KIỂM SOÁT ĐƯỜNG HUYẾT Ở BỆNH NHÂN ĐÁI THÁO ĐƯỜNG TÝP 2 CÓ NHIỄM TRÙNG BÀN CHÂN TẠI KHOA NỘI TIẾT - ĐÁI THÁO ĐƯỜNG BỆNH VIỆN BẠCH MAI

Abstract

Objectives: Diabetic foot infection (DFI) is a common and serious complication in patients with type 2 diabetes mellitus (T2DM), closely associated with glycemic control status. Poor glycemic control increases the risk of infection progression, limb amputation, and mortality. This study aims to describe the status of glycemic control prior to hospitalization in patients with T2DM and diabetic foot infections and some identify associated factors. Methods: A cross-sectional descriptive study was conducted on 60 hospitalized patients with T2DM and DFI at the Department of Endocrinology and Diabetes, Bach Mai Hospital. Results: Glycemic control prior to admission was suboptimal, with only 6.7% of patients achieving HbA1c <7%. The mean HbA1c was 10.54 ± 2.32%, and mean fasting plasma glucose was 14.07 ± 4.92 mmol/L. After 14 days of inpatient treatment, only 26.7% of patients achieved adequate glycemic control, and merely 6.1% maintained >80% of capillary glucose measurements within the target range. Significant factors associated with glycemic control included: admission HbA1c, fasting plasma glucose, insulin dosage, duration of antibiotic use, infection severity (IWGDF grade 2–3), weight change during treatment, and adherence to hospital dietary regimen (p<0.05). Conclusion: The blood glucose control status before hospitalization was very limited and remained low after 14 days of inpatient treatment. Factors such as HbA1c and blood glucose levels upon admission, insulin dosage used, number of days on antibiotics, classification of foot infection, weight changes during treatment, and diet according to the hospital menu are related to the ability to control blood glucose.