THỰC TRẠNG KIỂM SOÁT ĐƯỜNG HUYẾT VÀ MỘT SỐ YẾU TỐ LIÊN QUAN Ở BỆNH NHÂN ĐÁI THÁO ĐƯỜNG TÝP 2 CÓ LAO PHỔI MỚI AFB DƯƠNG TÍNH

Abstract

Objectives: The study aims to investigate the status of glycemic control in patients with type 2 diabetes mellitus with new AFB (+) pulmonary tuberculosis at National 74 Hospital, to review the results of pulmonary tuberculosis treatment and some factors related to the study subjects. Subjects and methods: A retrospective and prospective description of 115 patients with type 2 diabetes mellitus with new pulmonary TB AFB (+) at National 74 Hospital from January 1, 2020 to August 15, 2022. Results: Male/female ratio: 87.8% and 12.2%; average age 58.5 ±12.3 (Min 38, Max 89), group over 50 years old (76.6%); sick from 1 year to 5 years (39.1%), ≥ 10 years (7%); mean BMI 20.17 ± 3.01 (Min 13.3 Max 29.48), mean HbA1c 8.70 ± 2.8 (Min 4.63, Max 16.8), HbA1c reached the target accounted for 49.6%; Patients controlled 3 factors HbA1c, HA, LDL-C (11.2%); Diabetic diet, treatment adherence, exercise and patient's weight are related to blood glucose control (p < 0.05); cure rate of pulmonary tuberculosis (87.8%), failure rate (12.2%); symptoms of cough, sputum production and chest tightness after 4 months of blood glucose control group achieved reduction compared to blood glucose control group failed, (p < 0.001); The group with good blood glucose control had a good cure rate, the rate of change of lesions on X-ray was good after 2 months, the rate of sputum negative was higher than the group with poor blood glucose control, the difference was statistically significant with p < 0.05. Conclusion: Control of HbA1c reached the target of 49.6%, control achieved 3 factors of HbA1c, HA, and LDL-C (11.2%). Taking medication regularly, eating a diabetic diet, exercising daily and maintaining a normal weight help control blood glucose better. The group with good blood glucose control had a good cure rate, the rate of change of lesions on X-ray was good after 2 months, the rate of sputum negative was higher than the group with poor blood glucose control.