Glucose Control and Its associated Factors among Patients with Type 2 Diabetes at a Northern Community Health Center in ThailandS. Burapadaja * and S. Intanate
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A community health center the primary setting for caring patients with type 2 diabetes is responsible for enabling them to control their glucose level adequately. The objective was to determine the proportion of patients with adequate glucose control and the factors which could associate with glucose control. The population were all patients with type 2 diabetes registered as patients of a community health center in Chiang Mai, Thailand (n=149). The sample was patients who had literacy and regular records of glucose levels. Patients’ information about demographics, intention, self-care behaviors and glucose levels during the last 6-month period was considered. Data were collected from a patient profile and a questionnaire in 2009. Adequate glucose control was defined as fasting glucose level ? 130 mg/dl. Results showed that 25.9% of respondents (n=135) were considered as adequate glucose control. Factors presenting negative association with glucose level were age, physical activity and intention to control diabetes but the positive one was eating habit. In conclusion, there are only one fourth of patients with adequate glucose control indicating that serious attempt and proper care are needed for the majority of patients with inadequate glucose control. Strengthening patients to keep strong intention to control diabetes and to engage in self-care behaviors of healthy eating and performing physical activity simultaneously and consistently is very necessary for succeeding in adequate glucose control. In particular, careful attention should be paid to the younger patients because of their tendency of inadequate control.
Keyword:
Thailand, glucose control, patients with type 2 diabetes
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