Factors Associated with Good Glycemic Control Among Type 2 Diabetic Patients at Samliam Primary Care Unit, Khon Kaen Province
Keywords:
Factors, Diabetes control, Blood sugar levels, Type 2 diabetic, Samliam primary care units.Abstract
Objective: In Thailand, the number of diabetes patients is expected to rise. Many diabetic patients struggle to control their blood sugar levels and maintain healthy behaviors. This study aimed to identify the factors influencing blood sugar control in type 2 diabetic patients at the Samliam primary care unit.
Materials and Methods: A case-control study was conducted involving 203 type 2 diabetic patients registered at the Samliam primary care unit, Khon Kaen Province, Thailand. The sample size was calculated to include 50 cases and 50 controls, using systematic sampling. Data was collected through a questionnaire administered by trained village health volunteers. Statistical analyses included frequency counts, percentages, 95% confidence intervals, Chi-square tests, linear-by-linear associations, and multiple logistic regression.
Results: The response rate was 86% (86 out of 100 participants), indicating that 48.8% of the sample achieved controlled blood sugar levels. After controlling other significant factors, the study revealed that certain factors were associated with successful blood sugar control. Dyslipidemia was identified as a critical factor; patients with hyperlipidemia were 83% less likely to achieve controlled blood sugar levels compared to those with normal lipid levels, a finding that was statistically significant (Adjusted Odds Ratio [AOR] 0.17, 95% Confidence Interval [CI] 0.04-0.70). Additionally, strict medication adherence was significant; patients who strictly followed their prescribed medication regimen were 25.28 times more likely to achieve controlled blood sugar levels compared to those who did not adhere strictly, also statistically significant (AOR 25.28, 95% CI 1.05-606.36).
Conclusion: Effective health care strategies to prevent dyslipidemia and to promote strict adherence to prescribed medications are essential for controlling blood sugar levels in type 2 diabetic patients.
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วรรณวลี บุญค้ำชู. ปัจจัยที่มีความสัมพันธ์กับการควบคุมระดับน้ำตาลในเลือดของ ผู้ป่วยเบาหวานชนิดที่ 2 โรงพยาบาลส่งเสริมสุขภาพตำบลบ้านหนองผักบุ้ง ตำบลกลางดง อำเภอทุ่งเสลี่ยม จังหวัดสุโขทัย [อินเตอร์เน็ต]. 2566 [อ้างเมื่อ 25 สิงหาคม 2566] เข้าถึงจาก: https://hpc2appcenter.anamai.moph.go.th/academic/web/files/2566/r2r/MA2566-004-02-0000001174-0000001196.pdf.
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