. Data was collected through interviews adhering to research ethics. Data were analyzed using percentages, means, standard deviations, and Chi-square tests.

The results revealed that the respondents had an uncontrolled blood glucose level (HbA1C>7) at 75.4%, with an average duration of diabetes of 8.0 years, an average body mass index (BMI) of 27.7 kg/m2, 44.6% exceeding the normal waist circumference criteria, 39.6% had blood pressure ≥140/90 mmHg, 86.5% had comorbidities, 25.8% experienced complications, 58.5% used 3-4 drug groups combination therapy for diabetes, 52.3% faced occupational hazards, and 60.4% experienced work-related stress. 62.7% of the respondents demonstrated a low to moderate level of overall self-management regarding blood sugar control, while 93.8% of them held an overall perception of diabetes patient care services at a good level.

Factors significantly associated with blood glucose control (P<0.05) included diabetes-related complications, medication usage for diabetes treatment, and self-management practices in goal-setting. Therefore, promoting the establishment of specific and clear health goals is essential, as both clinical and behavioral factors significantly influence health outcomes among state enterprise employees with type 2 diabetes.