SITUATION OF GLYCEMIC CONTROL AND SOME RELATED FACTORS AT PATIENTS WITH TYPE 2 DIABETES AT THE NATIONAL HOSPITAL OF ENDOCRINOLOGY IN 2022
Main Article Content
Abstract
Objectives: To describe the rate of glycemic control achieved and its associations in patients with type 2 diabetes at the National Hospital of Endocrinology. Subjects and methods: A cross-sectional descriptive study on 391 patients with type 2 diabetes. Patients were considered to have control of blood sugar when the HbA1c index was <7%. Results: The prevalance of glycemic control was 39.1%. There was no association between individual characteristics and glycemic control. People who do not drink alcohol and do not smoke were 1.2 times more likely to have glycemic control and 2.5 times more likely than those who drink alcohol and smoke. Duration of disease and method of treatment are two factors that are related to a patient's ability to control blood sugar. Patients with disease duration <5 years who achieved glycemic control was nearly 6 times higher (OR=5.9; 95%CI: 2.8-12.5) than those with the disease over 10 years. The patients treated with pills combined with insulin who achieved glycemic controlwas 2.5 times higher than the group only treatment with pills or insulin (OR=2.5; 95%CI: 1, 6-4.0 ). The difference is statistically significant with the confidence interval not containing the value 1. Conclusion: The prevalance of glycemic control in patients with type 2 diabetes is high. The duration of the disease and the mode of treatment have a great influence on a patient's ability to control blood sugar.
Article Details
Keywords
type 2 diabetes, glycemic control, related factors
References
2. Bộ Y Tế (2020), Hướng dẫn chẩn đoán và điều trị Đái tháo đường tip 2, Số 5481/QĐ-BYT.
3. Ahmad N.S., Islahudin F., Paraidathathu T. (2014). Factors associated with good glycemic control among patients with type 2 diabetes mellitus. Journal of diabetes investigation, 5(5), 563-569.
4. Hứa Thành Nhân, Nguyễn Thy Khuê (2014). Tỷ lệ bệnh nhân đái tháo đường týp 2 đạt mục tiêu HbA1c tại một phòng khám chuyên khoa đái tháo đường ở TP Hồ Chí Minh. Tạp chí "Nội tiết và Đái tháo đường", 13, 35-40.
5. Nguyễn Khánh Ly, Nguyễn Thị Bích Đào. Khảo sát tỉ lệ bệnh nhân đạt mục tiêu kiểm soát đa yếu tố nguy cơ tim mạch ở bệnh nhân đái tháo đường típ 2 điều trị ngoại trú tại Bệnh viện tuyến quận. Y học TP Hồ Chí Minh. 2014;18(4):44-52.
6. Bùi Thị Khánh Thuận. Kiến thức, thái độ, hành vi về chế độ ăn và tập luyện của người bệnh đái tháo đường típ 2. Tp. HCM, Đại học Y dược Tp. HCM; 2019.
7. Nelson L.A., Wallston K.A., Kripalani S. et al (2018). Assessing barriers to diabetes medication adherence using the Information-Motivation-Behavioral skills model. Diabetes Res Clin Pract, 142, 374-384.
8. Pokhrel S., Shrestha S., Timilsina A. et al (2019). Self-Care Adherence And Barriers To Good Glycaemic Control In Nepalese Type 2 Diabetes Mellitus Patients: A Hospital-Based Cross-Sectional Study. J Multidiscip Healthc, 12, 817-826.