Factor Related to Glycemic control in Diabetes mellitus type 2 patients at Diabetes Clinic Naveng Health Service Center, Mueang District Sakon Nakhon Province

Abstract

             This cross–sectional survey research aimed to study the factors related to glycemic control in diabetes mellitus type2patients. The study group consisted of 180 patients who visited diabetes clinic, Naveng health service center, Mueang district, Sakon Nakhon province from October to December,2023. The questionnaires for data collection comprised of 5 parts: 1) personal information, 2) information on treatment patterns, 3) record form of treatment outcome, 4) knowledge of diabetes and 5)
self–carebehaviors. The reliability evaluatedby the Cronbach’s alphacoefficientofquestionnairespart 4 and 5 were 0.89 and 0.80, respectively. Data were analyzed by using percentage, mean, standard deviation and binary logistic regression.

              The results showed that 78.30 percent of patients with diabetes mellitus type 2 could control their blood sugar levels (HbA1c < 7). The factors that have a statistically significant relationship with blood sugar control in patients with type 2 diabetes included marital status, and fasting blood sugar (FBS). Diabetes mellitus type 2 patients with FBS > 126 mg% had more chance to be unable to control
blood sugar level (HbA1c ≥ 7) than those with FBS 126 mg% (OR adj = 7.21,95% CI = 2.49–20.85). Also, diabetes mellitus type 2 patients with single marital status had more chance to be unable to control blood sugar levels than those with couple marital status (marriage) (OR adj = 3.83, 95% CI =
1.59–9.29). Therefore, development of a care model for diabetes mellitus type 2 patients to better control blood sugar levels should be focused on patient’s factors, FBS > 126 mg% and single marital status.