Proportion and Associated Factors of Poor Glycemic Control Among Type 2 Diabetes Mellitus Patients in a Primary Care Cluster, Nakorn-Nont 1

Abstract

Objectives: The aim of this study was to determine the proportion and associated factors including baseline characteristics, sleep, food and nutrition and family support of poor glycemic control among type 2 diabetes mellitus patients in primary care cluster, Nakorn-Nont 1.

Design: This was a cross-sectional descriptive study.

Materials and Methods: The study population (n=127) was obtained by simple random sampling from  type 2 diabetes mellitus patients in primary care cluster, Nakorn-Nont 1. Data were collected from questionnaire in the period January – February 2020. Good or poor glycemic control was grouped by target in clinical practice guideline for diabetes 2017.

Results: Of the total 127 patients, 82 (64.6%) were poor glycemic control and 45 (35.4%) were good glycemic control. In this study age, educational level, occupation, marital status and sleep duration were significantly associated with glycemic control.

Conclusions: Proportion of good glycemic control patients in primary care cluster, Nakorn-Nont 1 (35.4%) was below the country’s target (> 40%). Therefore, the diabetes care system should be developed to be more effective, monitoring and care for patients with factors associated with glycemic control closely and focus on educating people about the optimal duration of sleep for diabetic patients.