Result of Chiangyuen model for preventing recurrence of hypoglycemia in diabetes mellitus type 2 in Chiangyuen hospital Mahasarakham

Abstract

          Objective : Hypoglycemia is a significant clinical risk commonly found in Diabetes patients. A standard medical treatment and advice were assessed in Chiang Yuen Hospital revealed a lack of structured monitoring and home recovery plan which left a chance for the symptoms to reappear in the patients. The objective of this research was to study the result of the Chiang Yuen model in order to prevent the reappearance of Hypoglycemia in patients.

         Methods : 24 volunteer type 2 Diabetes patients with hypoglycemia domiciled in Chiang Yuen District, Mahasarakham province were randomly assigned to intervention group (n=12) and control group (n=12). The intervention group received a general questionnaire, hypoglycemic symptoms questionnaire of the previous month in scores, a handbook, an appointment for a follow-up check at the district health center, and in the control, group received standard treatment of Chiang Yuen Hospital. Then both groups received an appointment to recheck the symptoms at Chiang Yuen Hospital one month later, and received the hypoglycemic symptoms questionnaire of the previous month. The results were in scores.

          Results : The general profile of both groups consisted of gender, age, congenital disease, profession, regular medicine, with no significant variation. The average mean score ranking of the subjects before the test were 14.08 and 10.02 for the intervention and the control group respectively, without significant variation (p-value=0.291). The average mean score ranking of the subjects after the test were 6.88 and 18.13 for the intervention group and the control group respectively, with significant variation (p-value <0.001).

          Conclusion : The Chiang Yuen model was able to prevent the reappearance of Hypoglycemia. The one-month monitoring following the implementation of the Chiang Yuen model indicated that the intervention group had a lower score on hypoglycemia substantially when compared to the control group.