The study of a correlation between a follow up time of HbA1c in type 2 diabetic mellitus patients and an efficiency of diabetic control in the diabetic clinic, Mahasarakham Hospital

Abstract

Objectives : to analyze the relationship between follow-up time for HbA1c assessment and diabetes control efficiency in type 2 diabetes mellitus patients at Mahasarakham Hospital's Diabetes clinic.

Methods : This was a retrospective study analyzing medical record data from type 2 diabetes mellitus patients who have been followed up from January 1^st, 2014 to December 31^st, 2017. The study included 225 individuals ranging in age from 15 to 60 years. The descriptive statistics of frequency, percentage, prevalence rate with 95% confidence interval, mean (standard deviation), Pearson Chi-square, independent t-test, odds ratio, and multiple logistic regression were used in the study.

Results : The 180-day follow-up was statistically significant for diabetes control. The highest HbA1c goal has been achieved at 57.14% with 60 and 210 days of follow-up. According to multiple logistic regression analysis, there were factors that statistically significant influenced uncontrolled HbA1c, which are older age (adjusted OR = 1.067, 95% CI: 1.004-1.135), female (adjusted OR = 3.868, 95% CI: 1.741-8.594), high fasting blood sugar levels (adjusted OR =1.044, 95% CI: 1.030-1.057), and hypertension (adjusted OR =0.365, 95% CI: 0.175-0.759). Uncontrolled HbA1c has no statistically significant relate with other physical factors of BMI, other complication and co-morbid disease.

Conclusion : The 180 days of follow-up showed a statistically significant correlation with HbA1c control. The highest HbA1c goal has been achieved at 60 and 210 days of follow-up. Age, sex, fasting blood sugar levels, and hypertension were the physical characteristics that influenced HbA1c control.