NHẬN XÉT MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN KIỂM SOÁT GLUCOSE MÁU Ở BỆNH NHÂN ĐÁI THÁO ĐƯỜNG TYP2 CÓ MỨC LỌC CẦU THẬN < 60 ML/PHÚT/1,73M2

Abstract

Objectives: Review some factors related to blood glucose control status in patients with type 2 diabetes with glomerular filtration rate <60ml/min/1.73m2. Subjects and methods: A cross-sectional descriptive study was conducted on 106 patients with type 2 diabetes who were examined as outpatients at Huu Nghi Hospital from January 2022 to August 2022 with glomerular filtration rate < 60ml/min/1.73m2 after exclusion of patients with anemia, acute infection, acute complications, acute exacerbation of chronic renal failure, hemodialysis patients. Criteria for assessing fasting blood glucose, HbA1C according to the guidelines of ADA-2021; medication adherence according to the Morisky-8 scale; assessment of physical activity according to the IPAQ-SF table. Results: The rate of HbA1C control reaching the target group of patients with diabetes detection time ≤ 10 years (71.8%) and > 10 years (32.8%), statistically significant difference with p < 0.001. The percentage of patients with good and average adherence to medication in the HbA1C control group reached the goals of 90% and 10%, the difference was statistically significant with p < 0.05. The rate of target HbA1C control in the moderate physical activity group was 50.6% and the low level was 36%; difference with p < 0.001. The proportion of patients with comorbidities ≤ 3 and > 3 in the HbA1C control group reaching the target was 78% and 22%, respectively, the difference was statistically significant (p < 0.01). The rate of poor HbA1C control in the BMI < 23 group was lower than in the BMI ≥ 23 group. Conclusion: There is a relationship between blood glucose control and diabetes duration, body mass index, level of adherence to medication, level of adherence to physical activity and number of comorbidities.