MỘT SỐ YẾU TỐ ẢNH HƯỞNG TỚI NỒNG ĐỘ HbA1c Ở BỆNH NHÂN ĐÁI THÁO ĐƯỜNG TÍP 2

Abstract

Objectives: To determine some factors affecting HbA1c concentration in patients with T2DM. Methods: Descriptive cross-sectional analysis. Study on outpatients at Nhat Tan General Hospital, An Giang, from May 2021 to July 2021. Results: Out of a total of 340 patients with T2DM, we obtained 20 indicators related to demographics, duration of disease, lifestyle habits, physical activity, and knowledge of the disease, paraclinical indicators... After statistical analysis comparing HbA1c level and independent variables, there were 6 factors that increased HbA1c levels with statistically significant differences with p<0,05: poor versus good physical activity (9.22 ± 1.77 vs 7.74 ± 1.38); the number of years with T2DM ≥6 years versus <6 years (9.27 ± 1.73 vs 7.96 ± 1.53); female versus male (8.89 ± 1.84 vs 7.94 ± 1.30); non-compliance and compliance to medication (9.14 ± 1.81 vs 8.33 ± 1.69); hypertension versus normotension (8.84 ± 1.96 vs 8.42 ± 1.60); lack of knowledge versus knowledge about T2DM (8.65 ± 1.83 vs 8.56 ± 1.73). Conclusion: The factors related to the reduction of HbA1c levels in this study included good physical activity, having T2DM for less than 6 years, male gender, good knowledge of the disease, good adherence to medication and good blood pressure control. On the basis of this study, we recommend that in order to prevent and reduce T2DM, it is necessary to increase physical activity, increase knowledge about prevention and treatment of T2DM, control blood pressure well, and drug compliance.