ĐẶC ĐIỂM VÀ CÁC YẾU TỐ LIÊN QUAN CỦA CÁC BỆNH NHÂN ĐÁI THÁO ĐƯỜNG TYP 2 KIỂM SOÁT ĐƯỜNG HUYẾT KÉM TẠI KHOA NỘI TIẾT – BỆNH VIỆN BẠCH MAI

Abstract

Background: Diabetes is a chronic disease with many dangerous complications. Poor glycemic control leads to early onset as well as worsening of complications, especially microvascular complications. Objective: To describe the features of clinical, paraclinical, and related factors of type 2 diabetes patients with poor glycemic control (HbA1C ≥ 8%) at the Endocrinology Department - Bach Mai Hospital. Patient and method: A cross-sectional descriptive study on 122 patients diagnosed and treated for Type 2 Diabetes at the Department of Endocrinology - Diabetes, Bach Mai Hospital from November 2021 to July 2022. Result: The rate of age > 65 years accounted for 54.1%. In which, overweight and obese accounted for 50.4%. The co-morbidity of both hypertension and dyslipidemia accounted for 79.6% in the HbA1C group 8-10, higher than 60.3% in the HbA1C group >10, the difference was statistically significant, (p= 0.038). The rate of hypoglycemia is high (60%), of which 15% of severe hypoglycemia require emergency treatment. Factors: high body mass index (OR: 0.080, 95% CI: 0.013- 0.484, p= 0.006) and poor adherence (OR: 0.193, 95% CI: 0.041- 0.901, p= 0.036), is associated with microvascular complications with statistical significance.