MỐI LIÊN QUAN GIỮA RÀO CẢN TỰ KIỂM SOÁT ĐƯỜNG HUYẾT VỚI KẾT QUẢ KIỂM SOÁT ĐƯỜNG HUYẾT Ở BỆNH NHÂN ĐÁI THÁO ĐƯỜNG TYPE 2 TẠI BỆNH VIỆN NỘI TIẾT TRUNG ƯƠNG

Abstract

Objectives: To evaluate the relationships between barriers to glycemic seltf-control and their relationships with results of glycemic control in patients with type 2 diabetes at the National Hospital of Endocrinology from July 2021 to June 2022. Methods: A cross-sectional study was implemented in 391 patient with type 2 diabetes.Barriers to glycemic self-control were assessed with a Survey Questionnaire and glycemic control was assessed by HbA1c and fasting plasma glucose. Results: The rate of good glycaemic control was 39.1%. Patients had higher self-control activity scores in the group that achieved the glycemic goal compared with the group that did not, p<0.05. Rates of achieved glycemic control are lower in the patients with barriers due to impaired or loss of appetite/taste, other medical conditions, barriers to knowing  names of drugs, time to take them, their side effects, exercise duration needed, how to monitor blood glucose at home, good foods, how to manage low blood sugar; barriers to participation in education, understanding content of the consultation, reading documents/brochures; barriers to getting supports in taking medication, reminding to take medication, exercise; barriers  to glucose meter; The difference was statistically significant with p<0.05. Conclusion: Barriers to glycemic self-control were associated to low rate of achieved blood glucose control.